浅析陈士铎辨治“中满”的思路与特色

发布时间：2019-04-02 03:50

【摘要】：陈士铎为清代著名医家,在其所著《辨证录》中专设有"中满门"一节。他认为"中满"病在脘腹,其病机之关键是脾气之衰,但不宜忽视脏腑气机之间的相互影响;在治疗上强调重在实脾,但要结合阴阳消长、五行生克规律,以及脏腑相关理论指导施治。陈士铎的论述是通过对四则具体病案诊治过程的分析,从而阐述辨治"中满"的思路与方法。并且结合病案自拟代表方温土汤、快膈汤、抒胀汤、生胃进食汤、调饥散、熏脾汤,其用药平和,辨证明确。其对辨治中满的思路,对提高中医师承临证学习具有一定的指导意义。
[Abstract]:Chen Shiduo, a famous medical practitioner in Qing Dynasty, set up a section of "Zhong Man Men" in his Book of differentiation. He believed that "Zhongman" disease in the abdomen, the key to its pathogenesis is the decline of temper, but it is not appropriate to ignore the interaction between the Zang-fu qi; Emphasis should be placed on the solid spleen in the treatment, but the treatment should be guided by Yin-Yang growth and decline, the law of five elements, and the related theory of Zang-fu organs. Chen Shiduo's exposition is based on the analysis of the diagnosis and treatment process of four specific medical records, thus expounding the thought and method of differentiation and treatment of "Zhongman". And combined with the medical records to represent Fang Wen Tutu soup, fast diaphragm soup, lyric soup, raw stomach food soup, dispelling hunger powder, fumigation spleen soup, its use of peaceful, clear differentiation of symptoms and signs. It has certain guiding significance to improve the study of traditional Chinese medicine doctor's clinical evidence and to distinguish and treat the Manchu in the process of differentiation and treatment.
【作者单位】：北京市亚运村医院;北京中医药大学;
【基金】：国家自然科学基金项目(No.39770888) 北京市朝阳区中医药薪火传承工程项目:郭霞珍名老中医传承工作室(No.朝卫通字[2014]336号) 北京市中医管理局薪火传承“3+3”工程:程士德名老中医研究室(No.2007-SZ-B-06)~~
【分类号】：R249

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