摘要
经方医学有其独特的理论体系,其核心是方证对应,仔细甄别,随证加减,则临床疗效确切。大柴胡汤系汉代张机(字仲景)《伤寒杂病论》中经典方之一,主治少阳不和兼阳明腑实证;桂枝茯苓丸出自《金匮要略》,具有活血化瘀缓消癥块之功。蛛网膜下腔出血的临床症状主要表现为剧烈头痛,文章从方证对应角度探讨大柴胡汤合桂枝茯苓丸治疗蛛网膜下腔出血头痛的理论依据,以期为中医药临床治疗这一疾病提供诊疗思路,进而减轻患者的痛苦。
Classical prescription medicine has its own unique theoretical system,the core of which is the correspondence between prescription and syndrome.Based on screening the symptoms carefully and changing medication according to the syndrome,the clinical effect is definite.The Dachaihu decoction(大柴胡汤)is one of the classical prescriptions in Shanghan Zabing Lun(《伤寒杂病论》)by TCM sage ZHANG Ji in the Han Dynasty,mainly treats Shaoyang(少阳)disharmony plus Yangming(阳明)viscera excess.Guizhi Fuling Wan(桂枝茯苓丸)comes from Jin’gui Yaolue(《金匮要略》),and has the function of promoting blood circulation,removing blood stasis and dissipating masses.The main clinical symptom of subarachnoid hemorrhage is severe headache.In this paper,the theoretical basis of the Dachaihu decoction plus Guizhi Fuling Wan on subarachnoid hemorrhage headache was discussed from the perspective of prescription and syndrome correspondence,in order to provide diagnosis and treatment ideas for treating the disease in traditional Chinese medicine,and then alleviate the pain of the patients.
出处
《中医临床研究》
2021年第34期83-85,共3页
Clinical Journal Of Chinese Medicine
基金
全国名老中医药专家传承工作室建设项目(No.国中医药人教发[2018]134号)
关键词
蛛网膜下腔出血
头痛
大柴胡汤
桂枝茯苓丸
方证对应
Subarachnoid hemorrhage
Headache
The Dachaihu decoction
Guizhi Fuling Wan
Correspondence between prescription and syndrome
作者简介
李方方(1994-),女,河南驻马店人,在读硕士研究生,主要从事中西医结合防治脑病研究工作;通讯作者:刘志华(1966-),河南淮阳人,主任医师,主要从事中西医结合防治脑病研究工作。
