从六经辨证探讨手足温热的病机和方证应用
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R222.19

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广东省中医药科研项目(20254056)


Exploration of the Pathogenesis and Formula-Syndrome Applications of Warm Hands and Feet Based on Six-Meridian Syndrome Differentiation
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    摘要:

    手足辨证是中医辨证体系的重要组成部分,其中手足温热为临床常见的手足四肢症状,能反映机体阴阳寒热、脾胃功能及病程预后,具有重要诊断价值。本文以六经辨证为框架,系统梳理《伤寒杂病论》中手足温热的条文与方证,探析手足温热的病机,归纳桂枝汤、栀子豉汤、栀子大黄汤、三物黄芩汤、小柴胡汤、小建中汤、硝石矾石散、温经汤等方证手足温热特点,并根据病机与后世医家论述、治则经验,对“系在太阴”“热在膀胱”等有证无方条文,梳理并探讨其方药思路,以期为临床精准辨治提供参考。

    Abstract:

    Abstract: Syndrome differentiation of the hands and feet is an important component of the Chinese medicine diagnostic system. Among these,warm hands and feet is a common symptom of the extremities in clinical practice. It can reflect the yin-yang and cold-heat balance of the body,the function of the spleen and stomach,and the prognosis of the disease, thus possessing significant diagnostic value. Using the framework of six-meridian syndrome differentiation,this article systematically reviews the articles and formula-syndrome patterns related to warm hands and feet in the Shang Han Za Bing Lun (Treatise on Cold Damage and Miscellaneous Diseases),analyzes the pathogenesis of warm hands and feet,and summarizes the characteristics of formulas in the treatment of warm hands and feet such as Guizhi Decoction, Zhizi Chi Decoction, Zhizi Dahuang Decoction, Sanwu Huangqin Decoction, Xiaochaihu Decoction, Xiaojianzhong Decoction, Xiaoshi Fanshi Powder, and Wenjing Decoction. Furthermore, based on the pathogenesis and the discussions and treatment experiences of later physicians, this article also explores the formula and medication approaches for patterns with documented pathogenesis but no specific formula, such as "the disease location is in the spleen-taiyin meridian, which pertains to the interior syndrome" and "heat has entered the blood aspect and attributed to the bladder," aiming to provide a reference for precise clinical differentiation and treatment.

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谭钊琦,陈达满,胡天祥,陈剑坤,李际强.从六经辨证探讨手足温热的病机和方证应用[J].新中医,2026,58(17):138-142

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  • 在线发布日期: 2026-09-11
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