仲景理中汤在喻昌《寓意草》医案中的运用探析

Zhong Jingli Zhong Soup in Yu Chang "Meaning" in the Medical Records of The use of Grass

[目的]研究喻昌《寓意草》医案中仲景理中汤的运用,以期揭示喻昌对理中汤法的传承与发挥。[方法]以《寓意草》中所载4则有关理中汤的医案为例,结合《金匮要略》、《伤寒论》的相关论述和喻昌的学术思想,阐述医案对理中汤的运用,综合分析其蕴含的思想。[结果]《寓意草》医案对理中汤的运用范围逐渐扩大,基本立法为温中祛寒、补气健脾,临证发挥而演变出运转停积、升清降浊、分理阴阳、温通上下等诸法,体现了喻氏理脾重在温阳、刚中济柔之学术思想。[结论]喻昌临证擅用仲景理中汤,多有发挥,特色突出,后学若能结合经典和喻氏论著对相关医案进行深入研究,则对中医诊治思想有更深刻认识,有助提高临床辨治疾病的能力。

Object] Yu Chang ＆quot;meaning the Lizhongtang grass＆quot; in the medical records ,in order to reveal the Yu Chang on Lizhong decoction method inheritance. [Method] ＆quot;Yuyicao＆quot; contained 4 cases of Lizhong Decoction for example ,combined with the ＆quot;Golden Chamber＆quot;, ＆quot;Treatise on the＆quot; related discussion and Yu Chang academic thought, this paper introduces the application of Lizhong decoction, a comprehensive analysis of its ideology. [Results] Found Lizhong decoction used in the medical records of its scope gradual y expanded, the basic rule for warming cold, spleen qi, syndrome and the evolution of the development to stop accumulation, ascending the clear and descending the turbid, clearing Yin and Yang, Wen Tong. The metaphor is spleen Yang, just the academic thoughts of being solid and soft. [Conclusion] Yu Chang clinical y used secondary decoction, playing outstanding characteristics, deeply researching on the related medical records, if they can combine the classic premise and Yu＆#39;sworks, it has a more profound understanding of traditional Chinese medicine diagnosis and treatment thought ,helping improve the ability of clinical diagnosis and treatment of disease.