《伤寒论》水气病初探

On the Disease of Edema Introduced in Treatise on Febrile Diseases

对《伤寒论》有关水气病的论述进行了分析整理,着重探讨其治疗机理。其形成主要与肺、脾、肾3脏功能失常有关;临床表现主要有3个方面,即由水气病邪本身引起的症状、阳气失于敷布引起的症状、水气与它邪互结引起的症状。水气之病,既指有形之水肿,又指无形之水气,尤以后者为主。水气病的常用治法有:温阳利水法、育阴利水法、化气利水法、调畅气机法、散结逐水法、解表利水法等。论中法中有法,内容详备,应用灵活,且诸多治法均具有重视气机畅通、治水不忘护脾的特点。

This paper mainly emphasized the treatment mechanism of edema based on the description of the disease in Treatise on Febrile Disease . Edema occurred mainly because of dysfunction of the lung , the spleen and the kidney. The clinical manifestations of the disease were as follows:Symptoms brought about by water and Qi pathogens, symptoms caused by water and Qi accumulation result in the obstruction of functional activities of body Yang Qi,symptoms resulted form water and Qi pathogens in combination with other pathogenic factors. Many commonly adopted treatment methods were effective for the disease, namely, warming Yang to promote diuresis, nourishing Yin to promote diuresis, resolving Qi to promote diuresis, regulating Qi , dispersing accumulation of pathogens to promote diuresis and relieving exterior syndromes to promote diuresis. All the treatment methods which were given detailed descriptions with flexible application methods had following points in common:(1)The disease of edema referred to not only substantial edema, but also nonsubstantial water and Qi pathogens. More emphasis was on the later part.(2) Special attention should be paid to regulation of Qi.(3) While promoting diuresis, strengthening of the spleen should not be neglected.