淋证从肝论治

Curing Strangury Patterns through Treating the Liver

前人有"淋属肝胆"之说,本文根据肝脏之生理病理特点及经络走行与淋证之关系提出"淋证从肝论治",从"疏肝解郁、清利肝胆湿热、疏肝健脾、滋补肝肾"四个方面进行治疗,取得满意效果,从而提示我们:临证中要注意局部与整体的相关性,重视病因分析,四诊合参,辨证施治,对于女性患者临证时药注意询问经带胎产情况,根据不同年龄施以相关方药必要时加以心理疏导将会提高治疗效果。

There were theories on ＂strangury patterns pertaining to liver and gallbladder＂ in the ancient classics. This paper brings out the idea of treating strangury patterns through treatment on liver and gallbladder on the foundation of the physiological and pathological characteristics of the liver, the pathways of meridians and collaterals, and its relations with strangury patterns. The treatments were con-ducted on four aspects, including ＂soothing the liver and relieving the depression, clearing damp heat in liver and gallbladder, soothing liver and invigorating spleen, nourishing the liver and kidney＂ which showed satisfactory therapeutic effect. It inspired us that when trea- ting the patterns, attention shall be given to the relations between the local organs and the whole body, the analysis of pathogen, combi-nation of the four diagnostic methods, as well as syndrome differentiation. Female patients shall be asked about conditions of menstrua-tion, leucorrhea, and baby delivery when giving the treatment. Patients at different ages shall be given different medicines and psycho-logical treatment when necessary.