理阴煎临证心得体会

Title:

Clinical Experience of Using Liyinjian Decoction in Clinical Syndromes

文章编号:

2095-5707(2016)04-0059-03

作者:

汪震¹; 王筠²; 黄晓华²; 滕静如²; 梁媛^2*; 岳利峰³; 马鑫³; 韦娜³; 于海容³

1.北京市定福庄医院，北京 100024；2.中国中医科学院中医基础理论研究所，北京 100700；3.北京中医药大学东直门医院，北京 100700

Author(s):

WANG Zhen¹;  WANG Jun²;  HUANG Xiao-hua²;  TENG Jing-ru²;  LIANG Yuan^2*;  YUE Li-feng³;  MA Xin³; WEI Na3;  YU Hai-rong³

1. Beijing Hospital of Dingfuzhuang, Beijing 100024, China; 2. Institute of Basic Theory of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China; 3. Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China

关键词:

理阴煎; 《景岳全书》; 病案; 临床心得

Keywords:

Liyinjian Decoction;  Jing Yue Quan Shu;  medical records;  clinical experience

分类号:

R289.5

DOI:

10.3969/j.issn.2095-5707.2016.04.016

文献标志码:

A

摘要:

理阴煎出自张景岳《景岳全书》，主要功效为温中祛寒，益阴养血。笔者在长期临床实践中总结出理阴煎证缘于素体阴虚，感受风寒之邪不能抗邪于外，邪气流连肌表，既不入里化热，又无从所出，积滞于皮肤腠理之间而致，临床应用时只要抓住恶寒、舌白、脉浮而细数或沉而有力三大指征，即可获效。并列出不育症、痛经、慢性荨麻疹、无名低热4例验案加以例证。

Abstract:

Liyinjian Decoction is a famous formula from Zhang Jingyue’s Jing Yue Quan Shu. Its main efficacies are warming stomach-spleen to dispel cold and enriching yin and nourishing blood. The author summarized that the patients with corresponding syndromes of Liyinjian Decoction are caused by yin deficiency constitution, and then attacked by pathogenic wind-cold, which makes them fail to resist exogenous pathogenic factors. The patients are too weak to dispel the pathogenic factors, so wind-cold cannot go through heat-transmission or going out, but only retains in the fleshy exterior. In clinic when doctors only need to pay attention to the three indications: cold, white tongue coating, floating or deep and strong pulse, and list male infertility, dysmenorrhea, chronic urticaria and fever with no reason for illustration.