浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2015年
5期
414-415,416
,共3页
真寒假热%阴盛格阳%虚寒%实寒%脾肾阳虚%四逆汤%中医基础理论
真寒假熱%陰盛格暘%虛寒%實寒%脾腎暘虛%四逆湯%中醫基礎理論
진한가열%음성격양%허한%실한%비신양허%사역탕%중의기출이론
true cold and false heat%predominant yin repelling yang%asthenia-cold%sthenia-cold%yang deficiency of spleen and kidney%Sini Decoction%TCM Basic Theory
[目的]辨清真寒假热证之真寒的虚实属性，并简要总结。[方法]习读相关文献资料及理论书籍，分析、比较各医家主张，且从病因病机、临床症状、处方用药等几个方面全面论证真寒假热证之真寒的虚实属性。[结果]真寒假热证，从病因病机上说，是由于病程日久导致脾肾阳虚，阴寒邪气壅滞于体内，阳不化阴，使得阴阳不相顺接，从而将阳格拒于外，出现内真寒、外假热的病理状态；从临床症状上看，则表现为两颧泛红如妆、精神不振、畏寒蜷缩、四肢厥冷、口渴喜热饮、下利清谷、脉无力欲绝等一派虚寒之象；临床处方用药，则多为四逆汤类，其中君药为回阳救逆、大辛大热的附子、干姜，以去体内真寒之用。[结论]真寒假热证之真寒隶属于虚寒，无论是对疾病诊断还是临床救治，均具有一定的理论及现实意义。
[目的]辨清真寒假熱證之真寒的虛實屬性，併簡要總結。[方法]習讀相關文獻資料及理論書籍，分析、比較各醫傢主張，且從病因病機、臨床癥狀、處方用藥等幾箇方麵全麵論證真寒假熱證之真寒的虛實屬性。[結果]真寒假熱證，從病因病機上說，是由于病程日久導緻脾腎暘虛，陰寒邪氣壅滯于體內，暘不化陰，使得陰暘不相順接，從而將暘格拒于外，齣現內真寒、外假熱的病理狀態；從臨床癥狀上看，則錶現為兩顴汎紅如妝、精神不振、畏寒踡縮、四肢厥冷、口渴喜熱飲、下利清穀、脈無力欲絕等一派虛寒之象；臨床處方用藥，則多為四逆湯類，其中君藥為迴暘救逆、大辛大熱的附子、榦薑，以去體內真寒之用。[結論]真寒假熱證之真寒隸屬于虛寒，無論是對疾病診斷還是臨床救治，均具有一定的理論及現實意義。
[목적]변청진한가열증지진한적허실속성，병간요총결。[방법]습독상관문헌자료급이론서적，분석、비교각의가주장，차종병인병궤、림상증상、처방용약등궤개방면전면론증진한가열증지진한적허실속성。[결과]진한가열증，종병인병궤상설，시유우병정일구도치비신양허，음한사기옹체우체내，양불화음，사득음양불상순접，종이장양격거우외，출현내진한、외가열적병리상태；종림상증상상간，칙표현위량권범홍여장、정신불진、외한권축、사지궐랭、구갈희열음、하리청곡、맥무력욕절등일파허한지상；림상처방용약，칙다위사역탕류，기중군약위회양구역、대신대열적부자、간강，이거체내진한지용。[결론]진한가열증지진한대속우허한，무론시대질병진단환시림상구치，균구유일정적이론급현실의의。
Objective] Differentiate and analyse the asthenia or sthenia attribute about the cold attribute of true cold and pseudo hot syndrome, further to simply make a summary.[Method] In order to compare with other doctor’s viewpoint and prove the opinion from the etiology and pathogenesis, clinical symptoms, clinical application and so on, by researching the related literature and theoretical works.[Result]Pathological condition of inner true cold and outer false heat appears because Yang deficiency of spleen and kidney is so long that yin exopathogen is in stasis and yang fails to transport and transform ying, further to repel yang outside in the etiology and pathogenesis. Clinical symptoms show that the red zygomas looking like being made up, low spirit, coldblooded and huddling up body, chilly limbs, drinking much and hot, diarrhea with undigested food in the stool and extreme weak pulse and even no feelings. In clinical application, the prescription is sini tang and the main medicines are fuzi and ganjiang which restore yang and get rid of cold. [Conclusion]True cold and pseudo hot syndrome belongs to asthenia-cold. And no matter in disease diagnosis even in clinical treatment, it has an important theoretical and practical significance to distinguish and clear the asthenia or sthenia attribute.
