从《伤寒论》太阴病治则谈门九章教授“大病以胃”思想
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R249;R222.2

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国家中医药管理局中医学术流派传承工作室项目;山西省重点研发计划重点项目(201603D3113021);山西省科技创新团队(201705D131021)


Discussion on Thought of"Treating Serious Diseases Starts from the Stomach"of Professor Men Jiuzhang from Treatise on Febrile Diseases
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    摘要:

    《伤寒论》太阴病治则为“当温之,宜服四逆辈”,而四逆汤为少阴病主方,太阴病进一步发展,正气进一步减弱则发为少阴病。说明这一治则是仲景以疾病发展的眼光来确立的。同时四逆汤中的干姜、炙甘草实为治中焦脾胃之药,反映了疾病进展至全身阳虚阶段必须要顾护中焦脾胃的思想。门九章教授发现,多种系统的大病进展至后期,呈现功能虚衰状态,此时必须注重顾护脾胃,以理中汤、香砂六君子汤甚至四逆汤等方为基础进行化裁,皆能起到良效,并据此提出“大病以胃”思想,实为对仲景思想的深入理解,对临床用药尤其是对大病的治疗,具有重要的指导意义。

    Abstract:

    The treatment principle of taiyin disease in Treatise on Febrile Diseases is that"it should be warmed and given drugs of sini series",while the Sini tang is the main treatment of shaoyin disease.The further development of taiyin disease and further weakening of its vital qi develop into shaoyin disease,which explains that this treatment principle was established by Zhong Jing with the vision of disease development.At the same time,the dried ginger and baked licorice in Sini tang are actually the drugs for treating the spleen-stomach in middle-jiao,which reflects the thought that when the disease progresses to the stage of systemic yang deficiency it is necessary to protect the spleen-stomach in middle-jiao.Professor Men jiuzhang discovered that the state of functional failure usually appeared in many diseases of various systems progressing to the late stage,so at this time it was essential to take good care of the spleen and stomach and applied modified prescriptions based on Lizhong tang,Xiangsha Liujunzi tang and even Sini tang,which all showed a significant effect.Based on this,professor Men Jiuzhang put forward the thought of"treating serious diseases starts from the stomach",which was in fact an in-depth understanding of thoughts of Zhongjing and had an important guiding significance for clinical medication,especially the treatment of serious diseases.

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许凯霞,李孝波,门九章.从《伤寒论》太阴病治则谈门九章教授“大病以胃”思想[J].新中医,2018,50(6):225-227

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  • 在线发布日期: 2018-06-05
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