基于《伤寒论》从脾胃探讨烦证之证治  

Discussion on Syndrome and Treatment of annoyance on Treatise on Febrile Diseases from Spleen and Stomach

作　　者：张梦 石学慧[2] 谭甜 吴远 ZHANG Meng;SHI Xuehui;TAN Tian;WU Yuan(Hunan University of Chinese Medicine,Hunan Changsha 410005,China;The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Hunan Changsha 410005,China)

机构地区：[1]湖南中医药大学第二中医临床学院,湖南长沙410005 [2]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《中医药临床杂志》2025年第1期53-56,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药家传承工作室(国中医人教〔2016〕142号);湖南中医药管理局项目(B2023116)。

摘　　要：“烦”乃常见病症之一,常由外感、内伤或劳倦引发,其病位在心,病机或虚或实,可伴发热或无热。自生理功能言:心神需脾胃运化腐熟水谷精微滋养,心肾相交需脾胃中土之枢协作。张仲景在《伤寒论》详述其病机及治法。文章通过总结《伤寒论》烦证条文,明确病因、病机,发现仲景在治疗过程中强调调理脾胃,兼顾祛邪。“Frustration”is one of the common symptoms,often caused by external infection,internal injury or fatigue.Its location is in the heart,and the pathogenesis may be deficiency or excess,and may be accompanied by fever or no fever.From the physiological function point of view:the mind needs the spleen and stomach to transport and transform the essence of water and grain to nourish it,and the heart and kidney need the cooperation of the spleen and stomach.ZHANG Zhongjing detailed its pathogenesis and treatment in“Treatise on Febrile Diseases”.This article summarizes the articles on irritability in“Treatise on Febrile Diseases”,clarifies the cause,pathogenesis and relationship between spleen and stomach,and finds that Zhongjing emphasized regulating the spleen and stomach and taking into account the elimination of evil in the treatment process.

关 键 词：伤寒论 脾胃 烦证 证治 

分 类 号：R222[医药卫生—中医基础理论]