探析《金匮要略》气血水理论辨治中风  

Syndrome Differentiation and Treatment of Stroke Based on Theory of Qi,Blood and Water in Synopsis of Golden Chamber

作　　者：任月乔 吴珺 赵志恒[2] 周震[2] REN Yueqiao;WU Jun;ZHAO Zhiheng;ZHOU Zhen(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China)

机构地区：[1]天津中医药大学,天津301617 [2]天津中医药大学第二附属医院,天津300250

出　　处：《山东中医药大学学报》2023年第1期16-19,共4页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81774056)。

摘　　要：以《金匮要略》气血水理论探析张仲景辨治中风的思路。明确气血水理论可应用于中风整个发展阶段,指出中风的发生与阳气失根、瘀血塞道、痰浊截源关系紧密,确定调和气血水为中风的治疗大法,将张仲景治疗中风的方药——防己地黄汤、风引汤、侯氏黑散进行归类,指出辨治过程中要有侧重,既丰富了治疗手段,又可指导临床组方用药。ZHANG Zhongjing’s thought in differentiating and treating stroke has been explained by using the theory of qi,blood and water in Synopsis of Golden Chamber.The paper clarifies that the theory of qi,blood and water can be used in the whole development stage of stroke.It points out that the occurrence of stroke has a close relationship with the loss of yang-qi root,static blood blocking collaterals,phlegm-turbidity blocking the source,and defines harmonizing qi,blood and water as the treatment method for stroke.This study has classified ZHANG Zhongjing’s formulas for stroke,such as Fangji Dihuang Decoction(防己地黄汤),Fengyin Decoction(风引汤),and Houshihei Powder(侯氏黑散).It points out that emphasis should be placed in the process of syndrome differentiation,which not only enriches the treatment methods,but also guides the clinical prescription and medication.

关 键 词：《金匮要略》 张仲景 中风 气血水理论 调和气血水 防己地黄汤 风引汤 侯氏黑散 

分 类 号：R222.3[医药卫生—中医基础理论]