首页|基于"冬不藏精,春必病温"理论探讨膏方在温病瘥后中的应用

基于"冬不藏精,春必病温"理论探讨膏方在温病瘥后中的应用

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膏方属于中医丸、散、膏、丹、酒、露、汤、锭八种剂型之一,随着时代的发展而愈加盛行,膏方现广泛应用于疾病后期、慢性病及治未病等人群的调治.温病瘥后同样作为病后恢复的阶段,易于迁延反复或遗留后遗症.基于"冬不藏精,春必病温"的角度提出"肾精不藏"既是温病发病的先决条件,又是温病瘥后余邪未尽、迁延反复的重要病机,与膏方滋补填精的功用不谋而合.因此,在参考古代医家运用膏方治疗温病瘥后经验的基础上,注重运用大方复治,以血肉有情或味厚质润之品益养阴精,佐以甘寒清补之品以清解余邪、护养胃阴,重视病因及兼夹证,恰当配伍动静药物,以期更好地发挥膏方在温病瘥后调治中的作用提供借鉴.
Application of Herbal Paste in Febrile Disease Recovery Period Based on the Theory of"Failure to Nourish the Essence in Winter will Induce Warm Diseases in Spring"
Herbal paste is one of the eight dosage forms of traditional Chinese medicine(TCM),with the rest be-ing pills,powder,pellets,liquor,distillate,decoction,and troche.Herbal paste has gradually become popular with the devel-opment of the times and is now widely used in the treatment of patients with diseases in the later stages and chronic disea-ses and adopted for prevention before disease onset.The febrile disease recovery period refers to the stage of recovery from illness,which contributes to prolonged recurrence or sequelae.Based on the theory that"failure to nourish the essence in Winter will induce warm diseases in Spring",it was proposed that"failure to nourish kidney essence"was a prerequisite for the onset of febrile disease and important pathogenesis for the remaining evil and prolonged recurrence during the febrile disease recovery period,which coincided with the function of the herbal paste in nourishing and filling the essence.There-fore,based on the experience of ancient doctors applying herbal paste in the febrile disease recovery period,this paper paid attention to retreating the disease by strong prescriptions and making full use of animal supplements or tonic herbal medi-cines to nourish Yin essence.Sweet and cold tonic herbal medicines could be used to clear away the remaining evil and nourish the stomach Yin,and etiology and combination of syndrome should be emphasized.An appropriate mixture of static and motive herbal medicines was necessary to better play the role of herbal paste in the febrile disease recovery period and provide a reference.

Failure to Nourish the Essence in WinterHerbal PasteFebrile Disease Recovery PeriodTheoretical Ap-plication

秦欣欣、苏惠萍、贾琦、闫玉琴、张山、练毅刚、倪磊、施怡

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北京市隆福医院,北京 100010

北京中医药大学东直门医院,北京 100700

北京中医药大学第三附属医院,北京 100029

冬不藏精 膏方 温病瘥后 理论应用

北京市中医药新奥奖励基金

2018-XAJLJJ-019

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(5)
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