温病学派《易》理观与病毒性心肌炎辨治  

VMC treatment and I Ching theory in febrile disease school

作　　者：李涵[1] 张明雪[2] 曹洪欣 

机构地区：[1]辽宁中医药大学研究生学院2010级博士研究生,沈阳110032 [2]辽宁中医药大学附属医院心内二科,沈阳110032 [3]国家中医药管理局规划财务司,北京100700

出　　处：《国际中医中药杂志》2013年第6期520-522,共3页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目（项目编号：30873399）;教育部博士点基金（项目编号：20070162002）;辽宁省教育厅科学技术研究优秀人才项目（项目编号：2007R25）;辽宁省中医药临床学（专）科能力建设项目（项目编号：2012.1nzyxzk.01）;辽宁省特聘教授项目;辽宁中医药大学青蓝学者工程基金

摘　　要：目的探索温病学派《易》理观对病毒性心肌炎辨证论治的影响。方法在全面收集、整理温病学派《易》理观的基础上，采用文献调研的方法开展本课题的研究。结果温病理论形成中借鉴了《周易》体现的本体论和运动观，病毒性心肌炎按温病辨治也需参合《易》理，其发病与气运失常、坎离变卦、附丽病邪有关，在治疗中应祛邪养阴以润坤德，法象以顺升降浮沉，流气以调愆滞。结论温病学派法象思维的认识观、温热为主的病机观、注重养阴的治疗观和轻清流动的用药特点均体现了《易》理的影响。结合《易》理与医理辨治病毒性心肌炎，体现了中医的文化属性，有利于临床疗效的提高。Objective To explore the influence from I Ching perception of febrile disease theory to the syndrome differentiation and treatment of Viral myocarditis. Methods Documentary study. Results The febrile disease theory gained certain reference from simple ontology and motion concept in ancient Chinese philosophy. VMC was caused by disorder of five evolutive phases and six climatic factors, transition from Kan diagram to Li diagram, together with the mixture of pathogenic qi. Treatment should mainly focus on eliminating pathogen and nourishing yin to coordinate water and fire, conforming to universe rules, and smoothing Qi to reduce blockage. Conclusion The cognitive perception, pathogenesis and treatment of febrile disease theory are all deeply influenced by I Ching. Therefore, the combination of I Ching and febrile disease theory in diagnosis and treatment of VCM will improve clinical effects, as well as featuring the cultural nature of Traditional Chinese Medicine.

关 键 词：温病学派 周易 病毒性心肌炎 成气取象 

分 类 号：R259[医药卫生—中西医结合]