摘要
《备急千金要方》所载的治痢篇为现存最早的治痢专篇。孙思邈以寒热为纲将"痢病"分为"热痢""冷痢",其治疗"痢病"先辨寒热,治热痢常以黄连为主药加减组方,善用消法开滞破结;治冷痢以温中散寒止痛为主,兼以固涩。孙思邈治"痢病"又常寒热并用,以平调寒热、制性存用,或以温下法治久痢通下破积,并根据药物的不同制法调节寒热偏盛。文章旨在从寒热角度分析《备急千金要方》治痢篇的遣方用药特点,以期对现代中医学"久痢""痢疾"等疾病的临床治疗提供参考。
The treatise on the treatment of dysentery recorded in Invaluable Prescriptions for Ready Reference is the earliest existing treatise on dysentery.According to the therapeutic theory used by SUN Si-miao,dysentery was divided into‘heattype diarrhea’and‘cold-type dysentery’based on nature of cold and heat.SUN Si-miao followed the principle of discriminating cold and heat when treating dysentery.To be specific,the heat-type dysentery was generally treated by using a modified prescription based on Coptis chinensis,and SUN Si-miao was good at using the method of elimination to relieve stagnation and disperse lumps in the course of treatment.Simultaneously,cold-type dysentery was managed by warming middle-jiao to dispel cold and relieve pain,combined with inducing astringency.Meanwhile,SUN Si-miao often emphasized on the balance between cold and heat in the treatment of dysentery,with the aim to achieve a balanced regulation of cold and heat,to control the property of a drug while play its proper function through the compatibility of drugs.Alternatively,SUN Si-miao also applied the warm and purgation method for the treatment of chronic dysentery to dredge intestines and improve food accumulation.Besides,SUN Si-miao paid attention to regulate the excessive cold and heat according to the different drug preparation methods.This paper discussed‘cold and heat’in Invaluable Prescriptions for Ready Reference,expecting to provide clinical reference for the treatment from the theory of cold and heat.
作者
吴茜
张声生
王瑞昕
刘子彰
WU Qian;ZHANG Sheng-sheng;WANG Rui-xin;LIU Zi-zhang(Beijing University of Chinese Medicine,Beijing 100029,China;Digestion Center,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第11期5427-5430,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
北京市科技计划课题-首都临床特色应用研究(No.Z181100001718218)。
关键词
备急千金要方
孙思邈
久痢
痢疾
休息痢
寒热辨证
溃疡性结肠炎
细菌性痢疾
Invaluable Prescriptions for Ready Reference
SUN Si-miao
Lingering dysentery
Dysentery
Recurrent dysentery
Cold-heat syndrome
Ulcerative colitis
Bacillary dysentery