以方为纲重释《金匮要略》水气病治法

New Classification of Edema from Synopsis of Prescriptions of the Golden Chamber

总结了《金匮要略》中关于四水的症状及治疗用方。对四水重新整理与分析,发现四水治疗方剂大体可以分为以防己黄芪汤与越婢汤为代表方剂的两类,体现出从肺论治及从脾论治两大治疗体系。通过分析水气病篇所用方剂,认为水肿病治疗是以利小便为基本法则。重新定义了"发汗"在水肿病治疗中的意义。

Treatments of four kinds of edema were reclassified by the formulas written in Synopsis of Prescriptions of the Golden Chamber. The formulas were studied by means of documents data analysis and referencing different theories of Chinese medicine. Two conclusions were obtained. First,formulas to treat edema can be divided into two categories：Fangji Huangqi decoction and Yuebi decoction. It means that edema can be treated by revealing the functions of lung and spleen. Second,inducing diuresis was the basic way to cure edema. The meaning of sudation in edema treatment should be redefined.