张伯礼运用达原饮辨治湿浊类病思路探析
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国家中医药管理局国医大师传承工作室建设项目;中国中医科学院科技创新工程学部委员学术传承与传播项目(CI2022E025XB);第七批全国老中医药专家学术经验继承工作项目


Professor ZHANG Boli's Differentiation and Treatment of Dampness-turbidity Diseases Based on Dayuan Decoction
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    摘要:

    达原饮是治疗瘟疫的经典名方。国医大师张伯礼教授创“湿浊痰饮类病”学说,临床治以开达膜原之法,运用达原饮治疗湿浊类病,临床疗效确切。本文先介绍案例,然后探析张伯礼运用达原饮辨治湿浊类病思路。湿浊痰饮类病的病机:湿浊内伏膜原是湿浊痰饮类病缠绵难治的关键病机;湿浊久羁酿毒是类病恶化的重要基础。膜原理论与达原饮方证要旨:膜原理论与达原饮方证要旨膜原证治重在“开达”;开达膜原治在“求变”。达原饮临证运用思路:古方今病,再识邪伏膜原之证,芳香疏利,解湿浊胶结之态,化浊解毒,治类病恶化之势。

    Abstract:

    Dayuan Decoction is a classic prescription for treating epidemic diseases.Professor ZHANG Boli,a renowned traditional Chinese medicine(TCM) expert,established the theory of “dampness-turbidity and phlegm-fluid diseases” and clinically treated these conditions using the method of “opening onto pleurodiaphragmatic interspace”.The application of Dayuan Decoction to treat dampness-turbidity diseases has shown clear clinical efficacy.This article first introduces a case study and then explores Professor ZHANG Boli's approach to differentiating and treating dampness-turbidity diseases using Dayuan Decoction.The pathogenesis of dampness-turbidity and phlegm-fluid diseases is primarily due to the internal accumulation of dampness and turbidity in pleurodiaphragmatic interspace,which become difficult to treat and cause prolonged illness.The long-term retention of dampness-turbidity substances leads to toxin formation,which serves as an important foundation for the disease's deterioration.The theory of pleurodiaphragmatic interspace and the essential principles of Dayuan Decoction are outlined as follows:pleurodiaphragmatic interspace treatment emphasizes “opening and expelling” the accumulation,while the approach of “seeking transformation” is key to treatment.The clinical application of Dayuan Decoction follows these principles:the ancient prescription is applied to modern diseases,recognizing the presence of hidden pathogens in the pleurodiaphragmatic interspace.Aromatic drugs are used to expel and resolve the dampness-turbidity accumulation,remove toxins,and treat the disease's deterioration.

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昝树杰,王凯,秦广宁,高宁,刘耀远,苗婧超,田盈.张伯礼运用达原饮辨治湿浊类病思路探析[J].世界中医药,2024,(23).

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  • 收稿日期:2024-01-13
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  • 在线发布日期: 2025-03-05
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