《伤寒论》胸胁苦满腹证临床意义及应用探讨  

Clinical Significance and Application of Fullness and Discomfort in Chest and Hypochondrium and Abdominal Pattern In Shanghanlun

作　　者：王晴湄 李林森 WANG Qingmei;LI Linsen(School of Pharmacy of Minzu University of China,Beijing 100081,China)

机构地区：[1]中央民族大学药学院,北京100081

出　　处：《中央民族大学学报（自然科学版）》2023年第1期86-90,共5页Journal of Minzu University of China(Natural Sciences Edition)

基　　金：中央民族大学横向项目(No.20200119)。

摘　　要：本文依据《伤寒论》条文和研究文献,结合临床诊察方法和腹部证候特点,对胸胁苦满这一《伤寒论》中重要的证候表述进行归纳、分析和探讨,认为胸胁苦满包括自觉性和他觉性二种含义,他觉性胸胁苦满为少阳病主要腹证,其证候意义及诊察方法明显具有少阳病病机病位特点。同时,举出具体病例的诊治,探讨胸胁苦满结合腹力等因素进行四诊合参,对于临床柴胡类方证应用具有的实际指导意义。This paper summarizes an important evidence expression in Shanghanlun,based on the articles in Shanghanlun and research literature,combined with clinical diagnosis methods and abdominal pattern characteristics,considering that fullness and discomfort in chest and hypochondrium includes both self-consciousness and other-consciousness.Other-consciousness is the main symptom of Shaoyang disease,its evidence meaning and diagnosis method obviously have the pathogenesis and disease location characteristics of Shaoyang disease.The diagnosis and treatment of specific cases was cited.Itwas explored for fullness and discomfort in chest and hypochondrium combined with abdominal force and other factors for four diagnosis integration.This is a practical guide to the application of Modified Chaihu Decoction in the clinical setting.

关 键 词：腹诊 腹证 胸胁苦满 少阳病 柴胡类方 

分 类 号：R241.26[医药卫生—中医诊断学]