轻法频下理论探微  

Discussion on the theory of frequent diarrhea with light method

作　　者：师小茜 牛阳[2] SHI Xiao-qian;NIU Yang(Shandong University of Traditional Chinese Medicine,Jinan 250000,China;Ningxia Medical University,Yinchuan 750001,China)

机构地区：[1]山东中医药大学,济南250000 [2]宁夏医科大学,银川750001

出　　处：《中华中医药杂志》2022年第2期760-763,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.U20A20404)。

摘　　要：“轻法频下”源于叶天士《温热论》,由章虚谷明确提出,初起指药量小、药味少、多次服用,频频下之。如今轻法频下为治疗湿热或痰浊邪气互结于中下焦时,采用非峻猛泻下之品,多次少量的徐徐而下,且应灵活掌握药物寒热配比、煎煮方式、用药时间等多个方面,较之前内涵及范围更深、更广。临床上,需要对病位、病程、患者身体素质、药物剂型、服用方法上多番考虑,以“便硬”为邪尽标志,以求发挥最佳临床疗效。此理论探究具备鲜明中医学特色,丰富了中医温病学、中医治法等理论,对临床也一定有指导作用。‘Frequent diarrhea with light method’ originated from YE Tian-shi’s Wenre Lun, which was clearly put forward by ZHANG Xu-gu. From the beginning, it means that the dosage is small, the taste is small, and it is used frequently.Nowadays, the light method is frequently used to treat damp heat or phlegm turbid evil qi, when it is combined in the middle and lower jiao. It adopts the product of non severe and fierce diarrhea, and it should flexibly master the cold and heat ratio of drugs,decoction method, medication time and other aspects, which is deeper and wider than before. Clinically, it is necessary to consider the disease location, course of disease, patient’s physical quality, drug dosage form and taking method, and take ‘stool hard’ as the sign of non-evil, so as to give full play to the best clinical curative effect. This theoretical exploration has distinct characteristics of traditional Chinese medicine, enriches the theories of febrile diseases and treatment of traditional Chinese medicine, and must also play a guiding role in clinic.

关 键 词：下法 轻剂 轻法频下 温病 枳实导滞汤 

分 类 号：R242[医药卫生—中医临床基础]