张仲景“血不利则为水”与活血化瘀治疗水肿

ZHANG Zhongjing,"Adverse Blood was Water" and Blood Circulation to Treat Edema

"血不利则为水",张仲景指出血与水之间相互转化。血不利则为水,水不去则生瘀;水与血相互影响,相互转化;无论先病水还是先病血,随疾病发展往往会出现水血并病。治疗水肿,当血水同治,不必顾虑有无瘀血表现。由血而病水,以活血祛瘀为主,辅以利水;水肿与瘀血合病,利水与活血并用无虑;单见水肿而无血瘀之象,则以利水为主,稍加活血养血之品。尤其是水肿日久,反复不能愈,久病必瘀,不可不用活血祛瘀之法。虽水肿与瘀血常常共存,在水肿治疗过程中,不可单单活血利水而忽略肺脾肾三焦与水肿关系,当辩证分型,灵活运用活血之法。水肿时体内津液分布不均,水液停聚之处则为肿,水液缺乏之处则阴不足,所以在活血之药不可过于峻猛,防止耗伤阴液。结合邹云翔、张永华、时振声、陈可冀等名老中医应用"血不利则为水"观点治疗水肿经验,总结出活血化瘀是治疗水肿的重要方法,水肿无论有无血瘀,均应加入活血之药。

'Blood disadvantage compared to water',ZhangZhongJing noted between blood and water into each other.Blood was unfavorable water,not the raw stasis;water and the blood mutual influence and transformation;whether the water first or the first disease blood disease,with the development of the disease often appear water-blood and disease.Treatment of edema,when the bloody wen,without having to worry about bleeding manifestations.Disease from the blood and water to stasis,supplemented diuresis;edema and bleeding joint disease,diuresis and blood and used without worry;single See edema without blood stasis,places and water-based,slightly raised blood blood products.Especially edema course of time,can not be repeated more,chronic illness will be stasis,stasis of the law can not do.Although edema and bleeding often coexist in edema treatment,can not simply ignore Blood and Water and edema in the lung,spleen and kidney triple burner,when the dialectical type,flexible use of blood of the law.Edema uneven distribution of body fluid,liquid water stop together place was swollen,the lack of liquid water at the yin deficiency,so the blood of the drug can not be too steep fierce prevent Haoshangyinye.Combined Zou Yunxiang,Zhang Yonghua,when Zhensheng,Chen Keji old TCM applications such as 'Blood disadvantage compared to water' views the treatment of edema experience,summed up blood circulation is an important method of treatment of edema,edema,with or without blood stasis,blood should be added of the drug.