吴鞠通《温病条辨》治燥思想探析  

Analysis of Wu Jutong's Thought on Treating Dryness in Wen Bing Tiao Bian

作　　者：王秋月 毕岩[1] 岳冬辉[1] WANG Qiuyue;BI Yan;YUE Donghui(Changchun University of Traditional Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学,长春130117

出　　处：《中国中医基础医学杂志》2023年第12期1986-1989,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：吉林省科技厅中青年科技创新卓越人才专项(20210509004RQ);吉林省自然科学基金面上项目(YDZJ202201ZYTS174)。

摘　　要：本文基于《温病条辨》总结吴鞠通燥病辨治的治学思想,以期对燥病及相关疾病的临床治疗提供思路。吴鞠通认为燥病以外感为主,以三焦为通道进行传变,主要侵犯气分和血分。其病性有温凉之分,凉燥易阻滞气机出现寒化,温燥易伤津耗液出现热化。在治疗上,三焦用药有别,上焦气分病者多用辛药,中焦寒热里坚者皆用苦下,下焦血分阴伤者咸寒填精等,同时又根据卫气营血部位不同,精准用药。总之,寒者治以苦温,热者治以甘寒。《温病条辨》中深刻揭示了燥病的传变、用药规律,形成了一套完整的燥病诊治体系。This paper summarizes Wu Jutong's thought on the differentiation and treatment of dryness based on Wen Bing Tiao Bian,in order to provide ideas for the clinical treatment of dryness and related diseases.Wu Jutong thinks that dryness is mainly exogenous,with Sanjiao as the channel for transmission and change,mainly encroaching on Qifen and Xuefen.Its disease is divided into warm-dryness and cool-dryness,cool-dryness easily block Qi movement appear cold,warm-dryness easily damage body fluid.In the treatment,the treatment of Sanjiao is different.The Qi syndrome of Shangjiao is often used with zinn herbs,constipation syndrome caused by cold and heat evil of Zhongjiao is often used with bitter herbs to purge,body fluid injury syndrome of Xiajiao is often used with salty cold herbs to replenish essence,etc.At the same time,according to different parts of Wei Qi Ying Xue for precise medication.In short,cold syndrome is treated with bitter and warm herbs,while hot syndrome is treated with sweet and cold herbs.The law of transmission,change and drug use of dryness disease was deeply revealed in Wen Bing Tiao Bian,forming a complete diagnosis and treatment system of dryness disease.

关 键 词：吴鞠通 《温病条辨》 燥病 证治规律 

分 类 号：R229[医药卫生—中医基础理论]