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冯世纶辨治厥阴病心衰喘肿思路探析OA

Exploration of FENG Shilun's Diagnosis and Treatment of Heart Failure with Asthma and Edema based on Jueyin diseases

中文摘要英文摘要

心衰喘肿证属中医"心水""支饮"范畴,其核心病机责之厥阴病.基于胡希恕与冯世纶创立的"六经-八纲-方证"理论体系,认为厥阴病心衰喘肿病位属半表半里,病性为阴证,病机为三焦气化失司、水饮瘀结、上热下寒,临床以"喘不得卧、浮肿、烦渴、肢厥、脉沉紧"为方证要点,主方对应木防己汤与柴胡桂枝干姜汤.通过验案验证"方证对应"的精准性,强调以"有是证用是方"为原则,动态调方,彰显经方体系治疗内伤重证的临床价值.

The syndrome of heart failure with dyspnea and edema falls under the categories of"Xin Shui"and"Zhi Yin"in traditional Chinese medicine,with the core pathogenesis attributed to Jueyin disease.Based on the theoretical system of"six meridians-eight principles-prescription and syndrome"established by HU Xishu and FENG Shilun,it is believed that the location of Jueyin disease with heart failure and dyspnea and edema is semi-exterior and semi-interior,the nature of the disease is yin syndrome,and the pathogenesis involves dysfunc-tion of activity of the triple energizer,fluid retention combined with blood stasis,upper heat and lower cold.Clinically,the key points of the prescription and syndrome correspond to"dyspnea preventing sleep,edema,thirst,limb coldness,a deep and tight pulse."The main prescriptions correspond to Mufangji Decoction and Chaihu Guizhi Ganjiang Decoction.Through verified cases,the accuracy of"prescription-syndrome correspon-dence"is validated,emphasizing the principle of"using the appropriate prescription for the appropriate syn-drome"and dynamically adjusting the prescription,highlighting the clinical value of the classical prescription system in treating severe endogenous damage.

耿月霞;董飞;王春亮

库尔勒市第一人民医院,新疆库尔勒 841000库尔勒市第一人民医院,新疆库尔勒 841000石家庄市中医院,河北石家庄 050001

医药卫生

冯世纶厥阴病心衰六经-八纲-方证木防己汤经方实验录

FENG ShilunJueyin diseaseHeart failureSix meridians-eight principles-prescription and syndromeMufangji DecoctionExperimental record of classical formulas

《国医论坛》 2026 (1)

11-14,4

河北省中医药管理局科研计划项目(2024369).

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