《伤寒论》治疗风湿疼痛经方与临床应用

Classical Prescriptions in Treatise on Cold Damage in the Treatment of Rheumatic Pain and Their Clinical Application

探讨医圣张机《伤寒论》中麻黄类方、桂枝类方、柴胡类方、附子类方治疗风湿病疼痛的经典方剂研究,总结仲景对风湿疼痛的病因病机的认识及治法、用药特点,了解仲景治疗风湿病疼痛首辨表里,善用辛药解表祛邪;重和营卫,调和营卫缓急止痛;善辨虚实,扶正祛邪补虚止痛的辨证思路,旨在使后学者对风湿病疼痛症状的经方治疗有深入认识,以指导临床。

Through the analysis of classified prescriptions with core drugs of Ephedrae Herba,Cinnamomi Ramulus,Bupleuri Radix,and Aconiti Lateralis Radix Praeparata mentioned in Treatise on Cold Damage written by the Medical Saint,Zhang Zhongjing,in the treatment of rheumatic pain,this study summarized Zhang′s understanding of the pathogenesis of rheumatic pain,as well as the characteristics of the treatment and prescription strategies made for this condition.It was known that Zhang first identified whether the rheumatism pain was exterior or interior during his treatment and he made good use of pungent drugs to relieve symptoms and remove pathogens.Meanwhile,he emphasized the harmonization between nutrient and defense to alleviate acute pain through harmonization,and he was good at distinguishing between deficiency and excess,equipped himself with a differentiation idea that to reinforce healthy qi and eliminate pathogen to tonify deficiency and relieve pain.This study aimed to provide scholars with a deep understanding of pain symptoms of rheumatic diseases treated with classical prescriptions,thereby guiding clinical practice.