脾约证研究  

Study of splenic constipation syndrome

作　　者：杨丽[1] 

机构地区：[1]辽宁中医药大学附属第三医院,沈阳110003

出　　处：《长春中医药大学学报》2016年第3期488-491,共4页Journal of Changchun University of Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)"‘脾主运化;统血’等脾藏象理论研究"(2013CB531701)

摘　　要：脾约证是《伤寒论》中历代医家争议较大的一个方证,列举历代医家对其病因病机的几种具有代表性观点,对《伤寒论》原文进行剖析,综合历代医家对《伤寒论》的注释,结合现代学者的研究,重点关注其中存在争议的几个问题,认为综合方药及现代研究,脾约证的病机应为"胃强脾弱",而其"趺阳脉浮而涩"的脉象,及"小便数"的症状亦与其病机相符,而主方应为麻子仁丸,而非小承气汤。Spleen constipation was highly contested in. Treatise on Febrile Diseases. This article lists several standpoints about its pathogenesis discussed by physicians in past dynasties and analyze the Treatise on Febrile Diseases,the annotation of Treatise on Febrile Diseases and the study of modern scholars by focusing on several controversial issues about splenic constipation. The author believes that the pathogenesis of spleic constipation syndrome is stomach preponderance and spleen weakness,moreover,the symptom of fuyang pulse floating and astringent and frequent urination match its pathogenesis. The main prescription should be Maziren Pill not Xiaochengqi decoction.

关 键 词：脾约证 胃强脾弱 麻子仁丸 

分 类 号：R256.3[医药卫生—中医内科学]