苦寒发汗法探析  

Discussion on the method of sweating in bitter cold

作　　者：丁艳亭[1] DING Yanting(Traditional Chinese Medicine Hospital of Taian City,Shandong Taian 271000,China)

机构地区：[1]山东省泰安市中医医院,山东泰安271000

出　　处：《中医药临床杂志》2023年第8期1517-1520,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：山东省中医药科技项目(Q-2022027)。

摘　　要：汗法,亦称发汗法,作为八法之首,临床应用极广。辛温与辛凉为现代临床中经常使用的发汗方法。该文通过古今文献考证发现苦寒发汗法亦有较为广泛的应用,并进一步从理论基础、理论源流、临床应用、内涵释义等方面解析苦寒发汗法。“火郁发之”为苦寒发汗的立论之基,其发汗的机制在于调和阴阳,以寒清热、以苦开郁、稍佐辛散为其用药原则,临床可用于治疗黄疸、温病、疫病等;苦寒发汗法始于《小品方》,金元时期进一步丰富完善,近贤张锡纯灵活运用于诸多病症的治疗。苦寒发汗是汗法的重要组成部分,在今后的临床与科研中值得进一步研究。Diaphoresis,also known as sweating method,as the first of the eight methods,is widely used in clinical practice.Diaphoresis with drugs of pungent flavor and warm or cool nature is often used in modern clinic.Through the textual research of ancient and modern documents,the author found that diaphoresis with drugs of bitter flavor and cold nature is also widely used,then from the aspects of theoretical basis,theoretical origin,clinical application and connotation interpretation to analysis diaphoresis with drugs of bitter flavor and cold nature.“Dissipate excessive stagnation of fire”is the basis of argument,the mechanism of sweating is to regulating Yin and Yang,Clearing away heat with cold,expelling stagnation with bitter,sasuking with pungent taste having dispersing effect are principles of drug use,it can be used to treat jaundice,febrile disease,epidemic disease,etc.It was started with Xiao Pinfang,the JIN and YUAN Dynasties were further enriched and improved,ZHANG Xichun was flexibly applied to the treatment of many diseases.It is an important part of perspiration,which is worthy of further research in clinical and scientific research in the future.

关 键 词：苦寒发汗 汗法 火郁 调和阴阳 张子和 

分 类 号：R243[医药卫生—中医临床基础]