温中法在《金匮要略》中的运用

Application of Middle-Energizer Warming Method in Essentials from the Golden Cabinet

《金匮要略》温中法应用于虚寒证,可分为温中涩肠法、温中止呕法、温中止血法和温中补虚法4法;而应用于实寒证,可分为温中化饮法、温中止痛法、温中通便法3法。《金匮要略》指出:"五脏病各有所得者愈"。因此,温中法的运用,应遵循脾胃的生理特性,根据其虚实、"所得"予以遣方用药,促使疾病痊愈。此外,《金匮要略》在心、肝、肺、肾诸脏寒证的治疗中,均与温中法相联系,突出了后天脾胃在疾病证治中的重要性,体现了张仲景"调中州,安五脏"的学术思想。

Warming method in Essentials from the Golden Cabinet is applied to deficient cold syndrome,including methods of warming the middle energizer and astringing intestine,warming the middle energizer and checking pain,warming the middle energizer and promoting defecation. Clinically,these methods can be applied based on syndrome differentiation. According to Essentials from the Golden Cabinet： Diseases of the five zang-organs can be cured when the therapy is accorded with the feature of the specific organ. Therefore,the application of middle-energizer warming method should obey the physical features of the spleen and stomach;formulas and drugs should be prescribed according to the deficiency or excess of the syndrome as well as the physical features of the viscerus. Besides,in the treatment of various cold syndromes of the heart,liver,lung and kidney,middle energizer warming method can also be applied,which stresses the importance of the spleen and stomach in the treatment of diseases and reflects the idea of ＂ regulating the middle energizer,tranquilizing the five zang-organs＂,providing references for clinical practice.