基于升降平衡理论探析茯苓泽泻汤治疗心系疾病

Study on Fuling Zexie Decoction in the treatment of heart disease based on ascending and descending balance theory

茯苓泽泻汤出自张仲景《金匮要略》,其病机为饮停于胃、饮阻气逆,现代医家常应用该方治疗眩晕、心悸等心系疾病,效如桴鼓。升降平衡理论始于《黄帝内经》,该理论主要体现在气机运动方面。升降平衡则阴阳相合,升降失调则百病由生。现根据升降平衡理论探析茯苓泽泻汤治疗眩晕、心悸等心系疾病的应用,并探讨茯苓泽泻汤方论、眩悸病机、升降平衡理论及临床应用,以期为临床治疗心系疾病提供新思路。

Fuling Zexie Decoction comes from Jingui Yaolüe of Zhang Zhongjing.Its pathogenesis is that the fluid stops in the stomach and the fluid obstructs the qi.Modern doctors often use this prescription to treat heart diseases such as vertigo and palpitation,and the effect is significant.Theory of ascending and descending balance originates from Huangdi Neijing,which is mainly reflected in the movement of the qi.The balance of ascending and descending is combination of yin and yang,while the imbalance of ascending and descending is origin of various diseases.Based on the theory of ascending and descending balance,this article explores application of Fuling Zexie Decoction in the treatment of heart diseases such as vertigo and palpitation,and explores the formula theory,pathogenesis of vertigo and palpitation,theory of ascending and descending balance and clinical application of Fuling Zexie Decoction,in order to provide new ideas for clinical treatment of heart diseases.