首页> 中文期刊> 《浙江中医药大学学报》 >细析《金匮》“夫短气有微饮,当从小便去之”条文意义

细析《金匮》“夫短气有微饮,当从小便去之”条文意义

         

摘要

[目的]研究《金匮要略》治疗“微饮”的方法,揭示仲景治疗痰饮病的原则与思想。[方法]以《金匮要略·痰饮咳嗽病脉证并治第十二》第17条条文为例,结合经典著作及仲景在本书中的论述,阐述该条文的文义,并综合分析其背后揭示的思想。[结果]本条条文意义不止于列出治疗微饮的处方,也透过治疗微饮的方法,体现治疗痰饮病“当以温药和之”的治疗原则是以恢复人体正常水液运化功能为务,反映了仲景治病以人为本的思想。[结论]《金匮》条文精简,往往意在言外,若能在结合经典和仲景论著的前提下对条文进行深入研究,则能对中医诊治思想有更深刻认识,必有助提升临床辨治疾病的能力。%[Objective]To study and clarify the philosophy and method used by Zhang Zhongjing for diagnosing and treating fluid retention diseases. [Method]To analyze the meaning of article No.17 from the“Chapter of Fluid Retention Disease”by studying related classic literatures including the“Golden Chamber”.[Result] It was found that to provide prescriptions for treating minor fluid retention disease was not the only meaning of the article, but also the basic principle of treating fluid retention disease“Moderate by medicine with warm in nature”, which meant to restore the normal circulation of water in human, reflected the thought of patient-oriented treatment was revealed. [Conclusion] A better understanding of the principle of diagnosis and treatment would be obtained if the knowledge of the classic literatures is integrated when studying the articles of the “Golden Chamber”. The ability of diagnosing and treating diseases wil then be improved.

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