1.甘肃省定西市临洮蜀佶堂风湿骨病中医院,甘肃省定西市临洮县洮阳镇东大街,730500
2.北京中医药大学中医学院
3.甘肃省第三人民医院
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收稿:2024-07-19,
修回:2024-10-12,
纸质出版:2025-01-02
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孟亮,康帅,金泉等.吴鞠通“诸痹独取太阴”之内涵与应用[J].中医杂志,2025,66(01):102-108.
MENG Liang,KANG Shuai,JIN Quan,et al.Connotation and Application of WU Jutong's Theory of "Treating All Bi (痹) Diseases through Taiyin"[J].Journal of Traditional Chinese Medicine,2025,66(01):102-108.
孟亮,康帅,金泉等.吴鞠通“诸痹独取太阴”之内涵与应用[J].中医杂志,2025,66(01):102-108. DOI: 10.13288/j.11-2166/r.2025.01.017.
MENG Liang,KANG Shuai,JIN Quan,et al.Connotation and Application of WU Jutong's Theory of "Treating All Bi (痹) Diseases through Taiyin"[J].Journal of Traditional Chinese Medicine,2025,66(01):102-108. DOI: 10.13288/j.11-2166/r.2025.01.017.
《吴鞠通医案》提出“诸痹独取太阴”,基于此分析吴鞠通对痹证病因病机、辨证治法的认识,为痹证的临证诊治提供参考。通过对“诸痹独取太阴”训词释句,认为痹证成因多源自湿气,治疗时须着眼肺脾二脏。强调痹证成因有四(风、寒、湿、热),湿居其要,其病位首先在肺,外湿侵袭首先犯肺,内湿湮郁水之上源,均可壅遏肺气而使气不外宣,湿邪流注关节而成痹证。吴鞠通提出治痹之祖方为加减木防己汤,通过分析加减木防己汤与木防己汤的异同,从方药加减变换角度,以方药测证进一步佐证“诸痹独取太阴”的临证特色。
The
Medical Cases of WU Jutong
(《吴鞠通医案》) proposes the principle of "treating all
Bi
(痹) diseases through
taiyin
", which forms the basis for analyzing WU Jutong's understanding of the causes, mechanisms, and treatments of
Bi
(痹) diseases, providing a reference for clinical diagnosis and treatment. Through an interpretation of the phrase "treating all
Bi
(痹) diseases through
taiyin
", it is suggested that
Bi
(痹) diseases is primarily caused by dampness, necessitating a focus on spleen and lung in treatment. WU emphasized four main causes of
Bi
(痹) diseases (wind, cold, dampness, and heat), with dampness being the predominant factor. The disease location is initially in lung, for which external dampness invades lung first, and internal dampness obstructs the source of water metabolism, impeding lung
qi
and
qi
failing to disperse, then dampness further accumulates in the joints, leading
to
Bi
(痹) diseases. WU Jutong proposed the modified
Mufangji Decoction
(木防己汤) as the foundational prescription for treating
Bi
(痹) diseases. By comparing the similarities and differences between the modified and original
Mufangji Decoction
, and analyzing the adjustments in herbal prescriptions, the clinical characteristic of "treating all
Bi
(痹) diseases through
taiyin
" is further substantiated.
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苏艳仙 , 黄清春 , 陈秀敏 . 湿邪在痹证发病中的作用 [J]. 中国中医急症 , 2010 , 19 ( 9 ): 1542 , 1580 .
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王宝娟 , 付滨 . 木防己汤治疗湿热痹的研究进展 [J]. 光明中医 , 2023 , 38 ( 21 ): 4277 - 4279 .
王语嫣 , 王玲 . 加减木防己汤治疗急性痛风性关节炎湿热蕴结证的临床观察 [J]. 实用中医内科杂志 , 2020 , 34 ( 5 ): 55 - 57 .
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