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黄土汤治疗阳虚血证的机理与应用探析OA

Clinical Practice and Mechanism Analysis of Huangtu Decoction in Treating Yang Deficiency Hemorrhage Syndrome

中文摘要英文摘要

黄土汤出自《金匮要略》,功效温阳健脾、养血止血,原治中焦脾阳虚寒之远血证.基于黄元御"水寒土湿木郁"理论,探析阳虚血证"脾阳亏虚-水寒土湿-肝木郁滞-风动血溢"的病机,以及黄土汤"止血-消瘀-宁血-补血"的治疗路径,并列举痔疮出血、崩漏、血尿3个案例,以示其治.

Huangtu Decoction comes from the Synopsis of the Golden Chamber,with the functions of warming yang,strengthening spleen,nourishing blood,and stopping bleeding.It was originally used to treat the distant blood syndrome of central burner,spleen yang deficiency.Based on HUANG Yuanyu's theory of"water cold soil dampness and wood stagnation",this study explores the pathogenesis of Yang deficiency and blood syndrome,including"spleen yang deficiency-water cold soil dampness-liver wood stagnation-wind and blood over-flow",as well as the treatment path of Huangtu Decoction,which includes"stopping bleeding-eliminating stasis-calming blood-supplementing blood".Three cases of hemorrhoid bleeding,metrorrhagia,and urinary bleeding are cited to demonstrate this.

李安祥;谢冉;宋红旗

南阳张仲景医院,河南南阳 473000南阳张仲景医院,河南南阳 473000南阳张仲景医院,河南南阳 473000

医药卫生

黄土汤异病同治阳虚出血灶心土黄芩水寒土湿木郁经方实验录

Huangtu DecoctionTreating different diseases with the same methodYang-deficiency hemo-rrhageZaoxintuScutellariae radixWater cold soil dampness and wood stagnationRecords of classical formula application

《国医论坛》 2026 (4)

8-11,4

河南省第三批中医药青苗人才培养项目(豫卫中医药科教[2024]4号).

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