中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
15期
27-28
,共2页
小阳汤%阳虚血弱%寒凝血滞%关节疼痛
小暘湯%暘虛血弱%寒凝血滯%關節疼痛
소양탕%양허혈약%한응혈체%관절동통
Yang and blood deficiency%Cold coagulation and blood stagnation
目的：小阳汤治疗关节疼痛探讨。方法：用小阳汤方剂治疗关节疼。结果：纵观全方，补阴与温阳药合用，辛散与滋腻之品并行，补中寓散，使温散寒凝而不伤正，滋补精血而不恋邪，共奏助阳补血、温经散寒、除痰通滞之效，是治疗痈疽疮疡属阴证的著名方剂。正因为本方温阳补血、散寒通滞，用治阴疽，犹如离照当空，阴霾自散，可化阴凝而阳和，故以阳和名之。讨论：本方善治阴疽证痛本，多为阳虚血弱，寒凝痰滞，气血不畅，痹阻肌肉、筋骨、关节、经脉所致。营血虚弱，寒凝痰滞，气血不畅，故局部漫肿无头，皮色不变，酸痛无热，并见全身虚寒证候；寒为阴邪，故口不渴；舌淡苔白，脉沉细或沉迟，均为虚寒之象，治宜温阳补血以治其本，散寒通滞以疗其标。
目的：小暘湯治療關節疼痛探討。方法：用小暘湯方劑治療關節疼。結果：縱觀全方，補陰與溫暘藥閤用，辛散與滋膩之品併行，補中寓散，使溫散寒凝而不傷正，滋補精血而不戀邪，共奏助暘補血、溫經散寒、除痰通滯之效，是治療癰疽瘡瘍屬陰證的著名方劑。正因為本方溫暘補血、散寒通滯，用治陰疽，猶如離照噹空，陰霾自散，可化陰凝而暘和，故以暘和名之。討論：本方善治陰疽證痛本，多為暘虛血弱，寒凝痰滯，氣血不暢，痺阻肌肉、觔骨、關節、經脈所緻。營血虛弱，寒凝痰滯，氣血不暢，故跼部漫腫無頭，皮色不變，痠痛無熱，併見全身虛寒證候；寒為陰邪，故口不渴；舌淡苔白，脈沉細或沉遲，均為虛寒之象，治宜溫暘補血以治其本，散寒通滯以療其標。
목적：소양탕치료관절동통탐토。방법：용소양탕방제치료관절동。결과：종관전방，보음여온양약합용，신산여자니지품병행，보중우산，사온산한응이불상정，자보정혈이불련사，공주조양보혈、온경산한、제담통체지효，시치료옹저창양속음증적저명방제。정인위본방온양보혈、산한통체，용치음저，유여리조당공，음매자산，가화음응이양화，고이양화명지。토론：본방선치음저증통본，다위양허혈약，한응담체，기혈불창，비조기육、근골、관절、경맥소치。영혈허약，한응담체，기혈불창，고국부만종무두，피색불변，산통무열，병견전신허한증후；한위음사，고구불갈；설담태백，맥침세혹침지，균위허한지상，치의온양보혈이치기본，산한통체이료기표。
Objective:To discuss the curative effect of Xiaoyang Decoction on treatment of joint pain.Methods: Treating joint pain with Xiaoyang Decoction.Results:In this formula,yin and Yang drugs were used together,pungent and dispersing drugs parallelled greasy goods,so dispersing was contained in supplementing.All the drugs in the formula made it had the following characteristics:warming body and dispersing coagulation without injury,nourishing blood and essence without leaving evil, supplementing Yang and blood,warm through the cold, eliminating phlegm and stagnation.It is a famous prescription for treating superficial infection Yin syndrome. Because of its function of warming yang and nourishing blood,dispelling cold and unlocking blockage, so using it in treating Yin carbuncle just like haze dispersed when sun appeared.This is why it is called Yanghe Decoction. Discussion:This formula is good at treating Yin carbuncle which is caused by Yang deficiency,cold coagulation, weak blood, stagnation of phlegm,qi and blood, blockage in muscles,bones and joints. Weak blood,cold coagulation and phlegm stagnation can cause swollen head,unchanged color of skin, no heat, and other deficiency syndromes; cold belongs to yin evil,so there was no thirsty,but pale tongue with white fur,thready,slow or deep pulse appeared.All the symptoms were deficiency and cold syndroms.Warming Yang and nourishing blood should be adopted as the basic treatment and dispersing cold and unlocking blockage as the supplement.
