张仲景论治水气病经验浅析及临床体会*
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(南通市中医院,南京中医药大学南通附属医院,江苏 南通 226000)

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R256.51

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收稿日期: 2020 - 01- 06
* 基金项目: 第三批江苏省中医临床优秀人才研修项目(苏中医科教【2017】18号);江苏省南通市科技局2018-民生科技- 民生与社会事业(MS12018093)
第一作者简介: 郑晓丹(1972-),男,博士研究生,副主任中医师,研究方向:中西医结合心血管疾病防治研究。
△通信作者: 高想,E-mail:zhengxiaodan1219@126.com


Experience Analysis and Clinical Application of Zhang Zhongjing’son Treatment of ShuiQi Disease
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(Nantong Hospital of Traditional Chinese Medicine, Nantong Hospital to Nanjing Universityof Chinese Medicine, Nantong 226001, China)

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    摘要:

    本文从张仲景《伤寒杂病论》论治水气病入手,对其进行归纳、整理和分析,初步探讨其辨证论治水气病规律。张仲景在《内经》“开鬼门,洁净腑”基础上,提出了“诸有水者,腰以下肿,当利小便;腰以上肿,当发汗乃愈”,“有水,可下之”之治疗大法。张仲景论治水气病理、法、方、药千余年来沿用至今,为后世的水肿以阴阳为纲的分类以及从肺、脾、肾论治奠定了基础,同时也为水肿的辨治拓宽了思路。

    Abstract:

    This paper is preceded with Zhang Zhongjing’s treatise on “ShuiQi disease” and miscellaneous diseases, summarizes, sorts out and analyzes it, and preliminarily discusses the law of syndrome differentiation and treatment of “ShuiQi disease”. Zhongjing’s major therapeutic principles of sweating, promoting diuresis and purging water were originated from “opening the pores” , “cleansing the bladder” , “removing the stagnation and wastes” in the Essentials from the Golden Cabinet’s. Zhang Zhongjing’s treatment of “ShuiQi disease” pathology, method, prescription and medicine has been used for thousands of years. it lays the foundation of the differentiation of lung、spleen and kidney for the later ages. As the same time, it expands the way of thinking in treatment of hydropsy.

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