张简斋化裁活用栝楼薤白剂治疗外感病初探
Preliminary Study on ZHANG Jian-zhai's Application in Treating Exogenous Diseases by Using Trichosanthes and Allium Macrostem Decoction
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1.无锡市中医医院,江苏 无锡 214000
2.常熟市中医院,江苏 常熟 215600
3.无锡卫生高等职业技术学校,江苏 无锡 214000
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季红健, 陆丽丹, 胡瑶. 张简斋化裁活用栝楼薤白剂治疗外感病初探[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41058323&Fpath=home&index=0
JI Hong-jian, LU Li-dan, HU Yao. Preliminary Study on ZHANG Jian-zhai's Application in Treating Exogenous Diseases by Using Trichosanthes and Allium Macrostem Decoction[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41058323&Fpath=home&index=0
季红健, 陆丽丹, 胡瑶. 张简斋化裁活用栝楼薤白剂治疗外感病初探[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41058323&Fpath=home&index=0 DOI:
JI Hong-jian, LU Li-dan, HU Yao. Preliminary Study on ZHANG Jian-zhai's Application in Treating Exogenous Diseases by Using Trichosanthes and Allium Macrostem Decoction[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41058323&Fpath=home&index=0 DOI:
清末至建国初期的中医大家张简斋是金陵医派的奠基人之一。《张简斋医案》作者邹俊伟先生称其学术思想乃“上承张仲景下继孟河,内外妇儿自成一家”。栝楼薤白剂出自张仲景的《金匮要略》,乃主治“阳微阴弦”之胸痹病的经典方。张简斋不拘外感病之分类,对于凡在外感病热退之后或热势不显阶段,或因饮食不节而致中焦运化失司,或因素体脾虚而导致湿浊内盛的患者,运用三焦辨证定病位,结合水滑腻苔、苔色或黄或黄白或灰且舌质多淡,脉多濡小,或湿停为水则沉弦,或聚而为痰则脉兼滑者为辨证抓手,皆以该方扩而用之以治疗,此种治疗手段实可启发后学师古而不泥古。
ZHANG Jian-zhai, who lived in the late Qing Dynasty to the early days of the founding of the people's Republic of China, is one of the founders of Jinling medical school, He has his own characteristics in the treatment of internal medicine, surgery, gynecology and pediatrics. And his academic thoughts includes"Zhongjing school" and "Meng River school". Trichosanthes and Allium Macrostem decoctiona is derived from ZHANG Jian-zhai Synopsis of the Golden Chamber, which is mainly used to treat thoracic obstruction caused by"insufficiency of Yang and endogenous exces of Yin". ZHANG Jian-zhai's does not care about the classification of exogenous diseases. In the period after the fever of exogenous diseases has subsided or the heat potential is not obvious, the patients may lose control of the disease due to improper diet, or the deficiency of spleen and body may lead to the dampness and internal fullness. The location of the disease was identified by syndrome differentiation of Sanjiao. The coating on the tongue is mainly watery and greasy which color is yellow, white or gray. Pulse is usually soft and small, and wet stop for water so that the pulse may become heavy and bowstring, or gather for phlegm pulse and slide, above all. ZHANG uses this prescription to expand for the treatment. This treatment can enlighten later learning. We can follow the previous treatments, but not limited to previous treatments.
栝楼薤白剂外感病张简斋
Trichosanthes and Allium Macrostem decoctionExogenous diseasesZHANG Jian-zhai
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