摘要
本文主要探讨了奔豚病的概念,肾积奔豚即奔豚气病,同病而异名,仲景强调奔豚气病是让医家认清该病为气病。奔豚的病因是惊恐,奔豚病的发生是因邪气循冲脉上逆,病机为惊则气乱,恐则伤肾,肾气不固,心阳不足,阳虚阴乘,肾脏阴寒、水湿邪气随肾间动气循冲脉上逆,或因肝气郁结,郁而化火,突受惊恐,气机逆乱,下焦肾间动气挟肝胆之相火上冲,发为奔豚。仲景降逆平冲治疗奔豚,因其病机不同,治疗法则差异颇大。方药有三,奔豚汤用于情志失调,肝气郁结,郁而化火,下焦肾间动气挟郁火上逆;桂枝加桂汤用于心阳不足,不能下温肾阳,外寒合内虚寒之气引肾间动气乘虚冲逆;苓桂甘枣汤用于心阳虚不能下温肾阳,下焦水饮引肾间动气上逆。
This study mainly discussed the concept of Bentun disease(renal mass disease),which was regarded as qi disease by ZHANG Zhongjing.The pathogenesis of the disease is panic,which injured Kidney,resulting in deficiency of kidney-qi and Heart-yang and water and cold gas rushing upwards.On the other hand,because of the stagnation of Liver-qi and the reverse disorder of qi,the stagnation turned into fire,and it made the Liver-fire rush upwards as well.Because of the different pathogenesis,the therapeutic principles for treating Bentun disease were quite different.Prescriptions can be used for the disease include Guizhi Jiagui Decoction and Linggui Ganzao Decoction.
作者
郭小舟
林兰
王斌
GUO Xiaozhou;LIN Lan;WANG Bin(Changping District Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 102208, China;Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China)
出处
《中医药学报》
CAS
2020年第4期1-4,共4页
Acta Chinese Medicine and Pharmacology
基金
国家自然科学基金项目(81503553)。
关键词
奔豚
病因病机
桂枝加桂汤
苓桂甘枣汤
奔豚汤
Bentun
Etiology and pathogenesis
Guizhi Jiagui Decoction
Linggui Ganzao Decoction
Bentun Decoction
作者简介
郭小舟(1974-),男,博士,副主任医师,研究方向:中医药防治内科疾病的研究;通讯作者:林兰(1938-),女,主任医师,博士生导师,研究方向:中医药防治内科疾病的研究。
