《金匮要略》痈脓辨治探讨

The Exploration of Treating Carbuncle Pus in the Synopsis of the Golden Chamber

回顾《内经》相关理论,指出痈脓病机关键在于气血凝滞、经络阻塞、脏腑失和,可分期论治。总结《金匮要略》治疗痈脓的方法,认为痈脓应尽早治疗,防邪深入;并根据证情辨证使用清热解毒,活血消散;排除脓毒,泄浊于外等治法。对现代临床仍具实用价值。

Theories in the Internal Classic pointed out that the key to the pathogenesis of carbuncle and pus was the stagnation of qi and blood, obstruction of meridians and collaterals, and discord of Zang-fu organs, which can be treated by stage. This paper summarized the methods of treating carbuncle and pus in the Synopsis of the Golden Chamber , and held that carbuncle and pus should be treated early, and evil toxin should be prevented from evading deeper and dispersing around. According to syndrome differentiation, the therapeutic method should be clearing heat and resolving toxins, as well as invigorating blood and dissolving stasis, discharging pus and draining turbidity should be given. These methods above does have practical value in modern clinic.