《伤寒论》“结胸证”临床辨治体会  

Clinical experience in the differentiation and treatment of“syndrome due to accumulation of evil in chest”in Treatise on Cold Pathogenic Diseases

作　　者：李文辉 马砚涛 LI Wenhui;MA Yantao(Famous TCM Doctors Museum,Wuwei Hospital of Traditional Chinese Medicine,Wuwei,Gansu,733000,China;Department of Geriatrics,Wuwei Hospital of Traditional Chinese Medicine,Wuwei,Gansu,733000,China)

机构地区：[1]武威市中医医院名中医馆,甘肃武威733000 [2]武威市中医医院老年病科,甘肃武威733000

出　　处：《甘肃中医药大学学报》2023年第3期21-24,共4页Journal of Gansu University of Chinese Medicine

摘　　要：《伤寒论》“结胸证”与“脏结证”“阳明腑实证”“少阳阳明合病”“痞证”等病证在临床表现上有相似之处,但各证病因病机及治疗方面却迥然不同。通过对“结胸证”的主症、病因病机、临床表现、类似证临床鉴别、治疗等方面的总结,旨在进一步挖掘《伤寒论》中“结胸证”的治疗经验,理清思路,探索临床治疗本病的方法,为本病的正确辨证施治提供借鉴。In Treatise on Cold Pathogenic Diseases,there are similarities in clinical manifestations between diseases such as“Syndrome due to accumulation of evil in chest”and“Syndrome due to accumulation of evil in viscera”,“Yangming viscera syndrome”,“Shaoyang and Yangming syndrome complex”,and“Fullness syndrome”.However,each syndrome differs significantly in terms of etiology,pathogenesis and treatment.By summarizing the main symptoms,etiology and pathogenesis,clinical manifestations,clinical differentiation of similar symptoms,and treatment of“Syndrome due to accumulation of evil in chest”,this paper aims to further explore the treatment experience of“Syndrome due to accumulation of evil in chest”in Treatise on Cold Pathogenic Diseases,clarify the ideas to find out clinical treatment methods for this disease,and provide reference for the correct diagnosis and treatment of this disease in clinical practice.

关 键 词：结胸证 《伤寒论》 病因病机 鉴别诊断 治疗 

分 类 号：R222.15[医药卫生—中医基础理论]