《金匮要略》百合病病名及治疗方法分析

An analysis of the name and treatment of the Baihe disease in Jingui Yaolve

百合对于百合病来说既是主药又是病名,以药来命名病症的方法在历代医者那里都有不同的见地。从百合的寒热属性及药效方面对其命名进行分析,使得百合病的病因病机从另一个方面得以明确。百合病热扰心神,使得神志异常,精神不安,必须利用脉证与一般的神经官能症做区别,使之能够正确的对百合病做出诊断。在百合病的治疗方面,要充分了解已经用过的治法。在前法治疗之后,若主症未变,可依照百合病正治之法,用百合地黄汤进行治疗,若在主症之外出现变证,则要根据不同的误治法采用不同的方药治疗,不当的汗下吐法,张仲景分别给出了适用方,以期达到最佳的治疗效果。不管是对病名的研究解析还是治疗的方法分析,这些对于临床的应用研究都具有重要的探索意义。

Baihe(百合)is both the main medicine and the name of the Baihe disease(百合病).The method of naming the disease by medicine name has different opinions among doctors in various dynasties.The etiology and pathogenesis of the Baih disease is Rerao Xinshen(热扰心神),manifested as abnormal consciousness,mental anxiety.The Baihe disease should be treated with the Baihe Dihuang decoction(百合地黄汤).If there is a change of evidence due to mistreatment,Zhang Zhongjing gives the applicable side according to mistreatment therapy of perspiration,purgation and emetic,in order to achieve the best efficacy.An analysis of the name of the disease and the method of treatment have important exploration significance for clinical application research.