畜鱼置介法在虚风内动证治疗中的应用探析  

Application of Putting Shells into Fishpond Method in Treatment of Endogenous Deficient Wind Syndrome

作　　者：施新 冯一凡 颜华 展照双 SHI Xin;FENG Yifan;YAN Hua;ZHAN Zhaoshuang(College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学中医学院

出　　处：《山东中医杂志》2020年第2期121-124,144,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省高校科研计划项目(编号:J18KA289);山东省中医药科技发展计划项目(编号:2019-0041);山东中医药大学科研创新团队项目(编号:2018-10)

摘　　要：畜鱼置介本为鱼类养殖之法,喻嘉言运用取象比类思维以之指导真阳上脱证的治疗。该法提示,在治疗阴虚导致的真阳上脱证时,用药当滋阴与潜阳兼顾。由于虚风内动证与真阳上脱证病机均与肝肾阴虚相关,故后世温病学派认为畜鱼置介法亦可用于虚风内动证的治疗。通过研究《寓意草》相关病案,旁及其他中医著作,阐述畜鱼置介法的理论基础是调和阴阳,龙骨、牡蛎、鳖甲、龟板为其常用药物,吴鞠通所创复脉类方为其常用方剂。Putting shells into fishpond was a method used in the aquaculture.YU Jiayan,with the thinking of classification according to manifestation,applied this method to the treatment of genuine yang floating upward syndrome. This method indicates that for treating the syndrome of genuine yang floating upward caused by yin deficiency,drugs for nourishing yin and subduing yang should be used together. Because the pathogenesis of both genuine yang floating upward syndrome and endogenous deficient wind syndrome are related to deficiency of yin of the liver and the kidney,the later warm disease school advocated the putting shells into fishpond method can be applied to the treatment of endogenous deficient wind syndrome. By studying the relevant medical records of Yuyicao(《寓意草》) and other traditional Chinese medicine books,this paper expounds the theoretical basis of the putting shells into fishpond method is regulating yin and yang. It is concluded that Longgu(fossil fragments),Muli(concha ostreae),Biejia(turtle shell) and Guiban(tortoise plastron) are the commonly used drugs and a series of prescriptions created by WU Jutong for restoring pulse are the commonly used prescriptions.

关 键 词：畜鱼置介法 真阳上脱 虚风内动 温病 喻嘉言 《寓意草》 

分 类 号：R242[医药卫生—中医临床基础]