张仲景论治消渴之再辨析  

Analysis of Zhang Zhongjing′s Treatment of Xiaoke Disease

作　　者：江睿 陈明[1] JIANG Rui;CHEN Ming(Beijing University of Chinese Medicine,Beijing China 100029)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中医学报》2024年第9期1827-1831,共5页Acta Chinese Medicine

基　　金：中央高校基本科研业务费专项资助项目(2022-JYB-JBZR-011)。

摘　　要：张仲景认为消渴是渴而多饮,常伴见小便不利的症状,与津液的生成、运行、代谢密切相关,津液生成不足、运行失常、消耗过多、排出过多都可以导致消渴。张仲景以六经为纲,治疗津液输布失常、下焦水停所致的太阳病消渴用五苓散化气利水;治疗肝风鸱张化火之厥阴病消渴用乌梅丸清厥阴风火,疏达肝木;治疗邪热炽盛,气阴两伤之阳明病消渴用白虎加人参汤以清热泻火、补气生津;治疗肾阳不足,津不化气之杂病消渴,用肾气丸以阴中求阳,蒸化津液。Zhang Zhongjing believed that the symptoms of Xiaoke disease are thirst and drinking large amount of water,which is often accompanied by difficult urination.It is closely related to the production,operation and metabolism of patients′body Fluid,and insufficient production of body Fluid,abnormal operation,excessive consumption,or excessive discharge can lead to thirst.Zhang Zhongjing took the Six Meridians as the key link,and used Wuling Powder to disperse Qi and Water to quench thirst caused by the abnormal distribution of body Fluid and the stagnation of Water in Lower Burner;He used Wumei Pill to treat Jueyin disease of the excessive Liver Wind induced Fire,to clear the Wind and Fire and dredge the Liver Qi;He used Baihu Decoction combined with Renshen Decoction to treat the Yangming disease of Qi and Yin injuries,to clear Fire and tonify Qi and body Fluid;He used Shenqi Pill to treat the miscellaneous Xiaoke disease with syndrome of Kidney Yang deficiency induced difficulty in producing Qi from body Fluid,by tonifying Yang based on tonifying Yin.

关 键 词：消渴 五苓散证 乌梅丸证 白虎加人参汤证 肾气丸证 张仲景 

分 类 号：R255.4[医药卫生—中医内科学]