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《金匮要略》黄汗及其转归

王明炯 王润鹏 戴瑜娉 颜童旭

河南中医2024,Vol.44Issue(7):989-992,4.
河南中医2024,Vol.44Issue(7):989-992,4.DOI:10.16367/j.issn.1003-5028.2024.07.0182

《金匮要略》黄汗及其转归

Yellow Sweat and its Transformation of Synopsis of the Golden Chamber

王明炯 1王润鹏 1戴瑜娉 2颜童旭2

作者信息

  • 1. 湖南航天医院,湖南 长沙 410205
  • 2. 湖南中医药大学,湖南 长沙 410208
  • 折叠

摘要

Abstract

The record of symptoms of yellow sweat in Synopsis of the Golden Chamber includes:"pulse floating"and"pulse sinking","smooth urination"and"unfavorable urination","thirst"and"non thirst",which seem contradictory but actually describe the dynamic mechanism of yellow sweat."Pulse floating"and"pulse sinking"are the differences between the exterior and the interior;"smooth uri-nation"and"unfavorable urination",etc.are the changes of cold and heat;and"thirst"and"non thirst"are also the changes of cold and heat.When yellow sweat is still in the exterior syndrome stage,if urination is smooth and sweat is not yellow,Cinnamon Twig Decoc-tion Plus Astragalus Wind-Eliminating Decoction can be used to dispel wind and release the exterior.When the disease pathogen deep-ens and enters the body,transforms heat,Astragalus and Peony and Cinnamon Twig and Bitter Wine Decoction can be used to disperse accumulated heat.If yellow sweat is accumulated for a long time,cold stagnation transforms into heat,pus will appear.If patients with yellow sweat usually suffer from liver and kidney yin deficiency,and the cold pathogen deepens over time,multiple arthralgia will ap-pear.In clinical practice,it is often necessary to consider the relationship between cold and heat and the evolution of the disease mecha-nism.Yellow sweat includes most typical symptoms of wind edema,both of which arise from the infection of wind and cold,both of which undergo dynamic changes from the exterior to the interior and from cold to heat.However,the focus of the pathogenesis is different,and the treatment should be also different.

关键词

黄汗/桂枝加黄芪汤/黄芪芍药桂枝苦酒汤/历节/痈脓/风水/《金匮要略》/张仲景

Key words

yellow sweat/Cinnamon Twig Decoction Plus Astragalus Wind-Eliminating Decoction/Astragalus and Peony and Cinnamon Twig and Bitter Wine Decoction/multiple arthralgia/Carbuncle pus/wind edema/Synopsis of the Golden Chamber/Zhang Zhongjing

分类

医药卫生

引用本文复制引用

王明炯,王润鹏,戴瑜娉,颜童旭..《金匮要略》黄汗及其转归[J].河南中医,2024,44(7):989-992,4.

河南中医

1003-5028

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