仲景辨治心阳虚证特点探析  

Analysis on Essence of Syndrome Differentiation and Treatment for Heart Yang Deficiency Syndrome by Zhongjing

作　　者：徐立思[1] 孔祥亮[2] 何新慧[2] 

机构地区：[1]上海市中医文献馆,上海200020 [2]上海中医药大学基础医学院,上海201203

出　　处：《辽宁中医杂志》2015年第3期490-493,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：心阳虚证是临床常见证候及最终转归,是导致死亡的主因之一。仲景《伤寒论》和《金匮要略》对于心阳虚证有其独特的辨治规律。心悸、心胸痞满、胸痹心痛和畏寒肢冷是心阳虚证的主症,或可伴见肺系、脾系、肾系等症状,病程较长者还可出现心脾同病或心脾肾同病。按病情程度可分为心阳不振、心阳虚衰和心阳暴脱三个阶段,桂枝甘草汤、真武汤和四逆汤分别是其代表方,桂枝和附子是仲景最常用的两味药。其治疗大法和常用药对精简独到,同时重视五脏相关的整体性,关注外感与内伤等致病因素的特点,其辨治精髓在现代临床仍有很大的指导意义和实用价值。Heart yang deficiency syndrome is clinically common and the main cause of death. ZHANG Zhongjing has its unique rules in differentiating and treating heart yang deficiency syndrome in Treatise on Febrile Diseases and Synopsis of Prescriptions of the Golden Chamber. The main symptoms of heart yang deficiency syndrome are palpitation,stuffiness and fullness in chest,angina pectoris and intolerance of cold,and they also can be associated with lung symptoms,spleen symptoms or kidney symptoms. The simultaneous diseases of heart-spleen or heart-spleen-kidney can be found in the long course of heart yang deficiency syndrome. It can be divided into heart yang devitalization,heart yang failure and heart yang collapse according to the extent of the disease. Their representative prescriptions are Guizhi Gancao Decoction,Zhenwu Decoction and Sini Decoction. Cassia Twig and Prepared Common Monkshood Daughter Root are the main herbs in treating heart yang deficiency syndrome by Zhongjing. The therapeutic methods and commonly-used couplet herbs are accurate and unique. Zhongjing pays attention on the holism of five viscera and the characters between external contraction and internal damage and its essence still has a great value in modern clinical treatment.

关 键 词：心阳虚证 张仲景 伤寒论 金匮要略 辨证论治 

分 类 号：R222[医药卫生—中医基础理论]