张仲景论温阳法  

Discussion of Zhang Zhongjing's Yang-Warming Method

作　　者：刘亮[1] 祁冬冬[1] 谢忠礼[1] LIU Liang QI Dongdong XIE Zhong-li(Henan University of Chinese Medicine,Zhengzhou, Henan, China,45004)

机构地区：[1]河南中医药大学,河南郑州450046

出　　处：《河南中医》2017年第7期1138-1139,共2页Henan Traditional Chinese Medicine

基　　金：河南中医药大学大学生创新学习项目(编号:CXXM[2014]4)

摘　　要：无论外感或内伤、还是正偏虚或邪偏实,疾病作用于人体主要表现为人体的功能障碍,治疗的终极目的在于恢复已损伤的功能。仲景温阳法的概念比温法要广泛,不同于简单的温中祛寒、回阳救逆、温经散寒,仲景温阳法则具体说明了如何"温",从而恢复阳气的相应功能。由于疾病作用于人体的整体性,连贯性,很多证型反映了阳气的多种功能障碍,如亡阳证多表现为肾阳虚衰、津液不固、寒凝经脉等,治疗则应把握其阳气欲脱的特性,治应回阳救逆,达到"异病同治"的效果。阴阳互根互用,扶阳气的同时也应考虑到阴津,治疗上须灵活变化,做到"观其脉证,知犯何逆,随证治之",如阴盛格阳、上热下寒、寒热错杂之证则须兼用寒凉以调整气机,恢复功能。Whether it is exogenous contraction,internal injury,relatively deficient healthy qi or relatively excess pathogenic factor, the maiu reflection of a disease in a human body is the functional disorder. The uhimate objective of treatment is to restore the im- paired function. The coneept of yang-warming method by Zhongjing is more extensive Ihan that of wanuing method, differenl from the simple methods of warming the middle energizer and dispelling cold,rescuing from collapse by restoring yang,warming the meridians and dispelling cold. Zhong, iing＇s yang-warming method mainly illustrate the method of warming to restore the corresponding functions of yang qi. Due to the integrality,consistency of the disease, many syndromes reflects muhiple functional disorder of yang qi. Syndrome of yang depletion mainly manifests as kidney yang decline, non-consolidation of body fluid,cold coagulating the me- ridians. In the treatment, the tbature of yang qi collapse should be grasped and method of reseuing from collapse by restoring yang should be applied to achieve the effect of ＂different diseases treated with same method＂. During the consideration of interdependent and mutually promoting of yin and yang and restoration of yang qi,yin fluid should also be considered. Hexible treatment should be applied to ＂observe the meridian syndrnme,identify the collapse and eouduct treatment according to the syndrome＂. For instance,excessive yin refusing yang,heat in the upper and cold in the lower,simultaneous occurrence of cold and heal shouht be trealed with cooling method to regulate qi movement and restore the function.

关 键 词：温阳法 《伤寒论》 温煦 推动 防御 固摄 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]