《伤寒论》“小便不利”与“小便难”病机辨析  

Pathology analysis of "difficulty in micturition" and "dysuria" in Shang Han Lun

作　　者：黄斯[1] 赵国平[1] 蓝海[1] 黄妍丽[1] 杨威[1] 

机构地区：[1]暨南大学医学院,广州510632

出　　处：《中国中医基础医学杂志》2015年第11期1348-1349,1419,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家自然科学基金资助项目(81173189)-当归四逆汤解痉通脉机制研究

摘　　要：《伤寒论》中反复使用"小便不利""小便难"描述小便异常的现象,笔者认为二者意义不同。"小便不利"是由于水湿阻滞三焦、湿热互结、风湿相搏、小肠泌别清浊受阻等导致机体气机不利;"小便难"则是因大热、误治导致汗出过多,或脾胃衰败不能化生津液,而致阴津缺乏。故试对相关的31个条文进行病因病机分析归纳,并结合《金匮要略》相关论述探讨两者病机的区别。In Shang Han Lun dysuria and urination difficult were repeated used to discribe the phenomenon of abnormal urine. The author thinks that these two words meanings are different. Wet block the Sanjiao, hot and humid are alternating knot, the small intestine function was damaged, which block the Qi activity and cause dysuria. The sweat caused by great hot and wrong treatment, the decline of spleen and stomach, which induce the lack of water, causes urination difficult. By analyzing the etiology and pathogenesis of inductive 31 provisions, and the related provisions from Golden Chamber Synopsis, the article try to discuss the difference between the two words.

关 键 词：《伤寒论》 小便不利 小便难 病机 

分 类 号：R222[医药卫生—中医基础理论]