小便异常六经证治探析OA
Exploration of the Treatment of Abnormal Urination Based on Six Meridians Syndrome Differentiation
小便的量、色、质等变化可反映机体津液代谢情况及脏腑的功能状态.通过系统梳理《伤寒论》中涉及"小便"的条文,阐释小便异常对病机的提示作用,如津液耗伤、气化失司、津液偏渗及阳气不足等.通过小便鉴别太阳表证与阳明腑实证、太阳蓄血与太阳蓄水证、湿热发黄与瘀血发黄等关键证候,通过小便状态指导治疗,如下法的应用指征、津液自和的判断等,并总结小便异常在六经辨治中的规律.
The changes in the volume,color and quality of urine can reflect the metabolism of body fluids and the functional status of Zang-Fu organs.By systematically sorting out the clauses related to urination in Treatise on Cold Damage,this article elucidates the suggestive effect of abnormal urination in the pathogenesis,such as consumption and impairment of body fluids,disorder of qi transformation,fluid partial infiltration and yang defi-ciency.Urine manifestations are used to differentiate the key patterns including taiyang exterior syndrome and yangming fu-organ excess syndrome,taiyang fliud retetion syndrome and blood accumulation syndrome,damp-heat jaundice and static-blood jaundice.Furthermore,the article analyzes the guiding value of urination status for treatment and prognosis,such as the application indications for purgative therapy and the judgment of sponta-neous regulation of body fluids,and finally summarizes the regularity of abnormal urination in the six meridians syndrome differentiation and treatment.
沈思卓;刘岩
天津中医药大学,天津 301617天津中医药大学第二附属医院,天津 300250
医药卫生
《伤寒论》小便异常临床意义六经辨治张仲景学术学说研究
Treatise on Cold DamageAbnormal urinationClinical significanceSix meridian syndrome differ-entiationResearch on ZHANG Zhongjing's academic doctrine
《国医论坛》 2026 (2)
1-4,4
国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号).
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