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• 檢視主題 - 读懂《伤寒论》必须过五关

读懂《伤寒论》必须过五关

深入討論傷寒論、金匱要略的園地

版主: 蒙哥

读懂《伤寒论》必须过五关

文章古为今用 發表於 2010年 11月 8日, 00:51

昔关羽过五关,斩六将,方显英雄本色,你欲为天地立心,为生民立命,就得学习《伤寒论》,而读懂《伤寒论》必须过五关。那就是医理不明关,药性不清关,辩证不细关,乐天知命关,知人生死关。只有过了这五关,就能济世救人,排忧解难,借医弘道,以医传教。
方以类聚,人以群分。伤寒论“观其病证,知犯何逆,随证治之”乃仲圣治病之大经大法,现举两则病例而证之。
1:阳明病用白虎汤类方法
某女 1937年生人 农民 24岁。1960年10月某日田间劳动后,自觉身热头痛,周身不适,入夜尤甚。次日,某某医院按感冒论治,后改服中药,反复汗出,而热势不减。10余日后,忽感下肢痿弱无力,难以移步,随来就诊。蒸蒸发热,口干烦渴,身热汗多,不恶寒,反恶热,面赤,舌质鲜红少津,无苔,脉洪大。此系阳明高热不退,肺胃津气两伤,以致筋骨失养成痿。法宜泄热润燥,补气生津,以大剂白虎人参汤加味主之。处方:知母60克 生石膏120克 生甘草15克 粳米30克 北沙参60克 竹茹30克 灯心草1克为引。连服2剂,1剂热衰,2剂高热退,渐能独自行走。遂停药,嘱其注意调养,旬日痊愈。(范中林医案)
气数图示:8/4 7/3 6/2冬阳明病
5/1
4/9
3/8
2/7
1/6阳明证
2:少阳病用柴胡桂枝干姜汤类方法
某女 1937年生人 39岁 干部 1975年3月21日初诊。患者自述乳房涨闷不适已半年余。近1个月来发现乳房有肿块,经前乳房胀痛加剧,肿块明显胀大;经后乳房胀痛减轻,肿块明显缩小。情绪郁闷时,胀痛加重,心情舒畅时,则胀痛暂缓。伴胸胁胀满,口苦,咽干,经期,二便正常,检查:六脉弦滑,舌体偏胖,边红如锯齿状,苔白有津, 左乳房处上方有一肿块如核桃大,触之质坚韧,略有痛感,推之可移,边界不清,肿块近处,有黄豆大数粒小肿块。右乳房中上方稍偏外侧,有一肿块如大枣状,触之有痛感,质略硬,两腋下淋巴结不肿大。证属:肝郁气滞,痰湿凝结,而成乳廦。治宜疏肝清热,温化痰湿,软坚散结。方宗柴胡桂枝干姜汤。柴胡,黄芩各9克,桂枝,干姜各4.5克,天花粉21克,生牡蛎15克,炙甘草9克。每日一剂,水煎服。服上方20剂后,两侧乳房肿块全消,自觉症状消失而痊愈。3年后随访,未见复发。(新医药学杂志)
气数图示:8/4 7/3 6/2 5/1 4/9少阳病
3/8太阳证
2/7太阴证


转:山西民间仲景学说研究:hi.baidu.com/libaozhushanghanlun[url][/url]
古为今用
 
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註冊時間: 2010年 10月 7日, 19:51

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