浅谈《伤寒论》下利证的特殊治法  

The Special Treatment of Xiali Zheng in Shang Han Lun( Treatise on Cold- Induced Disease )

作　　者：杨卓[1] 毕虹博[1] 张国骏[1] 

机构地区：[1]天津中医药大学,天津300193

出　　处：《中医学报》2016年第1期61-63,共3页Acta Chinese Medicine

基　　金：国家自然科学基金项目(81373891)

摘　　要：下利简称利,特指大便质稀,次数增多的一种病证。《伤寒论》中所述下利,主要包括泄泻、痢疾和霍乱三种病证。六经病变皆可见下利,伤寒论中与下利有关的条文约有90条,方剂29首。仲景治疗下利之证,并非单纯强调止利而一味收敛,而是根据病证的表里寒热虚实灵活运用解表升提法、清热止利法、攻下实邪法、利水止利法、温阳止利法、辛开苦降法、疏肝解郁法,达到"不收而止"的效果,有"见血休止血"之妙,对后世医家辨治下利形成了深远的影响。Xiali Zheng in TCM refers to the disease of thin stool with increased frequency. The disease discussed in Shang Han Lun（ Treatise on Cold-Induced Disease） is similar to the modern diseases of diarrhea,dysentery and cholera syndrome,which may be caused by any disturbance in human collateral channels. There are 90 terms and 29 prescriptions about this disease in book of Shang Han Lun（ Treatise on Cold-Induced Disease）. ZHANG Zhongjing＇s special treatment of the disease is quite flexible according to the cold or heat symptoms. By specific syndrome differentiation and different treatment methods,such as relieving exterior and elevating method,clearing heat and preventing dysentery method,eliminating excessive evils method,clearing damp and preventing dysentery method,warming Yang and preventing dysentery method,pungent drugs for dispersion and bitter drugs for purgation method,relieving the depressed liver method,and the disease can be cured with different prescriptions,which has a far-reaching impact on clinical pratices.

关 键 词：伤寒论 下利证 解表升提法 清热止利法 攻下实邪法 利水止利法 温阳止利法 辛开苦降法 疏肝解郁法 

分 类 号：R222.2[医药卫生—中医基础理论]