《温病条辨》治疗温病组方特点研究
发布时间：2018-11-21 17:33
【摘要】：本课题以《温病条辨》为研究对象,通过查阅相关文献,在前学者研究基础上,运用综合、类比法总结《温病修辨》治疗温病的用方特点。经过研究,得出以下结论：1.温病初犯肺卫,治以辛凉解表佐以微辛微苦。偏于卫,则辅以辛温发散；偏于肺,则辅以苦降：若夹毒,合用清热解毒；热盛则佐用苦寒；夹湿浊,则佐以芳香化湿；热盛伤阴,则佐用甘寒。当卫气同病,则合用辛凉清热；若夹湿,热重于湿,则去辛温,加辛凉或苦寒清热,佐用宣肺；若湿盛,则加淡渗利水。当卫营同病,则辛凉苦甘合用成寒甘寒；若卫血同病,则合用凉血活血。2.吴氏以辛凉清热重剂治疗气分热盛,夹毒者,合用清热解毒；夹湿者,热重于湿,则佐用辛温燥湿；病情轻者,则用芳香化湿；若湿热并重,则合用宣上淡渗；若阴虚,则合用甘寒养阴。气血两重,气分热和阴伤较重者,则重用辛凉清热,辅以甘寒；若气分与血热并重,则辛凉咸寒并用。热入营分,治以咸寒甘寒,佐以轻清宣透。血分热盛,治以咸寒甘寒。3. “透热转气”是针对药物功能而言,即质轻上浮之品,领血分药至转至营分。4.治疗阳明腑实证,燥热重者,投以大承气汤；燥重热轻者,治以谓胃承气汤,并顿服之；病情轻则投以小承气汤。当阳明腑实与他脏合病时,以苦寒攻下为基础。太阴与阳明合病,痰热互结,合用辛开苦降；若热重痰轻,则辅以辛凉清热；太阳与阳明合病,小肠热盛,则合用苦寒甘寒；厥阴与阳明合病,热闭心包,则合用安宫牛黄丸。阴液不足,则合用咸寒甘寒；气阴两虚,则合用益气养阴；阴液大亏则纯用咸寒甘寒,禁用苦寒。5.湿热郁结上焦,清窍不通,则用辛散宣上,佐以苦寒；若气逆于上,湿热较轻,则重用苦降,辅以辛散,佐用淡渗；若湿热较重,则重用清肺化痰,辅以淡渗苦降。中焦湿热,胃气上逆,热重于湿,则重用苦寒佐以辛温；若湿热并重,则辛温苦寒并用；若湿重于热,则辛温苦温并用。下焦湿热,则重用淡渗。6.当肺阴虚时,治以甘寒养阴,若暑邪所致,则合用酸甘。胃阴不足,治以甘寒养阴,若热轻,则合用咸寒：若热重,则辅以苦寒。下焦肝肾不足,阴虚轻则用甘寒,阴虚较重则以咸寒治之；当虚实夹杂,则合用苦寒清热或辛凉外透。若暑邪所致则以酸甘化阴佐以苦寒。
[Abstract]:This topic takes febrile disease differentiation as the research object, through consulting the related literature, on the basis of the former scholars' research, summarizes the febrile disease treatment febrile disease prescription characteristic by the synthesis, the analogy method. After study, the following conclusions are drawn: 1. Febrile disease first committed lung Wei, cure with Xin Liang solution table with a little bitter. Deviation in the Wei, then assisted by Xin Wen divergence; lean to the lung, auxiliary suffering: if the toxin, use heat detoxification; heat Sheng Zizuo with bitter cold, damp, with aromatization wet; heat injury Yin, with sweet cold. When Wei Qi is ill, it is combined with Xin Liang to clear away heat; if dampness, heat is heavier than wet, then go to Xin Wen, add Xin Liang or bitter cold to clear away heat, and use Xuan lung; if wet, add light seepage and benefit water. When Wei Ying with disease, then Xin Liang bitter Gan combined into cold sweet cold; if Wei blood with disease, the use of cold blood circulation. 2. Wu used xinliangqing heatweight agent to treat the heat of Qi, the person with toxin, combined with heat and detoxification; those with dampness and dampness, the heat was heavier than the dampness, they were supplemented with xingwen, dryness and dampness; in the case of light illness, they were treated with aromatization and dampness; if the dampness and heat were equally heavy, they could be combined with light infiltration; If yin deficiency, then the combination of sweet cold nourishing yin. Qi-blood double, Qi points heat and Yin injury more serious, then re-use Xin Liangqing heat, supplemented by sweet cold; if Qi points and blood heat equal weight, then Xin Liang salty cold and use. Heat into the camp, the treatment of salty cold sweet cold, with light Qing Xuan transparent. The blood divides heat Sheng, treats with salty cold and sweet cold. 3. "Heat transfer" is aimed at the function of the drug, that is, light floating products, blood points to the transfer to the camp. 4. The treatment of Yang Ming Fu empirical, dryness and heat heavy, the big Cheng Qi Tang; dryness heavy heat light, the treatment is called stomach Cheng Qi Tang, and take it; the disease is light with Xiaochengqi decoction. When the yang-Ming fu-organs and his viscera syndromes with disease, it is based on the attack of bitter cold. Taiyin and Yangming syndromes, phlegm and heat mutually knot, combined with Xin Kai and bitter fall; if heat heavy phlegm light, auxiliary with Xin Liang Qing re; Sun and Yang Ming disease, small intestine heat is prosperous, share bitter cold and sweet cold; Jueyin and Yang Ming syndromes disease, heat closes pericardium, combine an Gong Niuhuang pill. Yin liquid is insufficient, then use salty cold and sweet cold; Qi and Yin deficiency, combined use of Qi nourishing yin; Yin liquid loss is pure use of salty cold sweet cold, prohibit bitter cold. 5. Damp and heat stagnation knot on the coke, clear the orifices, use Xin San-Xuan, with bitter cold; if the gas is reversed, damp heat is light, then re-use bitter drop, with Xin San, with light seepage; if the damp heat is heavy, then re-use clear lung to reduce phlegm, auxiliary with light seepage bitter drop. If the heat is both damp and hot, the bitter cold will be combined with the bitter temperature, and if the humidity is more severe than the heat, the bitter temperature will be combined with the bitter temperature and the bitter and bitter heat, and if the humidity is more severe than the heat, the bitter and bitter heat will be combined. The lower coke is damp and hot, then reuses the light osmosis. 6. When lung yin deficiency, cure with sweet cold to nourish yin, if summer heat evil caused, then combined with sour sweet. Stomach yin deficiency, cure with sweet cold nourish yin, if heat is light, combine salty cold: if heat is heavy, assist with bitter cold. The deficiency of liver and kidney of lower scorch, the light of yin deficiency is treated with sweet cold, the heavy of yin deficiency is treated with salty cold, and when the deficiency is mixed, it can be combined with bitter cold to clear heat or Xin Liang to pass through outside. If the heat caused by the evil is sour glycosylated Yin with bitter cold.
【学位授予单位】：黑龙江中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R254
，
本文编号：2347719
[Abstract]:This topic takes febrile disease differentiation as the research object, through consulting the related literature, on the basis of the former scholars' research, summarizes the febrile disease treatment febrile disease prescription characteristic by the synthesis, the analogy method. After study, the following conclusions are drawn: 1. Febrile disease first committed lung Wei, cure with Xin Liang solution table with a little bitter. Deviation in the Wei, then assisted by Xin Wen divergence; lean to the lung, auxiliary suffering: if the toxin, use heat detoxification; heat Sheng Zizuo with bitter cold, damp, with aromatization wet; heat injury Yin, with sweet cold. When Wei Qi is ill, it is combined with Xin Liang to clear away heat; if dampness, heat is heavier than wet, then go to Xin Wen, add Xin Liang or bitter cold to clear away heat, and use Xuan lung; if wet, add light seepage and benefit water. When Wei Ying with disease, then Xin Liang bitter Gan combined into cold sweet cold; if Wei blood with disease, the use of cold blood circulation. 2. Wu used xinliangqing heatweight agent to treat the heat of Qi, the person with toxin, combined with heat and detoxification; those with dampness and dampness, the heat was heavier than the dampness, they were supplemented with xingwen, dryness and dampness; in the case of light illness, they were treated with aromatization and dampness; if the dampness and heat were equally heavy, they could be combined with light infiltration; If yin deficiency, then the combination of sweet cold nourishing yin. Qi-blood double, Qi points heat and Yin injury more serious, then re-use Xin Liangqing heat, supplemented by sweet cold; if Qi points and blood heat equal weight, then Xin Liang salty cold and use. Heat into the camp, the treatment of salty cold sweet cold, with light Qing Xuan transparent. The blood divides heat Sheng, treats with salty cold and sweet cold. 3. "Heat transfer" is aimed at the function of the drug, that is, light floating products, blood points to the transfer to the camp. 4. The treatment of Yang Ming Fu empirical, dryness and heat heavy, the big Cheng Qi Tang; dryness heavy heat light, the treatment is called stomach Cheng Qi Tang, and take it; the disease is light with Xiaochengqi decoction. When the yang-Ming fu-organs and his viscera syndromes with disease, it is based on the attack of bitter cold. Taiyin and Yangming syndromes, phlegm and heat mutually knot, combined with Xin Kai and bitter fall; if heat heavy phlegm light, auxiliary with Xin Liang Qing re; Sun and Yang Ming disease, small intestine heat is prosperous, share bitter cold and sweet cold; Jueyin and Yang Ming syndromes disease, heat closes pericardium, combine an Gong Niuhuang pill. Yin liquid is insufficient, then use salty cold and sweet cold; Qi and Yin deficiency, combined use of Qi nourishing yin; Yin liquid loss is pure use of salty cold sweet cold, prohibit bitter cold. 5. Damp and heat stagnation knot on the coke, clear the orifices, use Xin San-Xuan, with bitter cold; if the gas is reversed, damp heat is light, then re-use bitter drop, with Xin San, with light seepage; if the damp heat is heavy, then re-use clear lung to reduce phlegm, auxiliary with light seepage bitter drop. If the heat is both damp and hot, the bitter cold will be combined with the bitter temperature, and if the humidity is more severe than the heat, the bitter temperature will be combined with the bitter temperature and the bitter and bitter heat, and if the humidity is more severe than the heat, the bitter and bitter heat will be combined. The lower coke is damp and hot, then reuses the light osmosis. 6. When lung yin deficiency, cure with sweet cold to nourish yin, if summer heat evil caused, then combined with sour sweet. Stomach yin deficiency, cure with sweet cold nourish yin, if heat is light, combine salty cold: if heat is heavy, assist with bitter cold. The deficiency of liver and kidney of lower scorch, the light of yin deficiency is treated with sweet cold, the heavy of yin deficiency is treated with salty cold, and when the deficiency is mixed, it can be combined with bitter cold to clear heat or Xin Liang to pass through outside. If the heat caused by the evil is sour glycosylated Yin with bitter cold.
【学位授予单位】：黑龙江中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R254
，
本文编号：2347719
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