张从正治疗崩漏先清上  

Discussion About Zhang Congzheng′s Experience of TreatingEctopic Leakage by Clearing the Upper Part

作　　者：杨孜 王妍[1] 刘倩 曹怡鸿 YANG Zi;WANG Yan;LIU Qian;CAO Yihong(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,China,610072)

机构地区：[1]成都中医药大学附属医院,四川成都610072

出　　处：《河南中医》2024年第2期197-200,共4页Henan Traditional Chinese Medicine

基　　金：四川省中医药管理局中医药科研课题项目(2020LC0082);四川中医药文化协同发展研究中心立项课题项目(ZYYWH1924)。

摘　　要：张从正认为,情志变化是气的运动变化在精神情志方面的表现,七情过极,郁而化火,聚积于胸,心阳失于宣发,郁积生热,逼血下行,发为崩漏;或情志过极,扰乱心神,致上焦不通,亦致崩漏。心既主血脉,又主神志,五志过极,损伤五脏,皆为热证,应治以平心火,用清上之法。故张从正治疗崩漏采用清热、清上之法,先用黄连解毒汤清心火,使肺的宣发功能正常,以宣发过盛的阳气,再用凉膈散或四物汤顾护阴液,使体内妄动之阳气得以清散,妄行之血得止,则崩漏可愈。Zhang Congzheng believed that emotional change is the manifestation of the movement change of qi in the aspect of spiritual emotion.If the seven emotions are extreme,and depression will turn into fire,accumulating in the chest.The heart is the main organ of the viscera,the vessels are connected in the heart,leading to blockage and failure to disperse;the heart yang moves indiscreetly,forcing the blood to flow down,and causes ectopic leakage.Or the emotions are extreme,disturbing the mind,causing the upper energizer ob-struction,then ectopic leakage occurs.The heart is in charge of both blood vessels and mind.If the five emotions are extreme,damaging the five viscera,all of which are heat syndromes,which should be treated by smoothing the heart fire and clearing the upper part.There-fore,Zhang Congzheng used the method of clearing heat and clearing the upper part to treat ectopic leakage.First,he used Coptis Toxin-Resolving Decoctio to clear the heart fire,so as to make the lung functioning properly in dispersing excessive qi,then adopted Dia-phragm-Cooling Powder or Four Substances Decoction to protect yin liquid,so that reckless yang qi in the body can be dispersed,and the reckless blood can be stopped,then the ectopic leakage can be cured.

关 键 词：崩漏 清上 黄连解毒汤 凉膈散 四物汤 《儒门事亲》 张从正 

分 类 号：R271.12[医药卫生—中医妇科学]