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伤寒论评话 第38章 太阳病含肺经病,足太阴病有实证 被引量:5
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作者 梁华龙 《中医学报》 CAS 2015年第2期189-193,共5页
1太阴病没有肺病的记载,并非六经病只传足经不传手经,而是手太阴肺经的生理和病理特点所决定的。很多肺经的症状是和太阳病同时出现的,《金匮要略》中也分别有专篇论述,所以在太阴篇就不重复列置,详于彼而略于此。2绝大部分方剂是以药... 1太阴病没有肺病的记载,并非六经病只传足经不传手经,而是手太阴肺经的生理和病理特点所决定的。很多肺经的症状是和太阳病同时出现的,《金匮要略》中也分别有专篇论述,所以在太阴篇就不重复列置,详于彼而略于此。2绝大部分方剂是以药物命名、沿袭六神方名称、以方剂的功能命名,而以症状命名方剂的只有所谓"四逆汤";不管何种原因造成的厥逆,都应以救逆、回逆的方法治疗,依照命名原则,应该叫"回逆汤",才能与建中、理中、承气、陷胸等命名法则一致起来;要改变厥逆,就要回复到"顺"的阳气敷布状态,所以要"回逆";回的古体字为"囬",在《伤寒论》流传和转抄中,既有竹简的损蚀朽腐,或者抄写的失误减笔,致使误"囬"为"四",因而囬逆汤、囬逆散就成了四逆汤和四逆散。使用"四逆汤"的原文,没有一条明确提出"四逆"。而用"四逆汤"治疗,就有点名义不顺。所以应该叫"囬逆汤"。3四逆散治疗少阴气机郁而不畅,阴阳之气敷布失常,当然不属于脏有"寒";当归四逆汤所治疗的证候是血虚寒凝,病偏于经脉,也不属于"脏"有寒,排除四逆辈之列。从仅"自利不渴"看,并非戴阳、格阳证,排除白通汤、通脉四逆汤及其加猪胆汁汤数方。太阴虚寒以脾阳不足主,并非阳气、阴液的同时匮乏,茯苓四逆汤、四逆加人参也在排除之列,除此以外剩下的"四逆辈"就只有四逆汤和干姜附子汤。自利不渴也有脾气虚弱为主的,以理中汤、小建中汤、大建中汤以及桂枝人参汤治疗,可见"四逆辈",既不尽是冠有"四逆"名称的四逆汤类,也不排除没有冠以"四逆"的建中、理中等方剂。4"大实痛"是在"时痛"的基础上进一步发展的,"时痛"是邪气停滞,经脉不和,气血聚散所致,在此基础上的"大实痛",就是气血凝滞,经脉不通而成,因此仅以桂枝加芍药汤治疗,其开滞通脉,舒经行气的力量薄弱,所以在此基础上加大黄,增加其除痹、舒挛、止痛的功效。 展开更多
关键词 太阳病 肺经病 太阴病 四逆汤 张仲景 伤寒论 金匮要略 “大实痛”
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Bacteriocinogeny in experimental pigs treated with indomethacin and Escherichia coli Nissle
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作者 Jan Bures David Smajs +10 位作者 Jaroslav Kvetina Miroslav Frstl Jan Smarda Darina Kohoutova Martin Kunes Jiri Cyrany Ilja Tacheci Stanislav Rejchrt Jirina Lesna Viktor Vorisek Marcela Kopacova 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期609-617,共9页
AIM: To evaluate bacteriocinogeny in short-term highdose indomethacin administration with or without probiotic Escherichia coli Nissle 1917 (EcN) in experimental pigs.METHODS: Twenty-four pigs entered the study: ... AIM: To evaluate bacteriocinogeny in short-term highdose indomethacin administration with or without probiotic Escherichia coli Nissle 1917 (EcN) in experimental pigs.METHODS: Twenty-four pigs entered the study: Group A (controls), Group B (probiotics alone), Group C (indomethacin alone) and Group D (probiotics and indomethacin). EcN (3.5 × 10^10 bacteria/d for 14 d) and/or indomethacin (15 mg/kg per day for 10 d) were administrated orally. Anal smears before and smears from the small and large intestine were taken from all animals. Bacteriocin production was determined with 6 different indicator strains; all strains were polymerase chain reaction tested for the presence of 29 individual bacteriocinencoding determinants. RESULTS: The general microbiota profile was rather uniform in all animals but there was a broad diversity in coliform bacteria (parallel genotypes A, B1, B2 and D found). In total, 637 bacterial strains were tested, mostly Escherichia coli (E. coli. There was a higher incidence of non-E:, coli strains among samples taken from the jejunum and ileum compared to that of the colon and rectum indicating predominance of E. coil strains in the large intestine. Bacteriocinogeny was found in 24/77 (31%) before and in 155/560 (28%) isolated bacteria at the end of the study. Altogether, 13 individual bacteriocin types (out of 29 tested) were identified among investigated strains. Incidence of four E. coli genotypes was equally distributed in all groups of E. coil strains, with majority of genotype A (ranging from 81% to 88%). The following types of bacteriocins were most commonly revealed: colicins Ia/Ib (44%), microcin V (18%), colicin E1 (16%) and microcin H47 (6%). There was a difference in bacteriocinogeny between control group A (52/149, 35%) and groups with treatment at the end of the study: B: 31/122 (25%, P = 0.120); C: 43/155 (28%, P = 0.222); D: 29/134 (22%, P = 0.020). There was a significantly lower prevalence of colicin Ib, microcins H47 and V (probiotics group, P 〈 0.001), colicin E1 and microcin H47 (indomethacin group, P 〈 0.001) and microcins H47 and V (probiotics and indomethacin group, P = 0.025) compared to controis. Escherichia fergusonil (E. fergusoniO was identi-fled in 6 animals (6/11 isolates from the rectum). One strain was non-colicinogenic, while all other strains of E. fergusonii solely produced colicin El. All animals started and remained methanogenic despite the fact that EcN is a substantial hydrogen producer. There was an increase in breath methane (after the treatment) in 5/6 pigs from the indomethacin group (C). CONCLUSION: EcN did not exert long-term liveabilib/ in the porcine intestine, All experimental pigs remained methanogenic, Indomethacin and EcN administered together might produce the worst impact on bacteriocinogeny. 展开更多
关键词 Bacteriocinogeny Escherichia coli Nissle1917 Experimental pigs INDOMETHACIN
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