| 引用本文:昝树杰1，王凯2，秦广宁1，高宁1，刘耀远1，苗婧超1，田盈2.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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| 张伯礼运用达原饮辨治湿浊类病思路探析 |
| Professor ZHANG Boli's Differentiation and Treatment of Dampness-turbidity Diseases Based on Dayuan Decoction |
| 投稿时间：2024-01-13 |
| DOI：10.3969/j.issn.1673-7202.2024.23.013 |
| 中文关键词: 达原饮 开达膜原 湿浊类病 “湿浊痰饮类病”学说 张伯礼 辨证治疗 中医药 名医经验 |
| English Keywords:Dayuan Decoction Opening onto pleurodiaphragmatic interspace Dampness-turbidity diseases Theory of “dampness-turbidity and phlegm-fluid diseases” ZHANG Boli Syndrome differentiation and treatment Traditional Chinese medicine Famous Doctor's Experience |
| 基金项目: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 |
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| 中文摘要: |
| 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。 |
| English Summary: |
| 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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