黄疸证治探微

Exploration of symptoms and treatment of jaundice

关键词:  黄疸  概念与分类  病因病机  治法治方  预后

Key words:  Jaundice  concept and classification  pathogenic factors and pathogenesis  treatment and prescription  prognosis

摘要:

黄疸病名,首见于《内经》,张仲景提出具体治法,唐宋以前,对黄疸分类过细,名目繁多,致使医家难以适从。元代罗天益依据黄疸性质概括为“阳黄”、“阴黄”,使病因证治简单明确,至今仍为医界所采用。黄疸之成因无外乎湿邪为患或脏腑内伤。治疗上,阳黄证宜清火邪,利小便;阴黄证则宜调补脾肾;近代医家关幼波先生之宝贵经验亦颇值得借鉴。

Abstract:

Jaundice was first seen in NeiJing. Zhongjing provided some concrete treatment methods. Before Tang and Sung dynasty, the meticulous classification and miscellaneous items about them made the doctors hard to identify clearly. According to the character of jaundice,LUO Tian-yi in Yuan dynasty summed up it into "yanghuang" and "yinhuang". These made the causes,symptoms and treatment simple and clear,and were applied by the medical circles thus far. The causes of jaundice was nothing but dampness evil or internal injury of internal organs. For yanghuang treatment should be clearing fire and making urine smooth,and in yinhuang should be nourishing and regulating spleen and kidney; The precious experiences of Doctor GUAN You-bo are also worth further investigation.