《金匮要略》胸痹篇第6条引发的思考  

Thoughts Inspired from the Item 6 of the Obstruction of Qi in the Chest of the Golden Chamber

作　　者：马杰[1] 吴复苍[1] 

机构地区：[1]天津中医药大学,天津300193

出　　处：《浙江中医药大学学报》2012年第12期1366-1367,共2页Journal of Zhejiang Chinese Medical University

摘　　要：《金匮要略.胸痹心痛短气病》篇中第6条言简意深,历代医家对其评注甚多,阐述发挥不一。笔者主要就如何理解本条中胸痹与短气的关系作一分析,并立足全篇,通过说明短气在疾病不同时期的用意以及仲景方药的选择运用来进一步佐证,提示在胸痹病的诊断和治疗过程中,要以动态发展的眼光把握疾病不同症状的相互影响和内在联系;注意划分轻重层次,早期见微知著,中期区分治疗,后期调理善后;探讨仲景胸痹用药从气血水三环分论的规律和学术思想。The item 6 of the obstruction of Qi in the chest of the Golden Chamber is concise and comprehensive while there are so many different comments on it.This article mainly focuses on how to understand the relationship between obstruction of Qi in the chest and shortness of breath,explain the significance of shortness of breath in different periods of disease and further corroborate by choosing the Zhongjing Prescription.It is necessary to grasp the vision of the dynamic development of the mutual influence of the different symptoms of the disease and the intrinsic link in the process of diagnosis and treatment of the obstruction of Qi in the chest.Prompt to analyse severity level to remind early,distinguish and treat in the mid-term,recover in the later period.This article also discusses the law and academic thought of Zhongjing drug treatment about obstruction of Qi in the chest from the view of Qi,blood and water.

关 键 词：金匮要略 胸痹 短气 气血水 恒动观 

分 类 号：R221[医药卫生—中医基础理论]