吉林中医药2024,Vol.44Issue(4) :379-382.DOI:10.13463/j.cnki.jlzyy.2024.04.002

基于《金匮要略》探析从土郁夺之论治呕吐

Syndrome differentiation and treatment of vomiting by the treatment principle of removing dampness in the spleen based on Jingui Yaolue

陈奕真 李云海
吉林中医药2024,Vol.44Issue(4) :379-382.DOI:10.13463/j.cnki.jlzyy.2024.04.002

基于《金匮要略》探析从土郁夺之论治呕吐

Syndrome differentiation and treatment of vomiting by the treatment principle of removing dampness in the spleen based on Jingui Yaolue

陈奕真 1李云海2
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作者信息

  • 1. 湖北中医药大学中医临床学院,武汉 430060;湖北中医药大学附属新华医院/湖北省中西医结合医院,武汉 430015
  • 2. 湖北中医药大学中医临床学院,武汉 430060
  • 折叠

摘要

呕吐与脾胃密切相关,早在《黄帝内经》中就明确指出"土郁"可导致呕吐,并确立了"土郁夺之"的治则.汉代医家张仲景亦在《金匮要略》中设专篇对呕吐进行了系统论述.基于"土郁夺之"之法,总结仲景在《金匮要略》中运用"土郁夺之"治疗呕吐的辨证思路及治疗策略,以期为临床治疗提供新的思路.

Abstract

Vomiting is common in a variety of critical cases,especially after a chemotherapy treatment,and the syndrome is of great significance for the diagnosis,treatment and prognosis of clinical diseases.Vomiting is closely related to the spleen and stomach.As early as in the Inner Canon of Yellow Emperor,it was clearly pointed out that dampness accumulated in the spleen and stomach can cause vomiting,and the treatment principle of removing it was established.Zhang Zhongjing,a doctor in the Han Dynasty,systematically discussed vomiting in a single chapter in his masterpiece Jingui Yaolue.Based on these two prestigious books and taking"dampness accumulated in the spleen needing removing"as an innovation point,this paper summarizes the syndrome differentiation thinking and treatment strategy of the treatment principle in Jingui Yaolue,in a bid to provide new ideas for its future clinical treatment.

关键词

土郁夺之/《金匮要略》/呕吐

Key words

dampness accumulated in the spleen needing removing/Jingui Yaolue(Synopsis of Golden Chamber)/vomiting

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基金项目

2019年湖北高校省级教学团队建设项目([2019]115)

出版年

2024
吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
参考文献量17
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