“辛以润之”议五苓散
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Discussion on Wulingsan from Perspective of “moistening with acridity”
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    摘要:

    五苓散证一方面是由于表邪不解、腠理闭塞以致气化失司从而出现消渴、小便不利;一方面是由于水饮停蓄、滞碍气机以致津液不得输布从而出现渴欲饮水、反不渴甚或水入即吐。两者都是由于气化不利导致的津液相对不足。五苓散中桂枝温阳化气、利水散湿,是《内经》“辛以润之”的体现。

    Abstract:

    Wulingsan syndrome is manifested with, on one hand, consumptive thirst and inhibited urination, which are caused by unrelieved exterior pathogens and blockage of muscular interstices leading to disturbance in functioning of Qi; on the other hand, thirst without desire for drink, or no feeling of thirst, or vomit after drinking, which are caused by inability of body fluid to disperse due to internal watery retention and obstruction of Qi. Both symptoms are caused by body fluid deficiency due to dysfunction of Qi transforming. The functions of cassia twig in wulingsan is to warm yang in order to transform qi and resolve dampness, which embodies the thought of “moistening with acridity” in Nei Jing.

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贾新改,申霖来,张磊.“辛以润之”议五苓散[J].世界中医药,2012,7(4).

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  • 收稿日期:2012-04-23
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  • 在线发布日期: 2012-11-19
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