《温病条辨》下焦虚寒治法探析  

Treatment of deficiency cold of the lower energizer in Differentiation and Treatment of Epidemic Febrile Disease

作　　者：刘城 张思超[1] LIU Cheng;ZHANG Sichao(Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,济南250014

出　　处：《北京中医药大学学报》2022年第6期645-648,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.81173183);山东中医药大学教育教学研究课题(No.ZYQZ019001)。

摘　　要：《温病条辨》是一部理法方药俱备的温病学专著,后世医家多详于研究其热病伤阴之治法,而忽视其伤阳治法之论述。通过对《温病条辨》整理、归纳、分析得出下焦虚寒证的主要病因病机为寒湿伤阳、阴损及阳、久病伤阳、药误伤阳等。吴鞠通治疗下焦虚寒证以辛甘化阳法为指导,常用温守法、温涩法、温通法、从治法。于温守法中建中补下,温补督脉,气血双补,阴阳双补;于温涩法中应用性涩之品收涩下焦阳气;于温通法中应用淡渗之品利湿,苦辛之品行气,辛温芳香之品疏散气机、透达经络、行气活络以通补虚阳。《温病条辨》下焦虚寒治法于当今外感、内伤杂病之下焦虚寒证治疗有指导意义。Treatise on Differentiation and Treatment of Epidemic Febrile Disease,a monograph on warm diseases with a theory,methods,prescription,and medicine,is focused on the treatment of fever and yin injury by the TCM doctors of later generation,but ignored the treatment of yang injury.In this paper,by sorting,summarizing,and analyzing the book,we conclude that the main etiology and pathogenesis of lower energizer(Jiao)deficiency-cold syndrome is that cold and dampness impair yang and damage yin and yang;prolonged illness impairs yang;and medicine inadvertently impairs yang.Furthermore,Jutong’s treatment of deficiency-cold symptoms in the lower Jiao is guided by the pungent and sweet method of transforming Yang.Commonly used method include the method of warm and protection,methods of warm and purgation,methods of warm and smooth,and retrograde treatment.The method of warm and protection is effective in building up the middle and tonifying the lower jiao,warming and tonifying the ductus,and tonifying the qi and blood as well as yin and yang.The method of warm and purgation is effective in applying astringent products to the astringent lower Jiao yang.The method of warm and smooth is effective in applying lightly permeating products to benefit dampness and bitter and pungent products to move qi.The pungent,warm,and aromatic products are used to disperse the qi,penetrate the meridians,and move the qi to invigorate the channels to tonify the deficient yang.The treatise is of great significance for the contemporary treatment of deficient cold in the lower Jiao in miscellaneous diseases of external and internal injuries.

关 键 词：吴鞠通 温病条辨 下焦 虚寒 温阳法 

分 类 号：R254[医药卫生—中医内科学]