《血证论》中泻火与滋阴法的运用

Application of Ways of Discharging Fire and Nourishing Yin Offered in Book Treatise on Blood Troubles

本文重点分析了《血证论》中应用泻火与滋阴两大方法治疗血证的经验。(1) 泻火法:胃、脾、心之实火所致上窍出血以大黄黄连泻心汤为主;肺中实火所致上窍出血或尿血以人参泻肺汤为主;肝经实火,上逆下迫引起的各种出血证用当归芦荟丸。(2) 滋阴法:五脏皆重,依证灵活选用补肺阴法、补心阴法、补脾胃阴液法、补肝阴法、补肾阴法。

This article mainly analyses the experience concerning treating blood troubles with descharging fire and nourishing Yin applied in the book Treatise on Blood Troubles. (1) Discharging fire: Radix et Rhizoma Rhei and Rhizoma Coptidis Decoction for Purging Stomach-Fire is mainly used to treat the upper orifices bleeding causde by the fire of excess type in stomach, spleen and heart; Ginseng Decoction for Expelling Lung-Heat is mainly used to treat the upper orifices bleeding or haematuria caused by the fire of excess type in lung; Various bleed caused by the fire of excess type of liver meridian is treated with Pill of Radix Angelicae Sinensis and Aloe. (2) Nourishing Yin: All the five viscera are emphasized, according to differentiation, blood troubles are treated with different ways, such as nourishing lung-Yin, nourishing heart-Yin, nourishing Yin fluid of stomach and spleen, nourishing liver-Yin and nourishing kidneys-Yin.