《伤寒论》痹证相关论述及方药探讨  

Discussion on the Relevant Statements and Prescriptions of Bi Syndrome in Treatise on Febrile Diseases

作　　者：杨豫正 蒋总 姚晓玲 马武开 YANG Yuzheng;JIANG Zong;YAO Xiaoling;MA Wukai(Guizhou University of Traditional Chinese Medicine,Guiyang 550025,China;The Second Clinical Medical College of Guizhou University of Traditional Chinese Medicine,Guiyang 550001,China)

机构地区：[1]贵州中医药大学,贵州贵阳550025 [2]贵州中医药大学第二临床医学院,贵州贵阳550001

出　　处：《云南中医药大学学报》2024年第4期16-19,24,共5页Journal of Yunnan University of Chinese Medicine

基　　金：贵州省科技计划项目-贵州省中医风湿免疫病临床研究中心(黔科合平台人才[2020]2202号)。

摘　　要：痹证是一种中医病证名,这类病证的主要表现是肢体筋骨、关节、肌肉等部位产生疼痛、酸楚、麻木之感,并可伴随有关节的屈伸受限以及变形肿大等症状。在现代医学的体系中,诸如类风湿关节炎、痛风性关节炎、骨关节炎等有关节疼痛表现的疾病,均可归属于痹证之范畴。尽管《伤寒论》中未直接论述痹证的治疗方法,但已有与痹证相关的论述,且其所载的经典方剂,如桂枝汤、白虎汤、当归四逆汤等,在痹证的临床治疗中却取得了显著的效果。随着对《伤寒论》研究的不断深入,现代研究也逐渐揭示了这些方剂治疗痹证的内在机制。本文对《伤寒论》中与痹证相关的论述及方药进行探讨,以期能够为临床运用中医药治疗痹证提供有益的启示和方法。The Bi syndrome is a disease name in traditional Chinese medicine,characterized by pain,soreness,numbness in the limbs bones,joints,muscles and other parts.It may also be accompanied by joint flexion and extension limitation and swelling.In modern medical system,diseases related to joint pain such as rheumatoid arthritis,gouty arthritis,osteoarthritis are classified as Bi syndrome.Although the treatment of Bi syndrome is not directly discussed in Treatise on Febrile Diseases,there are already statements related to Bi syndrome and classic prescriptions contained in it which have achieved remarkable results in clinical treatment of Bi syndrome.With the deepening study of the prescription of Treatise on Febrile Diseases,modern scientific research has gradually revealed the internal mechanism of these prescriptions for treating Bi syndrome.This paper discusses the statements and prescriptions related to Bi syndrome in Treatise on Febrile Diseases to provide useful enlightenment and methods for clinical application of traditional Chinese medicine for treating Bi syndrome.

关 键 词：《伤寒论》 痹证 桂枝汤 当归四逆汤 白虎汤 

分 类 号：R222.2[医药卫生—中医基础理论]