“下法”在现代中医临床中的应用  

Brief Introduction of Modern Clinical Application of TCM Purgation

作　　者：佟旭[1] 孟庆刚[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《中华中医药学刊》2015年第4期820-822,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家科技支撑计划项目(2013BAI02B10);北京中医药大学科研创新团队项目(2011-CXTD-03);北京中医药大学研究生自主项目(2014-JYBZZ-XS-003)

摘　　要："下法"是中医治则治法理论体系中的重要治疗大法之一。现代中医学工作者将下法广泛地应用于消化系统、神经系统、循环系统以及妇科、儿科、皮肤科等多种疾病的治疗中,既丰富了下法的理论内涵,又拓展了下法的临床应用范围。其中,下法在各系统急症、危重症和痛症,以及以"热"以"积"为主要特点的病症治疗中更具优势。从气机的角度来看,下法的病机辨证特点是有形之邪淤(瘀)滞,影响人体局部或整体的气机通畅。而下法可以消除人体各部淤(瘀)滞,条畅气机,促进人体恢复健康。同时,临床使用下法应灵活结合他法,亦须中病即止,以免戕伐正气。Purgation is very important in the system of therapeutic principles and methods in TCM（ traditional Chinese medicine）. Modern TCM researchers have applied purgation in the treatment of various diseases,such as diseases of the digestive system,nervous system and circulatory system as well as gynecological disease,pediatric diseases and skin diseases. This has not only enriched the theoretical connotation of purgation,but also expanded its clinical application scope. And purgation has its advantages in urgent,critical and painful diseases and other diseases characterized by heat and mass. From the perspective of Q functional activity,diseases caused by the stagnation of Qi resulted from tangible pathogenic factor are suitable for the use of purgation. Purgation can remove the tangible pathogenic factor in any part of the body and make the flow of Qi fluently,and thus promoting the body back to health. Meanwhile,purgation should be applied together with other treatment methods according to the diseases and it is to be used just to the right level in case of the damage to health.

关 键 词：下法 治则治法 临床 气机 

分 类 号：R222.14[医药卫生—中医基础理论]