以治则治法为核心构建经方痰饮水湿辨治体系  

Establishing Syndrome-differentiation-based-therapy System of Legm-dampness in Classical Formula through the Basis of Therapeutic Principle and Treatment

作　　者：马家驹[1] 张晓雷[1,2] 王玉光[1] 

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学,北京100029

出　　处：《辽宁中医药大学学报》2016年第4期69-71,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家"十二五"科技支撑计划项目(2013BAI13B02)

摘　　要：痰饮水湿皆是津液代谢敷布失常所致,归属于六经辨治体系的"太阴病"范畴,是机体功能沉衰不足所致,痰饮水湿证的治则治法基于对其病因病机理解基础上,故仲景确定的治则是"病痰饮者当以温药和之",而治法是治则结合临床所确定的具体治疗方法,如发汗、利小便等。围绕"和之"而确定的一系列具体治法。同时在发汗、利小便等治法实施过程中,也需要顾护津液,需要通过口渴、汗出、二便等变化情况判定治疗效果。总之通过以治则治法为核心可以明确经方痰饮水湿的辨证体系。Phlegm-dampness,usually caused by abnormal metabolism and distribution of body fluids,is the result of body dysfunction. It belongs to Taiyin disease in six-meridian system. The therapeutic principle and treatment of phlegm-dampness are established based on its etiology and pathogenesis. In Zhongjing＇s theory,phlegm-dampness should be harmonized with warm herbs,which is considered to be the therapeutic principle of phlegm-dampness. Therapeutic method,such as sweating,inducing urination,should be determined according the theory of harmonizing together with its clinical manifestation. Retaining body fluids should also be taken into consideration. Therapeutic effect can be confirmed through the changes of thirst,sweating,urine and stool. In summary,syndrome-differentiation-based-therapy system of phlegm-dampness in classical formula can be established through the basis of therapeutic principle and treatment.

关 键 词：治则治法 经方 痰饮 水湿 

分 类 号：R241.5[医药卫生—中医诊断学]