张仲景从饮食变化认识谷疸病的临证思辨特点  

ZHANG Zhongjing's Viewpoint on Clinical Differential Characters of Cereal Jaundice Within the Perspective of Diet Changes

作　　者：茹立良[1] 权玉俊 刘贤锋[1] 

机构地区：[1]济宁市第二人民医院,山东济宁272049

出　　处：《现代中医药》2015年第2期32-34,共3页Modern Chinese Medicine

基　　金：济宁市中医药科技发展计划项目(zk201323)

摘　　要：通过对《金匮要略·黄疸病脉证并治》篇中谷疸病理变化进程中饮食变化的认识,分析饮食失调引发脾胃功能变化的机理,认清脾胃功能状态的外在表现为饮食变化,而饮食变化正揭示了脾胃肝胆所处的功能状态。从分析伴随谷疸病进程而发生的特异性饮食变化特点,弄清脾胃所处的功能状态,从而有的放矢正确辨证论治谷疸病。分析胃热脾湿引发谷疸病的病理机制,明晰谷疸病的病理演化特点,加深认识"胃喜润恶燥,脾喜燥恶湿"的生理特性,深刻理解肝病患者饮食变化的必然趋势。研习医圣"洞微知玄""但见一证便是"的临证思辨特点。Through analyses of the viewpoints on diet changes in the pathological progress of cereal jaundice described in Treatment of Jaundice and Pulse Syndrome of Golden Chamber Synopsis,combined its mechanisms,the results generalized were that the external manifestation for spleen and stomach functions are diet changes and diet changes reveal the status of the spleen,stomach,liver and gallbladder functions. The status of spleen and stomach functions were clarified to accurately treat cereal jaundice based on syndrome differentiation by exploring the specific characters of diet changes occurring during its progress. The researches are to analyze the pathological mechanism of cereal jaundice which is stomach heat and spleen dampness,to recognize its pathological derivative characters,to deepen its knowledge of physiological characters of ＂stomach in favor of moistness and adverse to dryness while spleen in favor of dryness and adverse to dampness. ＂and to profoundly understand the essential trends of diet changes in patients with liver illness. The clinical differential characters of medical sage-＂recognition of the difficulty from the tiny changes＂and＂only one syndrome can reveal the disease＂- were studied and learned by the researchers.

关 键 词：谷疸病 饮食变化 临证思辨特点 

分 类 号：R222.3[医药卫生—中医基础理论]