“散者收之”的病机与临床应用探讨

Discussion on the pathogenesis and clinical application of "Sanzhe Shouzhi"

认为《素问》"散者收之"是临床使用收敛固涩法的理论依据。"散者"指人体生命物质的耗散不固,即精、气、血、津液等滑脱不禁、散失不收,主要表现为遗精滑泄、久泻久痢、尿频遗尿、自汗盗汗、各种出血、神志不定等。治疗当用"收之"之法,施以固精、涩肠、缩尿、敛汗、止血、安神等具有固涩作用的方药收敛之,以保护正气。

＂Sanzhe-Shouzhi＂is a-treatm-ent rule which was put forward in Canon of Medicine. The rule is a theoretical basis to using the method of arresting collape syndrome by astringents in clinic. ＂Sanzhe ＂ refers to the basic material of human body, that are essence, Qi, blood and fluid, be used up and can not accumula- tion. The clinical syndromes are emission, slipping diarrhea, chronic diarrhea, frequent enuresis,.spontaneous sweating, night sweating,all kinds of bleeding,delirium uncertain,etc. The method of ＂Shouzhi＂ must be used to treat the syndromes and protect healthy Qi. The formular of ＂Shouzhi＂ including the following. arresting spontaneous emission, astringing intestine to stop diarrhea, reducing urination, arresting sweating, astringing to arrest bleeding, tranquilization, and so on.