《伤寒论》蓄血证辨治探析  

Differentiation and Treatment of Blood Stasis Syndrome in Treatise on Cold and Febrile Diseases

作　　者：何新慧[1] 

机构地区：[1]上海中医药大学,上海201203

出　　处：《河南中医》2012年第8期949-951,共3页Henan Traditional Chinese Medicine

摘　　要：《伤寒论》中所述蓄血证或发于太阳病阶段,或发于阳明病阶段,均因外邪化热入里,与血互结而成。临证时可将蓄血证分为太阳蓄血轻证、太阳蓄血重证和阳明蓄血证。太阳蓄血轻证者,治疗当先解表,表邪外散后再用桃核承气汤活血化瘀,通下瘀热;太阳蓄血重证者,当先治里,用抵当汤破血逐瘀,通下瘀热;阳明蓄血证的治疗应以祛邪为主,方用抵当汤破血逐瘀。The syndrome of blood stasis discussed in Treatise on Cold anxt Febrile Diseases may arise from the stage of Taiyang disease or the stage of Yangming disease, which derive from the transformation of exopathogen into heat. The syndrome of blood stasis can be divided into the slight and the heavy syndrome of blood stasis, and Yangming syndrome of blood stasis. In the treat- ment of tile slight syndrome of blood stasis, the exterior should be dispersed, and then Hetao Chengqi Decoction be used to pro- mote the blood circulation to remove blood stasis. In the treatment of the heavy, syndrome of blood stasis, Didang Decoction shoule be used to remow~ the blood stasis and the heat so as to treat the interior. In the treatment of Yangming syndrome of blood stasis, Didang Decoction for removing blood stasis should be used to dispel the pathogens.

关 键 词：太阳蓄血证 阳明蓄血证 桃核承气汤 抵当汤 《伤寒论》 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]