摘要
肺为娇脏,不耐寒热,最易受外界自然环境因素影响。惊蛰气温回升,自然界阳气逐渐生发阴气逐渐退却,蛰伏于体内的虚阳或寒邪久郁之火借助春之少阳之气升发;"冬不藏精""春必病温",惊蛰前后,肺癌患者多出现"病温",干咳加重或干咳少痰,多为燥咳,伴口干、唇红等阴虚火旺,伴口干舌燥。"治病必求于本",本即为阴阳;五行相生,金生水,冬伤于寒,少阴肾之气不足,子盗母气,肺金不足;知母"乃二经气分药也",辛苦寒凉,作用趋下能润肾燥而达滋阴之效,功效向上则清泻肺金之火,清泻肺火,滋阴润燥;春季气候干燥,依三因制宜原则,用知母暗合金水相生之意,滋阴以疗退骨蒸、止盗汗、治烦躁不安;清热以生津、润燥、止渴、止干咳等,与诸药合用事半功倍。用药宜药证结合,紧抓因人因时"节点",把握证与方药内在联系,理清方药取效机理,乃提高疗效的不二之选,"惊蛰"巧用知母,正是找准"节点",因时制宜的具体体现。
Lung is a delicate viscus,it is not resistant to cold and heat, which is most easily affected by external natural environment factors. Fresh air temperatures rise, the nature of Yang gradually increase and Yin gradually retreat, Yang energies dormant in the body multiply with spring Shaoyang Qi rise together. "Not winter essence" and "spring will warm disease", most lung cancer patients would be expression of "warm disease", dry cough or aggravating cough less sputum, mostly dry cough, dry mouth, red lip with fire excess from Yin deficiency, with mouth parched and tongue scorched. "Treatment must catch the disease essence", this essence is Yin and Yang. The five elements originate from each other, Yinqi of kidney is deficiency, lung will be insufficient. "Rhizoma anemarrhenae is lung and kidney meridians' medcine." Its function is nourishing yin and moistening dryness, so the fire should be purging. Dry climate in spring, according to the principle of three factors, with the meaning of Zhimu implies, nourishing Yin to cure bone steaming, night sweat, treat dysphoria. Clearing heat and promoting fluid production, to cure dry cough, yield twice the result with half the effort if it combined with various drugs.The medication should be medicine combined with syndrome, clutching due to people due to the "nodes", grasp the syndrome and prescription, clarify the prescription effect mechanism is to improve the curative effect of choice, "Jingzhe" clever use of Anemarrhena, is to identify "nodes", embodies the time.
作者
李洋洋
李小江
LI Yangyanga,LI Xiaojiang b(Tianjin University of Traditional Chinese Medicine:a.2014 Grade Graduate Student of Tumor Direction in Chinese Medicine,b.Oneology Department of First Teaching Hospital,Tianjin 300150,Chin)
出处
《实用中医内科杂志》
2018年第2期63-65,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
天津市科技计划项目(15ZXLCSY00020
2017119)~~
关键词
肺癌
阴虚
惊蛰
节气
知母
五行相生
子盗母气
金水相生
三因制宜
骨蒸
盗汗
烦躁不安
清热生津
润燥
干咳
中医药治疗
lung cancer
Yin deficiency
Jingzhe
solar term
anernarrhena rhizome
mutual generation of five phases
child-organ disease involving its motherorgan
mutual promotion between lung and kidney
three categories of etiologic factors
bone steaming
night sweat
dysphoria
clearing heat and promoting fluid production
moisturizing dryness-syndrome
dry cough
Chinese medicine treatment