国医大师张志远教授对五苓散的临床应用经验  

Clinical Experience of Traditional Chinese Medicine Master Professor Zhang Zhiyuan on Wuling Powder

作　　者：侯梓桐 刘桂荣 HOU Zitong;LIU Guirong(School of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250355, Chin)

机构地区：[1]山东中医药大学中医学院,济南250355

出　　处：《中国中医药现代远程教育》2017年第22期84-86,共3页Chinese Medicine Modern Distance Education of China

基　　金：国家中医药管理局全国名老中医药专家张志远传承工作室项目【No.国中医药人教发[2013]47号】

摘　　要：五苓散出自《伤寒论》,是治疗太阳蓄水证的代表方,被历代医家誉为"治水第一方"。太阳蓄水证病机总为太阳表邪未解,内有蓄水,主证以小便不利为主。但是历代医家对蓄水证的蓄水部位存有很大争议,多数医家认为是"水邪内结膀胱",亦有少数医家持"水邪内结三焦"的观点。山东省名老中医、国医大师张志远教授业医70余年,在学术研究上独树一帜,临床经验丰富。先生认为五苓散治疗的蓄水证与三焦气化功能障碍有密切关系,治疗重在恢复三焦通利,则症状即可解除。Wuling powder originates from Treatise on Febrile and Miscellaneous Diseases, and is the treatment of taiyang water amassment syndrome representatives, known as the ＂ water first＂. The pathogenesis of taiyang water amassment syndrome is that exterior pathogenic factors are not solved, and there is water storage inside. ＂ Urination＂ is the main point. But the ancient doctors on the storage area of taiyang water amassment syndrome there are a lot of controversies, and the majority of doctors believe that ＇water evil within the bladder.＂ However, a small number of doctors believe that ＂ water evil within the triple energizer＂. The traditional Chinese medicine expert Professor Zhang Zhiyuan studied Chinese medicine for more than seventy years. He is unique in academic research and rich in clinical experience. He thinks that Wuling powder in the treatment of water storage syndrome and triple energizer gasification dysfunction are closely related to the treatment of the focus on the restoration of triple energizer, and the symptoms can be lifted.

关 键 词：太阳蓄水证 蓄水部位 五苓散 张志远 医案 尿潴留 癃闭 肥胖 慢性肠炎 

分 类 号：R249[医药卫生—中医临床基础] R289.5[医药卫生—中医学]