从真武汤证看的“水肝病”辨证论治-宋文鑫.pdf

第 1 8 卷 ?第 5 期 辽 宁 中 医 药 大 学 学 报 Vol. 18 No. 5 2016 年 5 月 JOURNAL OF LIAONING UNIVERSITY OF TCM May，2016 DOI：10.13194/j.issn.1673-842x.2016.05.061 从真武汤证看“水肝病”辨证论治 宋文鑫，陈明 （北京中医药大学，北京 100029） 摘? 要：《伤寒论》第82条是太阳病发汗后导致的阳虚水泛之变证，治用真武汤。历代医家皆认为此条所述为 脾肾阳虚、水湿内停之病机。然此条所述症状更多的表现为“肝风内动”的征象，导师陈明教授据此创造性地提出 了“水肝病”的概念。学生通过进一步分析第82条的病机实质及真武汤组方思路，提出此条为“肝阳虚水泛证”辨 证论治的假设，并进行相关论证。 关键词：水肝病；真武汤；肝阳虚水泛证 中图分类号：R222.2 文献标志码：A 文章编号：1673-842X??(2016) 05-?0187-??03 Syndrome Differentiation of Water Liver Disease from the View of Zhenwu Decoction SONG Wenxin，CHEN Ming （Beijing University of Chinese Medcine，Beijing 100029，China） Abstract：The Article 82 of Shanghan Lun tells us a kind of deteriorated case about water diffusion due to deficiency of yang result from Taiyang disease sweating，it adopts Zhenwu Decoction to cure. Generations of physicians regard it as syndrome of water diffusion due to deficiency of spleen and kidney yang. But this article reflects a sign of liver wind agitation from these stated symptoms，thus my tutor，professor CHEN Ming，puts forward a concept in a creative way，water liver disease，according to this. Therefore based on further analysis for the pathological essence and formulaes composing of the article 82，this author proposes a hypothesis of syndrome of water diffusion due to deficiency of liver Yang and attempts to demonstrate it. Keywords：water liver disease；Zhenwu Decoction；syndrome of water diffusion due to deficiency of liver