五运六气学说是前人通过观察宇宙自然变化周期性规律与天地万物生长化收藏同步相应关系的一门学问。《黄帝内经》用阴阳、五行、六气和天干地支表述,形成具有完整理论体系的诊疗模式。2023年为癸卯年,其特征为火运不足,阳明燥金司天,少阴君火在泉,见病多金燥火烈之性,金强则肝受戕。审平汤出自《三因极一病证方论》,是卯酉之岁,治疗阳明燥金太过之主方。本文撷取范孝叁教授应用审平汤的两则典型医案,并对其用药和病机进行分析,阐述五运六气理论在临床中的运用思路。The theory of five movements and six qi is a science that predecessors observed the corresponding relationship between the natural periodic laws of the universe and the growth and chemical collection of all things in the world. Huangdi Neijing is expressed by yin and yang, the five elements, the six qi and the heavenly stem and earthly branch, forming a complete theoretical system of diagnosis and treatment mode. The year 2023 is the year of Guimao, which is characterized by the lack of fire, Yangming Zaojin is the chief of the day, Shaoyin Jun fire in the spring, the disease is more dry and fiery nature of gold, and the strong gold will damage the liver. Shenping Decoction is from the Three Causes and One Disease Formula, which is the year of Maoyou, and is the main prescription for the treatment of Yangming Zaojin too much. This paper extracts two typical medical cases of Professor Fan Xiaosan’s application of Shenping Decoction, analyzes its drug use and pathogenesis, and expounds the application of the theory of five movements and six qi in clinical practice.
绝经前后全身皮肤发黄发黑在中医学中极为罕见,属“绝经前后诸证”范畴,中医药治疗具有标本同治的优势,文章总结了导师彭强丽主任医师治疗该病的临证经验,彭师认为该病多以绝经前后肾气衰退,肾水未能滋养肝木,肝失条达,气机郁滞化火,而致使脾胃失于健运为主要病因病机,临证需补肾、疏肝、健脾三脏同调,故治以丹栀逍遥散加减,并配以心理疏导,取得显著疗效。The yellow and black skin of the whole body before and after menopause is extremely rare in traditional Chinese medicine, which belongs to the category of “symptoms before and after menopause”. The treatment of traditional Chinese medicine has the advantage of the same treatment of specimens. The article summarized the clinical experience of the chief physician of the mentor Peng Qiangli in the treatment of this disease, Peng said that the disease is mostly caused by the kidney qi decline before and after menopause, the kidney “water” fails to nourish the liver “wood”, the liver function impairs, and the qi stagnation becomes “fire”. The spleen and stomach loss in health transport as the main cause of disease, clinical need to tonifying the kidney, soothing the liver, spleen three viscera homology, so the treatment to Danzhi Xiaoyao powder plus or less, and with psychological guidance, achieved significant effect.
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