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论《温病条辨》对张仲景五苓散的发挥
李天顺1, 刘亚敏2
1.广州中医药大学, 广州 510000;2.广州中医药大学第一附属医院, 广州 510405
摘要:
通过吴鞠通《温病条辨》中对五苓散的加减运用,探讨其对张仲景五苓散的发挥。吴鞠通在继承张仲景学术思想基础上,汲取了叶天士《临证指南医案》的方药精华及其学术思想,结合自己临床感悟,注重五苓散用于治疗湿停下焦的组方特点,将其化裁后用于转筋、神志异常等病,使其不仅适用于下焦病证,是对其治疗病位的扩展,将其用于湿温下利、寒湿腹胀等病,使其适用于各种水饮病证,扩大了其疾病治疗范围,是对叶天士"通阳不在温,而在利小便"这一理论思想适用范围的进一步延伸,为后人加减运用经方提供思路,使之更贴合于临床。
关键词:  温病条辨  伤寒论  五苓散
DOI:10.11656/j.issn.1673-9043.2021.05.07
分类号:R289
基金项目:
Discussing Detailed Analysis of Epidemic Warm Disease on the play of ZHANG Zhongjing Wuling Powder
LI Tianshun1, LIU Yamin2
1.Guangzhou University of Traditional Chinese Medicine, Guangzhou 510000, China;2.The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, China
Abstract:
Through WU Jutong's use of addition and subtraction of Wuling Powder, a traditional prescription in Detailed Analysis of Epidemic Warm Disease, explore its use on ZHANG Zhongjing Wuling Powder. On the basis of inheriting ZHANG Zhongjing's academic thoughts, WU Jutong drew on the essence and academic thoughts of YE Tianshi's Detailed Analysis of Epidemic Warm Disease, combined with his own clinical insights, and grasped the characteristics of Wuling Powder's prescriptions for the treatment of dampness and depression. After cutting it, it can be used for diseases such as tendons, abnormal consciousness, etc., so that it is not only suitable for lower Jiao diseases, but also an extension of its treatment position. It is applicable to various water-drinking diseases and expands the scope of its treatment of diseases. It is a further extension of YE Tianshi's theory that "the unobstructed yang energy does not depend on warmth, but on urination". It is more suitable to the clinic.
Key words:  Detailed Analysis of Epidemic Warm Disease  Treatise on Febrile Diseases  Wuling Powder
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