新病可补益 久病亦专攻  

Tonifying New Diseases and Reducing Intractable Diseases

作　　者：庞大承 张硕[1] 潘彦舒[1] PANG Dacheng;ZHANG Shuo;PAN Yanshu(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中医药学报》2022年第11期92-95,共4页Acta Chinese Medicine and Pharmacology

基　　金：2019年度北京中医药大学校级科研纵向发展基金(2019-ZXFZJJ-064);2020年度北京中医药大学基本科研业务费项目重点攻关项目(2020-JYB-ZDGG-017)。

摘　　要：大凡言补泻之道者,皆谓虚者补之,实者泻之,或新病多实宜泻,久病多虚应补。然病有久新,法无定法。新病亦可补益,其内涵大致有三:一者因正气自虚,伏其所主,先其所因;二者为防邪内陷,知传达变,先安未受邪之地;三者以扶正祛邪,见微得过,用之不殆。而久病邪气胶固者,赖以专攻,虽曰病久必虚,奈何邪气盘踞,根深蒂固,坚不可摧,亦必用攻伐,此乃定法中之变法。此论虽有乖于经旨,但又不失辨证之要,就此观点剖而析之,以飨同道。Generally speaking,the way of reinforcing and reducing is to tonify the deficiency and reduce the excess.It is generally regarded that new diseases are excessive and needs reducing,whereas intractable diseases are deficient and needs reinforcing.However,there is not a fixed rule to treat new diseases or long-term diseases.New diseases can also be reinforced,and its connotation is roughly concluded as the follows.Firstly,because of the deficiency of vital-Qi is the dominate reason for new diseases;secondly in order to prevent the evil going deeper inside and the disease changing or becoming worse,the uninfected place should be protected first;thirdly,supporting vital-Qi and repelling evil-Qi should be applied as soon as possible.For those long-term diseases with lingering and intractable evil-Qi,should be reduced.Although the patients are ill for a long time,they will be weak,but the evil-Qi is entrenched,deep-rooted and indestructible,and they must be resolved by attacking method.All these are the changes in the fixed law.Although this theory is counter to the classic rules,it keeps to the essence of the syndrome differentiation,which is elaborated in this study to share with the peers.

关 键 词：新病补益 久病专攻 内虚 补泻之法 临床方药 

分 类 号：R243[医药卫生—中医临床基础]