诸汗尿多 神耗阴伤 皆属于散——仝小林教授“散者收之”治疗经验
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摘要
"散者收之"是中医的正治法则之一,意为在疾病表现为生命物质耗散不固时应当使用具有收敛、固涩功效的方药来治疗,以避免正气的进一步损伤,从而促进疾病向愈。仝小林教授认为,生命物质的耗散分为有形之物(如汗液、尿液、血液等)和无形之气(如精神、元气等)2种,应当分别采取固涩有形之物和收敛无形之气的治法。治疗时不应拘于可见的有形物质的散失,而应拓展到一切有消耗、散失表现的疾病。"诸汗尿多,神耗阴伤,皆属于散",为临床使用"散者收之"理论治疗疾病提供了新思路。
Treating dispersion with astringent is one of the regular therapeutic principles of traditional Chinese medicine, which means that when the disease manifests itself as the dissipation of life material, it should be treated with the prescription which covers the function of convergence and astringency so as to prevent the further damage of healthy qi and promote the disease progression. Professor TONG Xiaolin believes that the dissipation of life substances is divided into tangible material(such as sweat, urine, blood, etc.) and invisible material(such as spirit, vitality, etc.), which should take astringent tangible material and arrest exhaustive discharges of invisible material. During treatment, not only the visible loss of tangible material should be cared but all kinds of debilitating diseases should be concerned to. "All of the excessive sweating or urination, damaging yin or vitality are attributed to dissipation," providing a new strategy of using the therapeutic principles of treating dispersion with astringent.
Treating dispersion with astringent is one of the regular therapeutic principles of traditional Chinese medicine, which means that when the disease manifests itself as the dissipation of life material, it should be treated with the prescription which covers the function of convergence and astringency so as to prevent the further damage of healthy qi and promote the disease progression. Professor TONG Xiaolin believes that the dissipation of life substances is divided into tangible material(such as sweat, urine, blood, etc.) and invisible material(such as spirit, vitality, etc.), which should take astringent tangible material and arrest exhaustive discharges of invisible material. During treatment, not only the visible loss of tangible material should be cared but all kinds of debilitating diseases should be concerned to. "All of the excessive sweating or urination, damaging yin or vitality are attributed to dissipation," providing a new strategy of using the therapeutic principles of treating dispersion with astringent.
引文
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[12]田露,肖照岑.对《内经》中“酸味相佐”的理解和运用[J].长春中医药大学学报,2011,27(4):559-560.
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[14]孙鑫,仝小林.仝小林教授治疗失眠经验介绍[J].新中医,2009,41(12):7-8.
[15]袁春云,伍大华,谢乐.中西医结合脑心同治论治大面积脑梗死合并冠心病的体会[J].湖南中医药大学学报,2017,37(4):398-401.
[16]毕月玲,李晶,李平.单味中药治疗骨质疏松的研究进展[J].天津中医药,2009,26(6):524-526.
[17]张锡纯.医学衷中参西录[M].石家庄:河北人民出版社,1974:414.
[18]仝小林.维新医集[M].上海:上海科学技术出版社,2015:28.
[2]朱宣明,周建中,陈名贵.“散者收之”浅析[J].中国实用医药,2008,3(9):56.
[3]马莳.黄帝内经灵枢注证发微[M].北京:人民卫生出版社,1994:226.
[4]仝小林,赵林华.治疗糖尿病汗证中医辨治浅析及验案一则[J].药品评价,2009,6(12):490-491.
[5]李洪皎.仝小林诊治夜尿多经验[J].实用中医药杂志,2007,23(3):185.
[6]侯雅静,陈家旭.从肾阳虚探讨多尿、少尿的形成机理[J].中医杂志,2017,58(9):741-744.
[7]刘洁萍,仝小林.黄连阿胶汤治疗脑部阴虚火旺之失眠[J].实用中医内科杂志,2002,16(1):25.
[8]田德禄.中医内科学[M].北京:中国中医药出版社,2005:338.
[9]高学敏.中药学[M].北京:中国中医药出版社,2007:386-398.
[10]仝小林.维新医集[M].上海:上海科学技术出版社,2015:66.
[11]李洪皎.仝小林诊治夜尿多经验[J].实用中医药杂志,2007,23(3):185.
[12]田露,肖照岑.对《内经》中“酸味相佐”的理解和运用[J].长春中医药大学学报,2011,27(4):559-560.
[13]王若男,应达时,王中男.王中男教授治疗阴虚火旺型不寐合并郁证[J].吉林中医药,2017,37(6):548-550.
[14]孙鑫,仝小林.仝小林教授治疗失眠经验介绍[J].新中医,2009,41(12):7-8.
[15]袁春云,伍大华,谢乐.中西医结合脑心同治论治大面积脑梗死合并冠心病的体会[J].湖南中医药大学学报,2017,37(4):398-401.
[16]毕月玲,李晶,李平.单味中药治疗骨质疏松的研究进展[J].天津中医药,2009,26(6):524-526.
[17]张锡纯.医学衷中参西录[M].石家庄:河北人民出版社,1974:414.
[18]仝小林.维新医集[M].上海:上海科学技术出版社,2015:28.