摘要
《伤寒杂病论》中与痰饮相关的条文反映了痰饮病邪的悸动性特征,如痰饮流窜躯体可致动、振、摇症,痰饮上蒙心窍可致心悸动、烦躁,痰饮上冲脑窍可致悸眩难立,等等。特发性震颤(ET)肢体颤动、症状突发突止、病症反复、病情缠绵等特点与痰饮致病的悸动性特征相符,故临床治疗ET可以《伤寒杂病论》中痰饮相关条文为参考,以蠲化痰饮为目标,遵循“温药和之”原则,急则解表疏风、调和营卫,缓则托透并举、诸脏共调。
The clauses related to phlegm and fluid retention in Treatise on Cold Pathogenic and Miscellaneous Diseases reflect the dynamic characteristics of the pathogenic factors of phlegm and fluid retention.For example,the flowing of phlegm and fluid retention in the body can cause movement,trembling,and shaking symptoms;the upward invasion of phlegm and fluid retention to the heart orifices can cause palpitations and restlessness;the upward rush of phlegm and fluid retention to the brain orifices can cause dizziness and difficulty in standing,etc.The characteristics of essential tremor(ET),such as limb tremors,sudden onset and cessation of symptoms,repeated illness,and lingering condition,are consistent with the dynamic characteristics of phlegm and fluid retention.Therefore,clinical treatment of ET can refer to the relevant clauses on phlegm and fluid retention in Treatise on Cold Pathogenic and Miscellaneous Diseases,aiming at eliminating phlegm and fluid retention and follow⁃ing the principle of“harmonization with warming medicines”.In acute cases,relieve the exterior,dispel wind,and harmonize nutrient and defensive aspects. In chronic cases,support and promote simultaneously and regulate all the internal organs.
作者
孙飞
徐洁
周瑜
钱丽雅
杨凯
SUN Fei;XU Jie;ZHOU Yu;QIAN Liya;YANG Kai(Zhangjiagang Hospital Affiliated to Nanjing University of Chinese Medicine,Zhangjiagang 215600,China)
出处
《山东中医杂志》
2025年第1期42-47,共6页
Shandong Journal of Traditional Chinese Medicine
基金
苏州市科技发展计划项目(编号:SKYD2023199,SY SD2020220)
张家港市卫生青年科技项目(编号:ZJGQNKJ201927,ZJ GQNKJ202237)。
关键词
痰饮
悸动
特发性震颤
颤证
《伤寒论》
《金匮要略》
phlegm and fluid retention
dynamic
essential tremor
tremor syndrome
Treatise on Cold Patho⁃genic Diseases
Synopsis of Golden Chamber
