中国中医急症2024,Vol.33Issue(3) :443-446,458.DOI:10.3969/j.issn.1004-745X.2024.03.014

"胃家实"及三承气汤运用辨析

Differentiation and Analysis of"Wei Jiashi"and Exploration of the Application of Three Chengqi Decoctions

姚军 吴佳 谢雪姣
中国中医急症2024,Vol.33Issue(3) :443-446,458.DOI:10.3969/j.issn.1004-745X.2024.03.014

"胃家实"及三承气汤运用辨析

Differentiation and Analysis of"Wei Jiashi"and Exploration of the Application of Three Chengqi Decoctions

姚军 1吴佳 1谢雪姣2
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作者信息

  • 1. 湖南中医药大学第二附属医院,湖南长沙 410208
  • 2. 湖南中医药大学,湖南长沙 410208
  • 折叠

摘要

"胃家实"作为阳明病提纲,意义重大的同时也颇具争议.本文基于阳明胃肠的生理机制揭示"胃家实"本质,并进一步分析"胃家实"病机治法,又据此探讨三承气汤之鉴别运用、"燥屎"与大小承气汤辨证关系及"胃家实"与"脾家实"的内在联系.从而提出"胃家实"属于正阳阳明病提纲,是阳明胃肠"更虚更满"机制紊乱而形成的一种病理状态.

Abstract

As an outline of Yangming disease,"Wei Jiashi"is of great significance and controversial at the same time.Based on the physiological mechanism of Yangming's gastrointestinal tract,this article reveals the es-sence of"Wei Jiashi",and further analyzes the pathogenesis and treatment of"Wei Jiashi".Based on this,it dis-cusses the differential use of the three types of Chengqi Decoctions,the dialectical relationship between"dry excre-ment"and Da and Xiao Chengqi Decoctions,and the internal relationship between"Wei Jiashi"and"Pi Jiashi".Therefore,it is pointed out that"Wei Jiashi"belongs to the outline of Zhengyang Yangming disease,which is a pathological state formed by the disorder of the mechanism of"more deficiency and fuller"in Yangming stomach and intestines.

关键词

胃家实/《伤寒论》/三承气汤

Key words

Wei Jiashi/Treatise on Cold Pathogenic Diseases/Three Chengqi Decoctions

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基金项目

湖南省卫生健康委项目(D202303018265)

湖南省中医药科研项目(A2023035)

湖南省科技厅项目(2021JJ30510)

出版年

2024
中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
参考文献量13
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