张介宾治疗腰痛用方浅析
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R289;R249.2

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浙江省中医药优秀青年人才基金项目(2018ZQ015)


A Brief Analysis of characteristics of prescriptions of ZHANG Jiebin Treating Low Back Pain
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    摘要:

    本文探讨张介宾治疗腰痛的用方特色。通过整理明代医家张介宾的著作,根据张介宾编撰的《景岳全书》,针对朱丹溪“阳常有余,阴常不足”“相火为元气之贼”的主张,提出了“阳非有余、阴常不足”“真阳真阴均不足”的观点。张介宾认为“腰痛之虚证,十之八九,故凡腰痛者,多由真阴不足,宜培补肾气”。因此,将张介宾治疗腰痛的用方特色归纳为:辨证施治,重视虚实;阴阳互求,固护真阴;重视调治血分;不避寒凉,或以补气。

    Abstract:

    This paper explores the characteristics of prescriptions of ZHANG Jiebin treating low back pain.By collating the works of ZHANG Jiebin,a medical practitioner in Ming dynasty,including the complete works of Jing Yue Quan Shu and by aiming at the opinions that“Yang usually being surplus while yin scanty”and“ministerial fire damages original qi”by Zhu Danxi, the ideas that“ Yang is not in excess, and yin is often insufficient” and“ Genuine yang and genuine yin are insufficient”are proposed.ZHANG Jiebin believed that“Mostly the low back pain is differentiated as deficiency syndrome,so due to deficiency in genuine yin,the patients with low back pain should tonify the kidney”.Therefore,the characteristics of prescriptions of ZHANG Jiebin treating low back pain can be concluded as follows:treatment based on syndrome differentiation,emphasis on deficiency and excess;interdependence between yin and yang,reinforcing and protection of genuine yin;regulation and treatment on blood level;treatment not avoiding the cold,and tonify the qi.

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曹佳城,黄雪莲.张介宾治疗腰痛用方浅析[J].新中医,2018,50(12):266-268

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  • 在线发布日期: 2018-12-09
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