| 引用本文:张凯文，李成卫.基于“分级用药”理论的经方温阳止痛药应用[J].世界中医药,2017,(11):. |
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| 基于“分级用药”理论的经方温阳止痛药应用 |
| Application of Warming Yang Analgesics Drugs of Classical Prescriptions Based on the Theory of Graded Medication |
| 投稿时间：2016-12-24 |
| DOI：10.3969/j.issn.1673-7202.2017.11.008 |
| 中文关键词: 分级用药 经方 温阳止痛药 伤寒论 金匮要略 |
| English Keywords:Graded medication Classical prescriptions Warming yang analgesics Treatise on Cold Damage Diseases Synopsis of the Golden Chamber |
| 基金项目:国家中医药管理局——燕京刘氏伤寒流派传承工作室建设项目(2012-01);北京市中医管理局“薪火传承3+3工程”——刘渡舟名家研究室(2007-SZ-A-09);北京中医药大学薪火传承研究项目——刘渡舟教授脾胃病诊疗经验的数据挖掘及学术传承研究 |
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| 中文摘要: |
| 目的：探讨在“分级用药”理论指导下的经方温阳止痛药的级别划分及原著应用思路。方法：传统文献学的方法及话语分析的方法。结果：根据中医古籍文献梳理出“分级用药”理论的源流；根据张仲景原著的话语叙述划定经方温阳止痛药的级别，并分析其“识别—定级—调整”应用模式的思维步骤。结论：经方中的温阳止痛药可以划分为桂枝、附子、乌头3个级别；疾病的诊治可以划分为药证识别、级别确定以及根据其他因素调整处理3个步骤，这种模式为分析原著的诊治体系以及研究现代辨证论治思维步骤提供了一个新的思路。 |
| English Summary: |
| To explore the levels of warming yang analgesics drugs and the application methods of the original under the guidance of the Theory of Graded Medication. Methods:Methods of traditional philology and discourse analysis were used. Results:The development of the Theory of Grading Medication was cleared according to the ancient traditional Chinese medicine literature. The levels of warming yang analgesics drugs of classical prescriptions were delimited according to the narration in the original work by Zhang Zhongjing, and the thinking model of the “recognition-grading-adjustment” application mode was analyzed. Conclusion:The warming yang analgesics of classical prescriptions can be divided into three levels:Ramulus Cinnamomi, Radix Aconiti Lateralis Preparata, Aconite Main Root Decoction; The diagnosis and treatment of diseases can be divided into three steps:identification of drugs and syndrome, level determination and adjustment according to other factors. This model provides a new idea for the analysis of Zhang Zhongjing's diagnosis and treatment system and the research of the thinking steps of modern treatment based on syndrome differentiation. |
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