许家栋对张仲景“四饮”病机与治法的思路探讨  

Xu Jiadong’s discussion on Zhang Zhongjing’s pathogenesis and treatment of Siyin(retention of body fluid in four forms)

作　　者：盛曦琳 刘宝利[2] 贾英民 邱新萍 许家栋(指导) SHENG Xilin;LIU Baoli;JIA Yingmin;QIU Xinping;XU Jiadong(School of Chinese medicine,Hong Kong Baptist University,Hong Kong 999077,China;Beijing Hospital of traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010;Shunyi Hospital of Beijing Traditional Chinese medicine hospital,Beijing 101399;XU Jiadong academic inheritance studio of Guangdong Hospital of traditional Chinese medicine,Guangzhou 510120,China)

机构地区：[1]香港浸会大学中医药学院,999077 [2]首都医科大学附属北京中医医院,100010 [3]北京中医医院顺义医院,101399 [4]广东省中医院许家栋学术传承工作室,510120

出　　处：《中国老年保健医学》2022年第4期127-130,共4页Chinese Journal of Geriatric Care

基　　金：全国中医药创新骨干人才培训项目(编号:国中医药人教函[2019]128号);北京中医医院顺义医院许家栋名医传承工作室建设项目(编号:20191204-2)。

摘　　要：许家栋教授通过“痰饮”即为“淡饮”入手,结合《金匮要略》条文辨出痰饮病机特点为胃虚津液不化、下焦饮逆。当痰饮以水饮为主时,治疗方法以温化为主温补为辅;当痰饮以虚寒为主时,治疗以温补为主温化为辅;当痰饮病传中焦胁下变为悬饮,病机特点为中焦水饮阻滞,水结化热,治法可攻之;当痰饮病传上焦表位成为溢饮,病机特点为表位水饮凝滞有余,治疗为汗法。支饮的病机最复杂,同时具有痰饮、悬饮、溢饮的病机特点,需以法治之。本文通过对四饮病机、理法方药的探讨,为临床辨治水饮病提供诊疗思路。Professor Xu Jiadong began with“phlegm drinking”as“light drinking”,combined with the provisions of“Synopsis of the Golden chamber”,identified the pathogenesis of phlegm drinking as stomach deficiency,body fluid retention,lower energizer drinking reverse.When phlegm drinking was mainly water drinking,the treatment was mainly warming and supplementing.When the phlegm drink is mainly deficient and cold,the treatment is mainly warming and tonifying,supplemented by warming and warming.When the disease of phlegm drinking becomes suspended drinking under the central coke side,its pathogenesis is characterized by the block of the central coke water drinking and the heat of water condensation,and the treatment can attack it.When the disease of phlegm drinking is transmitted to the focal surface and becomes excessive drinking,the pathogenesis of the disease is characterized by excess stagnant water drinking at the focal surface,and the treatment is perspiration.The most complicated pathogenesis of Zhiyin is phlegm drinking,suspended drinking and overflowing drinking,so it needs to be ruled.This paper discusses the pathogenesis of the four drinking diseases and the rational and legal prescriptions,and provides the diagnosis and treatment ideas for the clinical differentiation and treatment of water drinking diseases.

关 键 词：许家栋 张仲景 四饮 痰饮 悬饮 溢饮 支饮 

分 类 号：R249[医药卫生—中医临床基础]