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孙思邈《备急千金要方》冷痢证治特点探析
Analysis on characteristics of syndrome and treatment of dysentery with cold syndrome in Beiji Qianjin Yao Fang by Sun Simiao
【摘要】 《备急千金要方》对冷痢的病因病机、治疗原则及处方用药进行了详细的阐述。本文通过分析冷痢篇的用药规律,总结了孙思邈治疗冷痢的证治特点。孙思邈认为,该病“多寒”“多虚”,临床治疗多用附子、干姜、肉桂等温热药以“寒者热之”,用人参、甘草、当归、阿胶等“虚者补之”;同时痢多积滞,宜少加大黄、黄连清利积滞,使其“滞者通之”;久泻滑脱,宜加乌梅、赤石脂涩肠止泻;另外,冷痢多虚劳,必要时应酌加血肉有情之品。通过对《备急千金要方》冷痢进行系统分析,总结孙思邈治疗冷痢的用药规律,探讨其证治特色,以期为临床治疗腹泻提供新的思路。
【Abstract】 Beiji Qianjin Yao Fang on dysentery with cold syndrome causes and pathogenesis, treatment principles, and prescription drugs are detailed. This paper summarizes the characteristics of syndrome and treatment of Sun Simiao’s treatment of dysentery with cold syndrome by analyzing the medication rules of dysentery with cold syndrome articles. Sun Simiao believes that the disease is “more cold”and “more deficiency”. In clinical treatment, Aconiti Lateralis Radix Praeparata, Zingiberis Rhizoma, Cinnamomi Cortex, and other warm and hot drugs are used to“treating cold syndrome with heat methods”. and Ginseng Radix Et Rhizoma, Glycyrrhizae Radix Et Rhizoma, Angelicae Sinensis Radix, Asini Corii Colla, and so on are used to “treating deficiency syndrome with tonifying methods”. At the same time, dysentery is often stagnant. A small amount of Rhei Radix Et Rhizoma and Coptidis Rhizoma should be increased, that are also used to clear away accumulated stagnation, such as “treating retardation syndrome with dredging methods”. Chronic diarrhea separation,should add Mume Fructus, Halloysitum Rubrum that are used to relieve diarrhea with astringents. In addition, the dysentery with cold syndrome more virtual labor, when necessary should be added with nourishing drugs. Through systematic analysis of dysentery with cold syndrome in Beiji Qianjin Yao Fang, this paper summarizes the medication rules of Sun Simiao’s treatment of dysentery with cold syndrome and discusses its syndrome and treatment characteristics, in order to provide new ideas for clinical treatment of diarrhea.
【Key words】 Beiji Qianjin Yao Fang; Dysentery with cold syndrome; Medication rule; Characteristics of syndrome and treatment;
- 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2023年03期
- 【分类号】R254.6
- 【下载频次】81