《金匮要略》“瘀血”证治  

Talking About "Blood Stasis" in Essentials from the Golden Cabinet

作　　者：王轶[1] 朱生樑[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《河南中医》2017年第3期373-375,共3页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:81072788/H2708)

摘　　要："满""燥""青""涩"四字,即"瘀血"的四大主症。然而若是遵循教条主义,受原有理论框架的束缚,就会固步自封,有失偏颇。瘀血的临床表现除了胸腹胀满疼痛、口干舌燥、舌色青紫、脉涩不利外,还可有痞块、感觉麻木、肌肤甲错、两目黯黑、痈疡、胎动下血、神志异常等诸多症状和体征,前者是辨证的基准,后者为鉴别的补充;前者是共性,后者是个性;前者是对普遍性的归纳,后者是对特殊性的演绎。《金匮要略》是中医经典古籍之一,是现存最早的一部诊治杂病的中医专著,也是学习传统中医药的必读之书,但是惟有理论联系实践,从书本到临床,再从临床实践回味经典理论,反复实践,反复研读,不断加深理解,才能逐渐领略其博大精深之处,才能寓发扬于继承之中,才能让经典成为提升自身的中医学理论水平和诊疗技能的基石。The clinical manifestations of blood stasis not only include abdominal distension and pain,dry mouth,purple tongue,unsmooth pulse,but also have mass,numbness,scaly skin,darkness of eyes,large carbuncle,vaginal bleeding with fetal movement and abnormal state of mind. The former is the basis of differentiation,while the latter is the complement of the identification; The former is the common character,while the latter is the personality; The former is the generalization of the universality,while the latter is the deduction of the particularity.

关 键 词：《金匮要略》 “瘀血” 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]