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升麻治疫思想探析

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本文从阴阳毒、阴火、大气下陷等医论出发,探析不同医家运用升麻的治疫思想.升麻辛凉轻扬,可解百毒、辟障邪,多治温热疫、瘥后证.仲景以疫毒已发、未发之别区分阴阳毒,阳毒者,升麻合蜀椒、雄黄汗以发之、阴毒者,升麻合鳖甲解毒散结;李东垣则总以心火独盛为致疫关键,发于头面者,升麻合风类药、苦寒之品清热解毒、升阳泻火,脾胃内伤者,升麻合甘温补脾土之品以泻阴火;疹毒客于肺胃者,则以辛凉气轻之品为主,透疫达表、解毒去实;余邪搏击大气者,则循同气相求之理,升提大气,举陷托邪.
Analysis of the thought of treating epidemic with largetrifoliolious bugbane
Starting from the medical theories of yin and yang poisoning,yin fire,and pectoral qi collapse,this paper explores the epidemic treatment ideas of different doctors with largetrifoliolious bugbane.Largetrifoliolious bugbane is pungent and cool natured drug,which can detoxify hundreds of toxins,ward off obstacles and evil spirits,and treat pestilence and hot epidemic disease and post-syndromes.Zhongjing distinguished between yin and yang poisoning based on whether the epidemic virus had already broken out or not;For those infected with yang poisoning,the combination of largetrifoliolious bugbane and Sichuan pepper and realgar was used to treat the disease through sweating;And for those infected with yin poisoning,the combination of largetrifoliolious bugbane and turtle carapace was used to detoxify and disperse nodules.Li Dongyuan always regarded the unique exuberance of heart fire as the key to causing the epidemic disease,and for the people who occured on the head and face,the combination of largetrifoliolious bugbane and expelling wind drugs and bitter and cold medicine could clear heat and remove toxicity,and raise yang and purge fire;And for those with internal injuries to the spleen and stomach,the combination of largetrifoliolious bugbane and the products of sweet,warm and tonifying spleen-earth could purge yin fire;For those with toxic exanthema in the lungs and stomach,they mainly consumed spicy,cool,and mild products to abolish the epidemic disease and detoxify;Those who fought against upper-qi with excess evil would follow Origin-Analogue Theroy to invigorate vital energy and benefite qi.

pestilenceyin and yang poisoningraising yang and purging firepectoral qi collapsepost-epidemic evidence

张文风、罗绍东

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长春中医药大学基础医学院,长春 130117

阴阳毒 升阳泻火 大气下陷 疫后诸证

国家社科基金应急管理体系建设研究专项吉林省卫生健康委员会项目吉林省中医药管理局张文风名老中医药专家传承工作室

20VYJ0702021GW006

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(1)
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