从厥阴病论治脾胃肝胆疾病

Diseases of the Spleen,Stomach,Liver and Gall Bladder Treated From Jueyin Disease

基于《伤寒论》厥阴病篇条文的研习,并结合《黄帝内经》有关厥阴生理、病理的论述,笔者认为厥阴病与脾胃存在密切联系,厥阴病在脾胃肝胆疾病中十分常见。笔者临证时发现,脏腑辨证在复杂病机疾病的诊治中存在局限性,于是提出"抓病机六经辨证用经方以诊治复杂病机的内科疾病"这一概念。脾胃为后天之本,气机升降之枢,与厥阴病关系密。探究脾胃肝胆系诸多疾病的内在病机为寒热错杂、上热中虚下寒,具体表现为肝肾阴亏、脾肾阳虚、肝郁乘脾、心肝虚热中的多个方面,切中厥阴病之病机,故从厥阴病论治脾胃肝胆疾病。

Based on the ＂Treatise on Cold Damage＂ Jue yin disease provisions of the study,combined with the ＂Yellow Emperor＂ of Jueyin victory, pathological elaboration, the author thinks that there is a close relationship of Jueyin disease with spleen and stomach ,Jueyin disease is very common in hepatobiliary diseases of spleen and stomach. Found clinically, viscera in the diagnosis and treatment of complicated pathogenesis and disease has limitations and put forward the ＂grasping the pathogenesis of classical prescription in the diagnosis and treatment of six complex the concept of medical disease pathogenesis＂. The spleen and stomach is the tbundation of the day after tomorrow, and the pivot of Qi Qi rising and falling is closely related to the disease of the Yin meridian. The pathogenesis of many diseases of the spleen and stomach inquiry of hepatobiliary system for simultaneous occurrence of cold and heat, deficiency heat under the cold, the specific performance of many aspects of liver and kidney yin deficiency, spleen kidney yang deficiency, liver depression and spleen deficiency, heart fever, to the pathogenesis of Jueyin disease, so from the Jueyin disease on the treatment of the spleen and liver and gallbladder disease.