陈士铎从肝肾论治痢疾经验  

Chen Shi-duo's Experience of Treating Dysentery from the Perspective of Liver and Kidney

作　　者：武书澎 李栋梁 任振杰 张业[1] WU Shu-peng;LI Dong-liang;REN Zhen-jie;ZHANG Ye(Henan University of Chinese Medicine,Zhengzhou,Henan,China,450046)

机构地区：[1]河南中医药大学,河南郑州450046

出　　处：《河南中医》2023年第4期527-530,共4页Henan Traditional Chinese Medicine

基　　金：河南省中医药科学研究专题项目(20-21ZY2130)。

摘　　要：清代医家陈士铎认为,湿热是痢疾发生的根本原因,善于从肝肾论治痢疾,在《辨证录》一书中基于五行和脏腑生克的理论体系首次提出“痢之来始于肝,痢之成本于肾”的观点,揭示了痢疾与肝木肾水的密切联系。辨证时,陈士铎在继承前人经验的基础上,提出了辨痢疾之阴阳盛衰,辨痢疾之寒热真假,并提出治痢六法:从肝肾论治、升清降浊、补阴护阳、因势利导、下其瘀血、通中有塞。其治痢用药特色:喜用顺气之药,重用白芍为君,多伍养阴之药。According to Chen Shi-duo,a physician in Qing Dynasty,dampness-heat is the fundamental cause of dysentery,so he was good at treating dysentery from the perspective of liver and kidney.In the book Records of Differentiation of Symptoms and Signs,based on the theoretical system of the five elements and visceral generation and restriction,he first proposed the view that"dysentery originates from the liver,and its formation comes from the kidney",revealing the close connection between dysentery and liver wood,and kidney water.During the differentiation of symptoms and signs,Chen Shi-duo,based on inheriting previous experience,proposed the differentiation of excess and deficiency of yin and yang in dysentery,cold and heat,true and false,and put forward six methods for treating dysentery:treatment from the perspective of liver and kidney,ascending clear and lowering turbidity,tonifying yin and protecting yang,guiding sth.in the light of its general trend,removing blood stasis,dredging and consolidating together.The characteristics of his medication in treating dysentery were as follows:He liked to use drugs that promote qi flow,heavily used Baishao(Radix Paeoniae Alba)as the sovergign ingredient,and often combined with a variety of yin-nourishing drugs.

关 键 词：痢疾 湿热 从肝肾论治 升清降浊 补阴护阳 因势利导 下其瘀血 通中有塞 陈士铎 

分 类 号：R256.34[医药卫生—中医内科学]