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论少阴经证非太阳少阴合病

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历代医家习将仲景的麻黄附子细辛汤、麻黄附子甘草汤、桂枝加附子汤归于太阳少阴合病的方证代表,强调外开太阳之表与内温少阴之里的分治.但这种方证的归类方法,并不能突出本证少阴阳气大虚、病位已在少阴经、具有内传少阴之里凶险性的特点,易误导后学医师组方侧重辛散宣开太阳之表,所以余秋平教授主张以"少阴经证"称之,更为恰当.本证若失治误治,常有内传少阴之里的风险,在治疗方面当慎用辛散,稍有不慎则易出现亡阳之变.
Shaoyin meridian syndrome of non-Taiyang Shaoyin combined disease
In the past dynasties,physicians have attributed Zhongjing's decoction of ephedra aconiti asarum,decoction of ephedra aconiti licorice and decoction of Cassia twig and Aconiti Aconiti to the representative of the syndrome of Tai Yang Shaoyin syndrome.However,the classification method of this syndrome can not highlight the characteristics of the syndrome of Shaoyin Yang Qi deficiency,The disease position has been in the Shaoyin Meridian,and the danger of internal transmission of Shaoyin,so professor yu qiuping advocated to"Shaoyin Jing Zheng"called it,more appropriate.If this syndrome is mistreated,there is al-ways the risk of internal transmission of Shaoyin.In the treatment,xinsan should be used carefully.

Shaoyin channel surface syndromeconcurrent disease of Taiyang and Shaoyin ChannelsEphedra aconiteRa-dix cinnamomi aconite

郭若涵、马一川、余秋平

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北京中医药大学临床医学院,北京 100029

北京炎黄中医医院,北京 100062

少阴经表证 太少合病 麻黄附子剂 桂枝附子剂

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(3)
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