张仲景存津液思想浅析  

An Analysis of Zhang Zhong-jing's Thought of Preserving Fluid

作　　者：鲁红献 

机构地区：[1]弥渡县人民医院,云南弥渡675600

出　　处：《河南中医》2016年第11期1861-1863,共3页Henan Traditional Chinese Medicine

摘　　要：仲景指出,在使用峻猛药物时初服药量不能太大,一定要根据患者的病情及服药后出现的症状逐渐调整服药量,即"少少加"。如果药中病,即病人服药后出现症状好转就需要减药或停药。同时特别指出,血虚津液不足的患者是禁服瓜蒂散的。应用吐法时遵循的两个基本原则体现出张仲景对用吐法时的态度是极其慎重的。尽管仲景在祛邪处方中没直接使用补液养阴之品,但对病邪之寒热虚实把握准确,所用方药更是全面周到,步步为营,解病之法中融入保液之思。药后禁忌生冷、黏滑、臭恶等败脾碍胃之品,五辛、酒酪等辛热伤津之品,以免妨碍人体津液的正常生成。仲景要求服药后做好相应的护理及饮食调养才能取得较好的疗效,这也是保证津液不被损伤的重要措施。At the beginning of the disease, the dosage of aggressive drugs can not be too large, should be added step by step ac- cording to the patient＇s condition and symptoms after taking drugs. If drugs are effective, that is to say, if patients have favorable symptoms after taking drugs, the dodge of drugs should be reduced or stopped. Patients with deficient blood and fluid should be forbidden to take Melon Stalk Powder. In terms of the above two basic principles, Zhang Zhong-jing is very cautious about vomi- ting. In the prescriptions for removing pathogens, Zhang does not use drugs with functions of supplementing fluid and nourishing yin directly, but he has a good grasp of cold, heat, asthenia and sthenia of pathogens, and a more comprehensive consideration of using prescriptions, therefore, his method of treating disease melts the thought of protecting fluid. Taboo after taking the drug： raw and cold. greasy and smelly substances may damage the spleen and stomach ; Five pungent, wine cheese having pungent and hot features may damage body fluid, and interfere with normal production of the body fluid. Therefore, Zhang Zhang-jing requires corresponding nursing and diet regulating in order to obtain a better curative effect, which is also the important measure to ensure no damage to the body fluid.

关 键 词：存津液 汗法 吐法 下法 《伤寒论》 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]