《伤寒论》麻黄升麻汤证脉象发微  

Pulse Condition of Mahuang Shengma Decoction(麻黄升麻汤)Syndrome in Treatise on Cold Pathogenic Disease

作　　者：马振 赵凰宏 李发枝[3] 徐江雁[3] MA Zhen;ZHAO Huanghong;LI Fazhi;XU Jiangyan(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450003,China;Henan University of Traditional Chinese Medicine,Zhengzhou 450046,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]河南中医药大学第三附属医院,河南郑州450003 [3]河南中医药大学,河南郑州450046

出　　处：《山东中医药大学学报》2021年第3期336-339,共4页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家中医药管理局“十二五”中医药重点学科—中医各家学说建设项目(编号:15102040-2019-17)。

摘　　要：《伤寒论》原文论述麻黄升麻汤证时,强调“寸脉沉而迟,下部脉不至”的脉象特点,成为脉证合参的重要指征,惜其语焉未详,故后世对此颇有争议。从脉象角度来解读本方证,对麻黄升麻汤证涉及的相关问题进行梳理:以《伤寒论》的脉法体系为依托,结合临床中对厥阴病脉象的总结,深入挖掘麻黄升麻汤证脉象中“厥”的形成、诊断以及在临床中的应用,这不仅有助于还原麻黄升麻汤证的经典原意,亦可进一步拓展《伤寒论》脉诊理论的临床应用。When the original text of Treatise on Cold Pathogenic Disease discusses the syndrome of Mahuang Shengma Decoction(麻黄升麻汤),it emphasizes the pulse characteristics of“deep and slow at Cun pulse and insensible at the lower pulse”,which become the important indications for comprehensive analysis of pulse and syndrome.Unfortunately,the description is not detailed,and it has been disputed by later generations.This paper interprets this prescription and syndrome from the perspective of pulse conditions,and sorts out the involved issues related to the syndrome of Mahuang Shengma Decoction:Based on the pulse system of Treatise on Cold Pathogenic Disease,combined with the clinical summary of the pulse condition of Jueyin disease,the formation,diagnosis and clinical application of“Jue”are mined in the pulse condition of Mahuang Shengma Decoction,which not only helps restore the classic original meaning of Mahuang Shengma Decoction syndrome,but also further expands the clinical application of pulse diagnosis theory in Treatise on Cold Pathogenic Disease.

关 键 词：《伤寒论》 麻黄升麻汤 寸脉沉而迟 下部脉不至 脉证合参 

分 类 号：R222.2[医药卫生—中医基础理论]