从《伤寒论》津液理论探析腹泻的证治规律  

Exploring the rules of syndrome differentiation and treatment of diarrhea based on the theory of body fluids in Treatise on Cold Pathogenic Diseases

作　　者：唐镔镔 苏成霞[3,4] 文娜[3,4] 黄超群 胡运莲 TANG Bianbian;SU Chengxia;WEN Na;HUANG Chaoqun;HU Yunlian(Clinical College of Traditional Chinese Medicine,Hubei University of Chinese Medicine,Wuhan 430065,China;Second Outpatient Department of Zhejiang Tongde Hospital,Hangzhou 310012,China;Gastroenterology Department of Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,China;First Clinical College of Hubei University of Chinese Medicine,Wuhan 430065,China)

机构地区：[1]湖北中医药大学中医临床学院,武汉430065 [2]浙江省立同德医院第二门诊部,杭州310012 [3]湖北省中医院消化科,武汉430061 [4]湖北中医药大学第一临床学院,武汉430065

出　　处：《吉林中医药》2025年第2期153-156,共4页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金面上项目(82374205);浙江省中医药科技计划项目(2023ZR004);浙江省医药卫生科技计划项目(2024KY869)。

摘　　要：本文根据《伤寒论》条文分析其所体现的津液理论,并以此为基础探析腹泻的证治规律。本文探讨了津液的“一元论”属性(包含阴阳两种功能),津液的阴阳两种功能下降均可导致腹泻发生,而输布流转不利(表上津液凝滞、中焦津液亏虚以及津液的凝滞和耗散过度)均是腹泻的重要病机。根据腹泻的津液病机不同,治疗时可根据药物的四气五味及不同性味组合采取解表治里、补中益津、温里治水、清热通里及调和寒热等方法予以对治,并举一医案予以论证。This article analyzes the theory of bodyfluids embodied in the Shanhan Lun(Treatise on Cold Pathogenic Diseases)and explores the rules of syndrome differentiation and treatment of diarrhea based on this theory.This article explores the"monism"of bodyfluids(including both yin and yang activities).It notes that the decline in either their yin activity or yang activity can lead to diarrhea,and poor distribution and circulation of body fluids(superficies stagnation of bodyfluids,deficiency of bodyfluids in middle jiao,and excessive stagnation and dissipation of bodyfluids)are both important pathological factors of diarrhea.According to the dierent pathogenic factors of diarrhea caused by bodyfluids,it is held that symptomatic treatment methods can be employed based on the various natures and flavors of herbs or their combination,to reach goals such as resolving the exterior and treating the interior,tonifying the spleen and benefiting bodyfluids,warming the interior to treat body fluids,clearing heat to relieve catharsis,and harmonizing cold and heat.In addition,a medical case is presented in the article as evidence.

关 键 词：《伤寒论》 津液 病机 腹泻 

分 类 号：R242[医药卫生—中医临床基础]