摘要
渴是临床常见症状,由津液不足或津液输布障碍所致。《金匮要略》中治疗渴症方法颇多,其中咸寒止渴为一条重要治则。从《金匮要略》条文中探究咸寒药物(牡蛎与文蛤)止渴的机制,并选举临床用咸寒药物治疗以渴为主症的医案,说明咸寒止渴之法在辨证治疗阴虚阳亢、热盛津亏证中的重要作用。通过阐释咸寒止渴的原理,即潜阳归阴、引热下行,润下行水、清热生津,清热散饮、解渴除烦,冀于在复杂多变的临床症状中,以治疗阴虚致渴为突破口,辨证应用栝楼牡蛎散、文蛤汤、文蛤散等方剂,以有裨益于临床。
Thirst is a common clinical symptom caused by insufficient body fluids or dysfunction of body fluids distribution.There are many methods to cure thirst in Synopsis of Golden Chamber,among which salty and cold quenching thirst is an important therapeutic principle.This paper explored the mechanism of salt and cold medicine such as Muli(Concha Ostreae)and Wenge(Meretricis Concha)quenching thirst from the clauses in Synopsis of Golden Chamber,and selected medical cases of treating thirst as the main symptom with salty and cold medicine,and explained the important role of salt and cold quenching thirst method in the syndrome differentiation and treatment of yin deficiency with yang hyperactivity and exuberant heat consuming body fluids.This paper explained the principle of salt and cold quenching thirst,i.e.subduing yang to yin,descending heat,promoting diuresis by moistening and descending,clearing heat and promoting fluid production,clearing heat and dissipating fluid retention,quenching thirst and relieving dysphoria.Treatment of thirst caused by yin deficiency could be taken as the breakthrough point in the complex and varied clinical symptoms.Syndrome differentiating and applying formulas such as Gualou Muli Powder(栝楼牡蛎散),Wenge Decoction(文蛤汤)and Wenge Powder(文蛤散)will be conducive to the clinical practice.
作者
续冠胜
庄子凡
王诗源
XU Guansheng;ZHUANG Zifan;WANG Shiyuan(Shandong University of Traditional Chinese Medicine,Jinan 250300,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《山东中医药大学学报》
2022年第2期152-156,共5页
Journal of Shandong University of Traditional Chinese Medicine
基金
山东省专业学位研究生教学案例库建设项目(编号:SDYAL18029)。
关键词
《金匮要略》
渴
咸寒
牡蛎
文蛤
阴虚
Synopsis of Golden Chamber
thirst
salt and cold
Muli(Concha Ostreae)
Wenge(Meretricis Concha)
yin deficiency
