《伤寒论》“热入血室”辨治理法探析  

Diagnostic and Therapeutic Principles of“Heat Invading Blood Chamber”in Treatise on Cold Pathogenic Diseases

作　　者：刘群 曲夷[1] LIU Qun;QU Yi(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医杂志》2024年第6期557-561,573,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局齐鲁伤寒流派传承工作室建设项目(编号:LPGZS2012-34)。

摘　　要：通过分析《伤寒论》“热入血室”的证候表现,提出血室是以冲脉、肝脏及其所属经脉为中心,与子宫密切相关的脏腑经络综合的功能集合体。“热入血室”是由于血室空虚,邪气由表入里化热,内陷血室,导致血室气血运行逆乱、功能失调而出现的一系列病理状态,诱因与外感、经期有关,其病变部位不局限于子宫,亦涉及上中二焦,以暮则谵语、胸胁下满为典型临床表现。“热入血室”的治疗以调和气血、和解枢机、泄热外出为主,其辨治理法可指导神志病、经前期综合征等疾病的治疗。By analyzing the syndrome manifestations of“heat invading the blood chamber”in Treatise on Cold Pathogenic Diseases,it is proposed that the blood chamber is a functional aggregate of viscera and meridians closely related to the uterus,with the thoroughfare vessel,liver and their meridians as the center.The condition of“heat invading the blood chamber”is caused by deficiency in the blood chamber,where pathogenic factors enter from the surface and transform into heat,infiltrating the blood chamber.This leads to disordered circulation and dysfunction of qi and blood in the blood chamber,resulting in a series of pathological states.The causes are related to external influences and menstrual periods,and the affected areas are not limited to just the uterus but also involve the upper and middle energizer.Typical clinical manifestations include delirium at dusk and fullness below chest and hypochondrium.The treatments mainly focus on harmonizing qi and blood,reconciling the pivot,and expelling excessive heat.Its diagnostic and therapeutic principles can guide the treatments of related clinical diseases such as mental disorders and premenstrual syndrome.

关 键 词：《伤寒论》 热入血室 血虚 外感 暮则谵语 胸胁下满 

分 类 号：R222.2[医药卫生—中医基础理论]