从津液角度论治《伤寒论》太阳病  

Treatment of Taiyang disease in Treatise on Cold Pathogenic Diseases from the perspective of body fluid

作　　者：邢加兴 周雨龙 司廷林[2] XING Jiaxing;ZHOU Yulong;SI Tinglin(College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250000,China;Department of Nephrology,Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250000,China)

机构地区：[1]山东中医药大学中医学院,山东济南250000 [2]山东中医药大学第二附属医院肾病科,山东济南250000

出　　处：《中国医药导报》2022年第6期139-142,共4页China Medical Herald

基　　金：山东省卫生健康委员会齐鲁医派中医学术流派传承项目(鲁卫函〔2021〕45号)。

摘　　要：探索《伤寒论》太阳病中对津液的论治,通过梳理《伤寒论》太阳病篇发汗法及误汗、误吐、误下变证,古籍和后世医家中对津液理论的记载,论治津液在太阳病中的证治规律,得出津液是营卫之气功能体现的载体,卫气的亢进能将津液聚集于体表,是发汗法运用的基本条件,而阻碍津液的生成、输布与排泄会造成水饮的产生。根据症状的不同可对津液的充斥、亏虚、生成障碍、输布障碍及排泄障碍等方面进行论治,从而采取发汗解表、调和营卫、健脾通阳利湿等治法,从津液角度入手《伤寒论》太阳病,可串联起张仲景对于太阳病及其变证的辨证论治,对提高临床辨证论治具有一定的意义。In order to explore the treatment of body fluid in Taiyang disease of Treatise on Cold Pathogenic Diseases,through combing the sweating method,the deteriorated cases of missweating,misvomit,and misdiarrhea in Taiyang disease in Treatise on Cold Pathogenic Diseases,the records of fluid theory in ancient books and later physicians,on the law of syndrome and treatment of fluid in Taiyang disease,it is concluded that fluid is the carrier of the function embodiment of nutrient qi and defensive qi.The hyperactivity of defensive qi can accumulate the body fluid on the body surface,which is the basic condition for the application of sweating method,and hinders the body fluid generation,distribution,and excretion could cause the production of water-fluid.According to the different symptoms,body fluid of repletion,deficiency,formation barriers,transport barriers,and excretion barriers,and so on were discussed and treated,in order to adopt the treatment of promoting sweating to release the external,regulating and harmonizing the nutrient and defense,fortifying the spleen and unblocking yang to resolve dampness,and so on,and from the perspective of body fluid in Taiyang disease of Treatise on Cold Pathogenic Diseases,it can be connected with treatment based on disease differentiation of Taiyang diseases and their changes of Zhang Zhongjing,which has certain significance for improving clinical treatment based on disease differentiation.

关 键 词：津液 太阳病 水饮 误汗 误下 营卫之气 桂枝汤 麻黄汤 小青龙汤 

分 类 号：R222[医药卫生—中医基础理论]