浅议《金匮要略》惊悸病水饮致悸证的适宜归篇  

Discussion on the Fright Disease caused by Drinking Water Palpitate Permit Appropriate Return Papers of Synopsis of Golden Chamber

作　　者：郑利钦 梁天豪 

机构地区：[1]广州中医药大学第三临床医学院,广州510405

出　　处：《光明中医》2016年第12期1696-1697,共2页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：《金匮要略》惊悸吐衄下血胸满瘀血病脉证治篇中,开篇即论惊悸病的成因"寸口脉动而弱,动即为惊,弱即为悸。"即由气血阴阳亏虚所致,总病机为因虚生悸,理当以温补气血,滋阴温阳为治则。但篇中第13条却以攻逐痰饮为法,以半夏麻黄丸为方,与开篇所论"动即为惊,弱即为悸"的病机、治法治则完全相反,而与痰饮咳嗽病脉证治篇的病机、治法治则相近,将13条归于惊悸病篇明显不适。将之归于痰饮咳嗽病脉证治篇,且归为痰饮咳嗽病的并发症更显合理。The chapters of palpitation Hematemesis Hemafecia oppression extravasated blood in Synopsis of Golden Chamber,at the outset,had discussed that it was weakness in Cunkou pulse that lead to palpitation,which was mean weakness in qi-blood and yin-yang lead to it,and the total pathogenesis was deficiency cause palpitation. Naturally,it should have been cured with nourishing qi-blood and yin-yang.However,the 13 th item took driving out the accumulated water as method and made the Banxia Mahuang pills as medicine,of which is contrary the pathogenesis and the therapy principles,and furthermore,it was similar to the chapters of phlegmatic cough. It＇s not appropriate to write them in those chapters,but in the chapters of phlegmatic cough and as a complication.

关 键 词：惊悸病 半夏麻黄丸 痰饮咳嗽病 

分 类 号：R222.3[医药卫生—中医基础理论]