下法在内科急症中的应用探析

Analysis on the Application of the Purgative Method in the Emergency of Internal Medicine

泻下法是临床祛除病邪的一种常用治法,尤其适用于急症,其通过"去邪安正,给邪出路"而保证六腑的正常通降功能。通过论述下法的概念、功能及分类,并结合通腑降浊法治疗横纹肌溶解症、温下法治疗晕厥病、通腑泄热法治疗卒中后肺炎、攻补兼施治疗运动神经元病等4个中医验案,阐述下法在急症中的广泛应用,通过下法达到泻下存阴、逐邪外出、六腑通降等目的。

Purgative method is a common method for removing diseases and pathogens in clinical treatment, especially for emergencies. It assures the normal function of the six-fu organs by ＂dispelling evil for correction and giving evil way out＂. This paper discusses the concept, function and classification of the purgative method. The combination of four cases of traditional Chinese medicine, consisting of treatment of rhabdomyolysis with the method of purgative fu-organs to descending the turbid, treatment of syncope with the method of warm purgation, treatment of post-stroke pneumonia with the method of purgative fu-organs to eliminate heat and treatment of motor neuron disease with the method of tonification and purgation in combination was used to expound the extensive application of the purgative method in the emergency. Through the method of purgative,the purpose of catharsis and retention of yin, getting rid of pathogenic factors, six fu-organs and down-regulating achieves.