《伤寒论》第319条猪苓汤证探析  

An Exploration into Syndromes Indicated by Decoction of Sclerotium Polypori Umbellati Recorded in Item 319 in Treatise on Febrile Diseases

作　　者：陈明[1] 

机构地区：[1]北京中医药大学基础医学院,北京100029

出　　处：《南京中医药大学学报》2002年第3期140-142,共3页Journal of Nanjing University of Traditional Chinese Medicine

摘　　要：结合历代医家的认识 ,探讨《伤寒论》第 31 9条猪苓汤证的发病机理 ,并对本方证的证候进行分析。认为猪苓汤证病机为少阴阴虚水停 ,水热互结。临床以小便不利、口渴、脉细数而弦、舌质红而苔反水白为辨证要点。阐述了在肾主水的过程中 ,肾阴的气化所起的关键作用 ,联系临床实践进行研究 。This paper deals with the pathogenesis of the syndromes indicated by Decoction of Sclerotium Polypori Umbellati Recorded in Item 319 in Treatise on Febrile Diseases and an analysis of the manifestations of the syndromes. The author believes that syndromes indicated by Decoction of Sclerotium Polypori Umbellati Recorded in Item 319 in Treatise on Febrile Diseases is due to deficiency of yin in the Shaoyin Channel, leading to retention of fluid and accumulation of water and heat. Clinical manifestations include dysuria, thirst, thready, rapid and wiry pulse and red tongue proper with pale coating. The author also discusses the key role of the functional activity of kidney yin and explores into the pathological changes in which the kidney fails to control water metabolism due to kidney yin deficiency.

关 键 词：《伤寒论》 猪苓汤证 少阴阴虚 水热互结 发病机理 证候分析 

分 类 号：R222.29[医药卫生—中医基础理论]