《金匮要略》水气病篇“血水理论”及其在妇人癥瘕的应用

The Theory of Blood and Water and Its Application in the Treatment of Zhenjia in"Synopsis of Golden Chamber"

“血水理论”源自《金匮要略·水气病脉证并治第十四》。气分、水分和血分“三分辨证”是水气病辨证的重要内容。“气致水停”“水病致瘀”“血病致水”是水气病的关键病机。“调气以治水”“治水以治血”“治血以治水”和“血水兼治”是“血水理论”的重要治法,对妇科疾病的治疗具有重要指导意义。“血水理论”在论治妇人癥瘕疾病独具特色及确切疗效。基于“血水理论”的经典名方如桂枝茯苓丸、当归芍药散和大黄甘遂汤在治疗妇人癥瘕疾病广获疗效。本文就《金匮要略·水气病脉证并治第十四》“血水理论”及其在妇人癥瘕的应用进行论述。

The"blood-water theory"originates from the water-vapor diseases section of the"Synopsis of Golden Chamber".The"three differentiation of Qi,Shui,and Xue"is an important content of the differential diagnosis of water-vapor diseases.The key pathogenesis of water-vapor diseases is"Qi leads to water stagnation""water disease leads to blood stasis"and"blood disease leads to water stagnation"."Adjusting Qi to treat water","treating water to treat blood""treating blood to treat water"and"treating both blood and water"are important treatment principles based on the"blood-water theory"and have significant guiding significance for the treatment of gynecological diseases.The"blood-water theory"has unique characteristics and definite curative effects in the treatment of gynecological tumors.Classic prescriptions based on the"blood-water theory"such as cinnamon twig and poria pill,Chinese angelica and peony powder,and rhubarb and kansui decoction have achieved good therapeutic effects in the treatment of gynecological tumors.This article discusses the"blood-water theory"in the water-vapor diseases section of the"Synopsis of Golden Chamber"and its application in the treatment of gynecological tumors.