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方藥臨證技巧70例

道醫(yi) 2023-06-25 15:24:29

《方(fang)藥(yao)(yao)(yao)臨(lin)證(zheng)技巧70例》以(yi)中(zhong)藥(yao)(yao)(yao)一(yi)方(fang)劑一(yi)醫(yi)(yi)(yi)案解析(xi)為(wei)主(zhu)線,按方(fang)藥(yao)(yao)(yao)的(de)(de)功用(yong)主(zhu)治分類,精選(xuan)了臨(lin)床最(zui)常用(yong)的(de)(de)70味中(zhong)藥(yao)(yao)(yao),分別以(yi)這70味中(zhong)藥(yao)(yao)(yao)為(wei)主(zhu)藥(yao)(yao)(yao)的(de)(de)70首常用(yong)方(fang)劑,以(yi)及化裁運用(yong)這70首常用(yong)方(fang)劑辨證(zheng)施治的(de)(de)70個醫(yi)(yi)(yi)案,共分為(wei)13章(類),計70節(jie)。每(mei)節(jie)下,首論藥(yao)(yao)(yao),次敘方(fang),再解析(xi)醫(yi)(yi)(yi)案中(zhong)的(de)(de)選(xuan)藥(yao)(yao)(yao)組方(fang)之道,并以(yi)“發揮”為(wei)題,點明本(ben)節(jie)藥(yao)(yao)(yao)物的(de)(de)特性,介紹本(ben)節(jie)藥(yao)(yao)(yao)物常用(yong)傳統配伍(wu)和現代名醫(yi)(yi)(yi)配伍(wu)經驗,指(zhi)出本(ben)節(jie)方(fang)劑主(zhu)治證(zheng)常見兼證(zheng)的(de)(de)處方(fang)應變規律(lv)。

全書以一藥(yao)(yao)帶(dai)一方(fang),一方(fang)帶(dai)一案的形式傳授中(zhong)(zhong)醫方(fang)藥(yao)(yao)知識和辨(bian)證選藥(yao)(yao)組方(fang)技(ji)巧,藥(yao)(yao)、方(fang)、法、理(li)盡在其中(zhong)(zhong),希(xi)望借此能帶(dai)領讀者走出(chu)“秀才(cai)方(fang)”治不(bu)好病(bing)的困境。

《方(fang)藥臨(lin)證(zheng)技巧70例(li)》具有(you)(you)開門見山、重點突出、實(shi)用性強之特點,對(dui)中(zhong)醫院(yuan)校學生學習及基層醫務工作者臨(lin)床實(shi)踐(jian)均(jun)有(you)(you)重要參考(kao)價值(zhi),對(dui)中(zhong)醫院(yuan)校青年教師或許開卷有(you)(you)益。

“治(zhi)痹十(shi)法(fa)”與方藥(下(xia))

商憲敏(min)教授“治痹(bi)十法(fa)” :散(san)風宣痹(bi)法(fa)、祛(qu)寒(han)通(tong)痹(bi)法(fa)、除濕(shi)蠲痹(bi)法(fa)、清熱散(san)痹(bi)法(fa)、化痰(tan)散(san)結(jie)法(fa)、活(huo)血祛(qu)瘀法(fa)、健脾益氣(qi)法(fa)、補(bu)腎壯骨法(fa)、養(yang)肝補(bu)血法(fa)、通(tong)經活(huo)絡法(fa)。


散風宣痹法(fa)、祛(qu)寒通痹法(fa)、除濕蠲痹法(fa): “治(zhi)痹十法(fa)”與方藥(上)


清熱散痹(bi)法(fa)(fa)、化痰散結法(fa)(fa)、活(huo)血祛瘀法(fa)(fa): “治痹(bi)十法(fa)(fa)”與方藥(中)@中醫康康


健脾益(yi)氣法、補腎壯骨(gu)法、養肝補血法、通經活絡(luo)法,如下(xia):


07健脾益氣法


1. 概念 健脾(pi)益氣(qi)法,即(ji)用(yong)具有健脾(pi)益氣(qi)作(zuo)用(yong)的補氣(qi)藥來扶助(zhu)正氣(qi)、強壯身體以(yi)治療痹證的一(yi)種方法。


2. 治療特點 諸痹(bi)(bi)(bi)患(huan)者,凡(fan)脾虛氣(qi)虧(kui)、肢體麻木,均(jun)應輔以(yi)此法治療(liao)(liao)。著痹(bi)(bi)(bi)在治療(liao)(liao)時,雖以(yi)除濕蠲痹(bi)(bi)(bi)為主,也要(yao)適(shi)當配(pei)合健脾益(yi)氣(qi)以(yi)治其(qi)本。此即“脾運濕邪(xie)自去,氣(qi)旺頑麻可(ke)除”,因(yin)麻屬(shu)(shu)氣(qi)虛,木屬(shu)(shu)血虧(kui)、氣(qi)虛氣(qi)滯,氣(qi)滯血瘀,經脈痹(bi)(bi)(bi)阻(zu),則(ze)關節(jie)疼痛、肢體麻木。久(jiu)痹(bi)(bi)(bi)肌肉萎縮者,需重用(yong)健脾益(yi)氣(qi)藥。痹(bi)(bi)(bi)證(zheng)兼(jian)見痰核、瘰塊者,也可(ke)酌情配(pei)用(yong)此法治療(liao)(liao)。


3. 臨床表現 面色萎黃少澤(ze),尪羸肉(rou)脫,神(shen)疲(pi)乏力,納少遲消,便(bian)溏(tang)泄(xie)瀉(xie),或見肢體關節腫(zhong)脹,沉(chen)重麻木(mu),痰核瘰塊(kuai),肌肉(rou)萎縮失用(yong)。

脾為后天之本,主(zhu)運化(hua)(hua),為生(sheng)化(hua)(hua)之源,脾主(zhu)四肢,又主(zhu)肌肉(rou),若脾氣虛弱,不(bu)能運化(hua)(hua)水(shui)谷,化(hua)(hua)生(sheng)精微(wei),則氣血乏源,形體失養(yang),而見面色萎(wei)黃少(shao)澤,尪羸肉(rou)脫,神疲乏力(li),納(na)少(shao)遲消,便溏泄(xie)瀉,肌肉(rou)枯萎(wei)而致肢體功能減弱。

脾虛不能健運,則(ze)水濕(shi)、痰(tan)(tan)濁內生(sheng),流注四肢(zhi)關節(jie)、經絡,而見肢(zhi)體(ti)關節(jie)腫(zhong)脹、沉(chen)重麻(ma)木、痰(tan)(tan)核瘰塊。

脾虛(xu)失運(yun)則停濕生痰,精失所(suo)散,肺因(yin)之而虛(xu),肺虛(xu)則衛外不同,外易感(gan)邪(xie),內(nei)外合邪(xie),病勢倍(bei)增(zeng)。

同時(shi),脾(pi)虛(xu)(xu)不能奉(feng)養(yang)先天,久之(zhi)又致腎(shen)虛(xu)(xu),終成先后天俱虛(xu)(xu)虧。

脈象軟弱,舌胖質淡,有(you)齒(chi)痕(hen)均為脾虛之征,苔白或水(shui)滑為內停痰濕之象。


4. 常用方劑 (1)四君子湯(《太平(ping)惠民(min)和剤(ji)局方》):黨參(can)(can)、白(bai)術(shu)、茯苓(ling)、甘(gan)草(cao)(cao)(2)參(can)(can)苓(ling)白(bai)術(shu)散(《太平(ping)惠民(min)和剤(ji)局方》):人參(can)(can)、茯苓(ling)、白(bai)術(shu)、甘(gan)草(cao)(cao)、山藥、桔梗、扁豆(dou)、蓮子肉、薏苡仁(ren)、砂仁(ren)


5. 常用中藥 黃芪(qi)、黨參、白(bai)術、甘草、茯苓


6. 注意事項與說明


(1)黃芪(qi)、黨(dang)參(can)、白術(shu)、茯苓、甘草(cao)均(jun)有健脾益(yi)氣(qi)的(de)作用。黃芪(qi)、白術(shu)甘溫,補(bu)氣(qi)健脾;黨(dang)參(can),甘草(cao)、茯苓甘平,補(bu)中益(yi)氣(qi)。

又白術燥濕利(li)水(shui),茯(fu)苓(ling)淡滲利(li)濕,甘草緩(huan)急止(zhi)痛(tong)、緩(huan)和藥性、調和諸(zhu)藥,所以(yi)臨證時(shi)應根據(ju)病情(qing)選用(yong)適(shi)宜藥物配(pei)伍(wu)應用(yong)。


如體虛(xu)常易感冒者(zhe)(zhe),用(yong)生黃(huang)(huang)芪配白術(shu)以(yi)(yi)益氣(qi)固表;氣(qi)虛(xu)血(xue)(xue)虧(kui),肢體麻木者(zhe)(zhe),用(yong)炙黃(huang)(huang)芪配當歸以(yi)(yi)補氣(qi)生血(xue)(xue);脾(pi)弱(ruo)氣(qi)虛(xu),肌(ji)肉萎縮者(zhe)(zhe),重用(yong)黃(huang)(huang)芪,伍用(yong)黨參;痰濕重者(zhe)(zhe),用(yong)白術(shu)、茯(fu)苓健(jian)脾(pi)祛(qu)濕。


甘(gan)草與黨參、白(bai)術、熟(shu)地、當歸同用(yong),可緩(huan)(huan)和其滋補(bu)之力,使補(bu)益作用(yong)緩(huan)(huan)慢而持(chi)久;與芍(shao)藥(yao)合用(yong),即為芍(shao)藥(yao)甘(gan)草湯,可柔肝(gan)、緩(huan)(huan)急、止痛;與溫熱藥(yao)附子同用(yong),可緩(huan)(huan)其熱,以防(fang)傷(shang)陰;與清熱藥(yao)石(shi)膏(gao)、知(zhi)母同用(yong),可緩(huan)(huan)其寒,以防(fang)傷(shang)胃。


總之, 甘草也是治療痹證常用的一味藥。


(2)在治療痹證(zheng)時,要注意辨別虛實(shi)(shi)標(biao)本,凡邪(xie)實(shi)(shi)標(biao)急者,縱有(you)脾(pi)虛,亦(yi)要緩補,以防“閉(bi)門(men)留寇”而(er)加(jia)重病情;如(ru)實(shi)(shi)邪(xie)雖盛,邪(xie)去未盡,而(er)脾(pi)氣已(yi)傷,可(ke)在祛邪(xie)之中,佐以健脾(pi)益(yi)氣;


如邪去正衰,癥狀穩定,病情緩和,可大膽補氣扶正,久久投之,緩緩收功。


(3) 在用健脾益氣之品時,為防止因“虛不受補”而出現氣滯胸悶、腹脹納呆等癥狀,應少佐理氣藥,如陳皮、砂仁之類。


08補腎壯骨法


1. 概念 補(bu)腎(shen)壯骨(gu)法(fa)(fa)即用具有溫補(bu)腎(shen)陽、滋補(bu)腎(shen)陰、強壯筋(jin)骨(gu)作(zuo)用的藥物來補(bu)腎(shen)壯骨(gu)以治療痹證的一種方法(fa)(fa)。


2. 治療特點 該法主要以治療(liao)尪痹(bi)及諸痹(bi)纏綿(mian)、久病傷(shang)腎、形體虛衰,筋骨失養者。


3. 臨床表現 體(ti)質柔(rou)弱,病程較長(chang),筋骨關節疼痛、變(bian)形。偏于腎陽(yang)虛者(zhe),可見面色晄(huang)白、形寒肢(zhi)冷(leng)、腰膝酸冷(leng)無(wu)力,五(wu)更泄瀉(xie),男子陽(yang)痿(wei)、滑精(jing),女子宮寒不孕、月經(jing)衍期(qi)、小(xiao)腹(fu)冷(leng)痛,舌淡苔白,脈沉(chen)細無(wu)力,兩尺(chi)尤弱。


偏于腎(shen)陰(yin)(yin)虛者,可見形體羸瘦、眩暈耳鳴、視物(wu)模糊、腰膝酸(suan)軟(ruan)、五心煩(fan)熱,口燥咽干(gan),入夜尤甚(shen),或潮熱盜(dao)汗、男子遺(yi)精、女(nv)子經(jing)少經(jing)閉,舌(she)紅苔少而干(gan),脈沉細(xi)數。腎(shen)為(wei)先天之本(ben),水火之宅,內寄元(yuan)陰(yin)(yin)元(yuan)陽。


元陽即腎(shen)(shen)(shen)陽,又稱命門之(zhi)(zhi)火,為一身(shen)(shen)陽氣之(zhi)(zhi)根(gen)本(ben),能溫(wen)煦形體、蒸化水液(ye),促進人(ren)身(shen)(shen)之(zhi)(zhi)生殖發育。腎(shen)(shen)(shen)陽虛衰則溫(wen)煦失(shi)職、氣化無(wu)權(quan),而見面(mian)色晄白、形寒肢(zhi)冷。腰乃腎(shen)(shen)(shen)之(zhi)(zhi)府,腎(shen)(shen)(shen)陽不(bu)(bu)足則腰膝酸冷無(wu)力(li),腎(shen)(shen)(shen)陽虛衰,不(bu)(bu)能溫(wen)養中(zhong)土(tu),運化失(shi)常,則致黎明之(zhi)(zhi)前,陽氣未(wei)振,陰寒尤盛之(zhi)(zhi)五(wu)更(geng)時,腹痛腸(chang)鳴(ming)而作瀉。


腎(shen)陽虛(xu),精關不(bu)固,則男子陽痿(wei)滑精;腎(shen)陽虛(xu),宮寒氣滯血凝,則女子不(bu)孕、月經(jing)衍期、小腹(fu)冷(leng)痛。舌(she)淡苔白,脈沉細而(er)尺弱均為腎(shen)陽虛(xu)衰(shuai)之征。


腎(shen)(shen)主藏精(jing)、主骨(gu)生(sheng)髓,腎(shen)(shen)陰(yin)又稱腎(shen)(shen)水,為一身陰(yin)液之根本,能(neng)滋(zi)潤形(xing)體(ti)(ti)臟腑,充養骨(gu)髓。若腎(shen)(shen)陰(yin)不(bu)足,精(jing)不(bu)能(neng)充養五臟六腑、四(si)肢百骸,則(ze)形(xing)體(ti)(ti)羸瘦、腰膝(xi)酸軟,髓海(hai)不(bu)充,腦失濡養則(ze)眩暈耳(er)鳴;精(jing)血(xue)不(bu)能(neng)上(shang)榮于目,則(ze)視物模(mo)糊;陰(yin)虛(xu)火(huo)(huo)旺、虛(xu)火(huo)(huo)上(shang)炎,則(ze)五心煩熱,口燥咽(yan)干、潮熱盜(dao)汗。腎(shen)(shen)陰(yin)虛(xu),精(jing)少,不(bu)能(neng)化血(xue),則(ze)經少經閉;腎(shen)(shen)陰(yin)虧(kui)虛(xu),虛(xu)火(huo)(huo)內(nei)(nei)生(sheng),擾動精(jing)室,故(gu)男子遺(yi)精(jing)。舌紅苔少而干,脈沉細數均系真陰(yin)枯涸,虛(xu)火(huo)(huo)內(nei)(nei)生(sheng)之象。


4. 常用方劑 腎氣丸(《金匱要略》):地黃、山藥、山茱萸、澤瀉、茯(fu)苓、丹皮、桂枝、附子

右歸(gui)丸(《景岳全書》):熟地、山(shan)藥(yao)、山(shan)茱萸、杜仲(zhong)、枸杞子、菟(tu)絲子、肉(rou)桂、附子、當歸(gui)、鹿角膠(jiao)

六味地(di)黃丸(《小兒藥證(zheng)直訣》):熟(shu)地(di)、山(shan)藥、山(shan)茱萸、茯苓、丹(dan)皮、澤(ze)瀉(xie)

左歸丸(wan)(《景岳全書》):熟地、山(shan)藥、山(shan)茱萸(yu)、枸杞子(zi)、菟絲子(zi)、鹿角膠(jiao)、龜板膠(jiao)、川牛膝

知柏地黃丸(《醫宗金鑒》):六味地黃丸加知母、黃柏 腎氣丸、右歸丸均有溫補腎陽的作用,腎氣丸兼能化氣行水(“益火之源,以消陰翳”),而右歸丸純補無瀉,重在溫補腎陽,兼益精血,即前人所謂“扶陽以配陰”之法。

六味地黃(huang)丸(wan)、左歸丸(wan)、知柏(bo)地黃(huang)丸(wan)此三方均有滋補(bu)肝腎之(zhi)功。

六味地黃丸為補陰的主要方劑,不僅能滋補肝腎,且能補益脾陰,為三陰并補之方。左歸丸為純甘壯水之劑,滋補力量較六味地丸為大,用于精血虧損、津液不足之證,而知柏地黃丸滋陰降火之力雄。


5. 常用中藥 地黃(huang)、山茱萸(yu)、補骨脂、骨碎補、淫羊(yang)藿、肉蓯蓉、狗脊、續斷、桑寄生(sheng)


6. 注意事項與說明

(1)熟地、山茱萸性(xing)微溫(wen),長于滋補肝腎(shen)(shen)之陰。肉蓯蓉性(xing)溫(wen),桑(sang)寄(ji)生(sheng)性(xing)平,兩藥(yao)為平補之劑。桑(sang)寄(ji)生(sheng)補肝腎(shen)(shen)而祛風(feng)濕(shi)、強(qiang)筋骨(gu)。肉蓯蓉補腎(shen)(shen)助陽(yang),兼(jian)能潤腸(chang)通(tong)便(bian)。補骨(gu)脂、骨(gu)碎(sui)補、續斷、狗(gou)脊(ji)、淫(yin)羊(yang)(yang)(yang)藿性(xing)溫(wen)而補腎(shen)(shen)陽(yang),其中骨(gu)碎(sui)補、續斷能活(huo)血通(tong)脈(mo),骨(gu)碎(sui)補能祛骨(gu)風(feng),淫(yin)羊(yang)(yang)(yang)藿、狗(gou)脊(ji)能祛風(feng)濕(shi),淫(yin)羊(yang)(yang)(yang)藿能強(qiang)筋骨(gu),狗(gou)脊(ji)能壯(zhuang)腰(yao)膝。


(2) 痛痹、尪痹患者出現腎虛的癥狀及筋骨變形時可用補腎壯骨法。由于這些患者素日陽虛陰盛,又以感受風寒濕邪中之陰邪為主,故臨床所見以腎陽虛為多。

在補腎時當以溫補腎陽為主。但還需注意陰陽互根、陰生陽長的相互關系,切不可妄用、過用溫補藥,而應陰中求陽,于補陽之中,兼顧補陰。且補陽之藥每多辛燥,容易燥傷腎陰,故要陰陽兼顧, 即甘溫補腎陽的藥物與甘潤補腎陰的藥物同用, 如(ru)景岳所說(shuo):“故善(shan)(shan)補陽者(zhe),必于陰中求陽,則陽得陰助(zhu),而生(sheng)化無(wu)窮(qiong);善(shan)(shan)補陰者(zhe),必于陽中求陰,則陰得陽升,而泉源不竭。”


當尪痹患者在疾病某一時期表現以腎陰虛為主證時,由于其本為陽虛陰盛,故施治中切勿一味滋陰,而要陽中求陰,適當配伍補腎陽的藥。


(3) 大多數尪痹患者常見腎虛寒實證, 臨床表現為:腰膝酸痛,兩腿無力,喜暖怕涼,關節疼痛、腫脹,僵攣變形,晨起關節發僵發皺,筋短骨重,肢體屈伸不利,舌苔白,脈沉盡弱, 此乃腎虛為本,寒盛為標,補腎是治療尪痹的重要治則。但還有一部分尪痹患者在不同階段出現腎虛標熱之證,

臨床表現為:關節疼(teng)痛(tong)腫大(da),僵攣變形,屈伸不利,或(huo)局部灼熱,皮色發紅(hong),喜將患肢放(fang)置被(bei)(bei)外或(huo)敷貼涼處,但久放(fang)之(zhi)后又覺疼(teng)痛(tong)加重,仍欲著被(bei)(bei)喜暖,可伴(ban)有五心(xin)煩熱、潮(chao)熱盜汗(han)、口干咽燥、溲黃(huang)便澀(se)等全身癥狀,舌紅(hong)苔薄黃(huang)或(huo)黃(huang)厚而膩,脈滑數或(huo)兼(jian)沉兼(jian)細(xi),尺脈多沉小。

此系邪氣郁久化熱,本虛標實,初看似熱痹,但與熱痹不盡相同,治療應根據正邪的虛實多寡,在補腎的基礎上配伍清熱除濕,而不能孤投清熱除濕通痹之劑。


(4)有的患者需補腎陽,而又兼陰傷,陰虛有熱,不宜純補陽者,或久服補劑,慮其助火化熱, 應在補腎之劑中佐入知母、黃柏,取其苦以堅腎、寒以除熱之意,以減少燥熱之弊。


09養肝補血法


1. 概念 養肝補血(xue)法即用(yong)具有養肝補血(xue)作用(yong)的藥物(wu)來養血(xue)濡筋,以(yi)治療痹證的一種方法。


2. 治療特點 治療平素(su)血(xue)虛,復又(you)感邪而患痹證者,或(huo)久痹不已,日久氣虛血(xue)虧而肝血(xue)不足者。


3. 臨床表現 面色(se)(se)萎黃,唇甲蒼白,頭暈耳鳴(ming),眼目干澀,視(shi)物模(mo)糊,心悸(ji)失眠,肢體麻木,筋(jin)脈攣急(ji),婦(fu)女(nv)月經后期,量少色(se)(se)淡,甚(shen)至經閉。舌(she)質淡,脈細(xi)。

《靈樞(shu)·決氣》“中焦受氣取汁,變化而赤,是謂血。”血由脾胃水谷之精(jing)微所(suo)生化,行于(yu)脈中,周(zhou)流全身,內至臟腑,外達皮(pi)肉筋骨(gu),對人體各部起著營養和滋(zi)潤作用。即《難(nan)經(jing)·十二難(nan)》所(suo)謂“血主濡之”。

《素問·五臟生成(cheng)論(lun)》“肝受(shou)(shou)血(xue)(xue)而(er)能視,足受(shou)(shou)血(xue)(xue)而(er)能步,掌受(shou)(shou)血(xue)(xue)而(er)能握,指受(shou)(shou)血(xue)(xue)而(er)攝”。《靈樞·本臟》“血(xue)(xue)和則……筋骨勁強,關(guan)節清利(li)矣。”肝主藏血(xue)(xue),肝血(xue)(xue)不(bu)足,陰(yin)液不(bu)能上承(cheng),頭(tou)目失于濡養(yang)則面色(se)萎(wei)黃(huang)、口唇(chun)蒼白、頭(tou)暈(yun)耳鳴、眼目干澀(se)、視物模糊。

血(xue)虛(xu)(xu)(xu),心(xin)失所養,則(ze)(ze)心(xin)悸失眠;血(xue)虛(xu)(xu)(xu),四肢經(jing)(jing)筋(jin)不(bu)得濡潤,則(ze)(ze)甲床蒼白、肢麻筋(jin)攣;血(xue)虛(xu)(xu)(xu),血(xue)海空虛(xu)(xu)(xu)則(ze)(ze)經(jing)(jing)少經(jing)(jing)閉,月經(jing)(jing)量少而色淡。舌(she)淡脈細均為血(xue)虛(xu)(xu)(xu)之征。肝(gan)腎同源,肝(gan)陰(yin)(yin)(yin)(yin)與腎陰(yin)(yin)(yin)(yin)互(hu)相資生,盛則(ze)(ze)同盛,衰(shuai)(shuai)則(ze)(ze)同衰(shuai)(shuai),腎陰(yin)(yin)(yin)(yin)不(bu)足可致肝(gan)陰(yin)(yin)(yin)(yin)不(bu)足,而肝(gan)陰(yin)(yin)(yin)(yin)不(bu)足,亦使腎陰(yin)(yin)(yin)(yin)虧虛(xu)(xu)(xu)。


4. 常用方劑 四(si)物湯(《太平惠民和(he)劑局(ju)方》):熟地、當(dang)歸(gui)、白芍、川(chuan)芎當(dang)歸(gui)補血湯(《內外傷辨惑論》):黃芪(qi)、當(dang)歸(gui)


5. 常用中藥 熟地、當(dang)歸、白藥、川芎、阿膠


6. 注意事項與說明

(1) 熟地味甘微溫,養血生精,滋補肝腎,是最常用的滋陰補血藥, 輔以當歸,補血養肝,佐以白芍養血和陰,川芎活血行氣,四藥合用,共奏補血和血之效,從而血充脈通,使營血調和、氣血暢通。當歸性溫主動,能補血活血,通經活絡,白芍微寒主靜,養血斂陰,柔肝止痛。 故寒痹宜用當歸,熱痹宜用白芍,由于肝血不足、筋骨失榮,而見肢體拘急、屈伸不利者,可用芍藥配甘草、伸筋草。

(2)熟(shu)地性黏(nian)膩,常膩膈有礙消化(hua)(hua),故久服熟(shu)地者,宜用砂仁拌熟(shu)地,或(huo)佐(zuo)以少量(liang)砂仁。凡(fan)脾(pi)胃虛(xu)弱(ruo)者,應配伍健脾(pi)和(he)中助消化(hua)(hua)之(zhi)品(pin),以免傷(shang)脾(pi)礙胃。凡(fan)痰(tan)濕(shi)中阻(zu),脘(wan)腹(fu)脹(zhang)滿(man)、納少便溏(tang)者,不宜用熟(shu)地等滋膩補血(xue)藥,應先健脾(pi)和(he)胃、化(hua)(hua)痰(tan)利濕(shi),再行養肝(gan)補血(xue),以扶正或(huo)正邪兼顧。

(3)前人謂:“有形之血不能自生,生于無形之氣”;“氣能生血”。 故應用補血藥時,常配伍補氣藥,如黨參、黃芪之類以益氣生血,增強補血效果。 尤其是氣虛血虛患者,治當補氣生血,使陽生陰長、氣固血充, 重用黃芪為主藥, 大補(bu)(bu)脾肺之(zhi)氣,以資生血之(zhi)源,輔(fu)以當歸,養(yang)血和營,兩藥相(xiang)配,能補(bu)(bu)氣生血。


10通經活絡法


1. 概念 通(tong)經活(huo)絡(luo)法即用具有通(tong)經活(huo)絡(luo)作(zuo)用的藥物(wu)來治療痹證的一種方法。


2. 治療特點 不論致成痹證的(de)原因是(shi)風、寒、濕、熱(re)之(zhi)邪,還是(shi)痰(tan)濁、瘀血(xue)阻滯,或伴氣、血(xue)、陰、陽之(zhi)虛,都必(bi)有(you)血(xue)脈(mo)痹阻不行,故任何痹證的(de)治療,除需針對病因,治以(yi)散風、驅寒、除濕、清熱(re)、化痰(tan)、活血(xue)祛瘀等法(fa),還應輔以(yi)通經(jing)活絡。


3. 臨床表現 肢體關節、肌肉(rou)筋(jin)骨(gu)疼痛、麻木。


4. 常用中藥 秦(qin)艽、豨薟(lian)草、絡(luo)石藤(teng)、金銀藤(teng)、松節、伸筋草、木瓜、海(hai)風藤(teng)、千年(nian)健、透骨草、姜黃、雞(ji)血藤(teng)、桑(sang)枝、海(hai)桐皮、穿山龍(long)、老鸛草。


5. 注意事項與說明

(1) 根據肢體、關節、肌肉、筋骨疼痛麻木的特點、部位來選擇合適的通經活絡藥,由于這些藥在方劑組成中一般是佐使藥,起輔助治療作用,故只介紹常用藥,而無代表方劑。

(2)秦艽、絡石藤性微寒,豨薟草、金銀藤性寒,多用于熱痹。四藥均有祛風濕、通經活絡作用。 豨薟草入肝腎,祛風濕,生用苦寒,蒸制后甘溫,兼益肝腎,去肝腎之風。 金銀(yin)藤清經絡(luo)中風濕熱(re)邪而止痛。

(3)松節、伸筋草、木瓜、海風藤、千年健、透骨草性溫,祛風濕、通經絡。多用于風寒濕痹。 松節、透骨草止痛效果較好。伸筋草、木瓜舒筋活絡,木瓜兼能化濕和胃。千年健祛風濕、健筋骨,且止胃痛,故痹證而有胃痛者宜用之。 姜黃、雞血藤溫通經絡而活血, 姜黃外散風寒,內行氣血,長于治上肢痹痛。雞血藤行氣補血,用于血虛血瘀之關節疼痛,手足麻木尤佳。

(4)桑枝、海桐皮、穿山龍、老鸛草性平,均能祛風濕通經絡。 穿山龍舒筋活血而有較好的止痛作用。桑枝、老鸛草可治風寒濕痹、四肢拘攣麻木。

(5) 根據疼痛、麻木部位選用適宜引經藥。上肢部位以肩肘為主,可選羌活、川芎、姜黃、桂枝、桑枝;下肢部位以膝踝為主,可選牛膝、木瓜;頸項部位,可選葛根;腰脊部位,可選桑寄生、杜仲、狗脊、老鸛草;全身可選雞血藤、海桐皮。


# 健(jian)康 一夏# # 健(jian)康 明星計劃#

治神經官(guan)能癥秘方(23個)

治神經官能癥秘方

78.1 除痰降火方

【來(lai)源】印(yin)會河,《中醫內科新論》

【組成(cheng)】柴胡9克(ke)(ke),黃(huang)芩15克(ke)(ke),半夏12克(ke)(ke),青皮、枳殼、竹茹各9克(ke)(ke),珍珠母50克(ke)(ke)(先下)、龍膽草、梔子各9克(ke)(ke),夜(ye)交藤15克(ke)(ke)

【用法(fa)】水煎服,每日1劑(ji),日服2次。

【功用】降痰降火。

【方(fang)(fang)解】方(fang)(fang)用(yong)柴胡、黃芩(qin)、龍膽草、梔子,以清(qing)泄肝(gan)膽郁(yu)火(huo)、以安(an)心神;半夏、竹茹(ru)清(qing)降(jiang)痰熱;青皮、枳殼降(jiang)氣而(er)除(chu)痰火(huo);珍珠母、夜交藤鎮心肝(gan)以安(an)神。合而(er)用(yong)之(zhi)(zhi),有(you)除(chu)痰降(jiang)火(huo)之(zhi)(zhi)功。

【主治(zhi)】失眠(mian)(mian)(神經官(guan)能癥(zheng),痰(tan)火(huo)郁結(jie)型),證見失眠(mian)(mian)亂夢、頭昏(hun)昏(hun)脹(zhang)而痛(tong)、心煩易怒(nu)、脅脹(zhang)胃堵、白天困倦(juan)思眠(mian)(mian),但不能睡(shui),晚(wan)間(jian)精神倍(bei)增、連睡(shui)意全無(wu)。脈弦滑或(huo)數,舌略(lve)紅、苔(tai)白膩(ni)或(huo)黃膩(ni)、便干、多思善慮。

【加(jia)減】心煩甚,加(jia)蓮子3克(ke)(ke);痰(tan)氣交阻、胸悶陣(zhen)煩,加(jia)膽南星、天竹黃各9克(ke)(ke);失眠頭痛(tong)甚者(zhe),加(jia)礞(meng)石(shi)30克(ke)(ke)(先下)。

【療(liao)效】臨床(chuang)屢用,療(liao)效卓著。

【附記】此方(fang)為治(zhi)失(shi)眠(mian)心煩之主方(fang),不(bu)但能治(zhi)失(shi)眠(mian),并對(dui)由失(shi)眠(mian)引起的狂躁證(即今之精神分裂癥)同樣(yang)有效(xiao)(xiao),但須重(zhong)加泄熱(re)鎮(zhen)肝除(chu)痰之品即可。治(zhi)痰厥頭痛(tong)、痰火(huo)癔病,亦均有效(xiao)(xiao)。

78.2 臥佛湯

【來源】冉(ran)雪峰,《冉(ran)氏經驗方(fang)》

【組(zu)成】酸棗(zao)仁15克(ke)(ke)(ke)(碎)、鮮(xian)生地50克(ke)(ke)(ke),麥(mai)冬(dong)15克(ke)(ke)(ke),石斛12克(ke)(ke)(ke),杜仲(zhong)、桑寄生、牛膝各9克(ke)(ke)(ke),丹參(can)15克(ke)(ke)(ke),龜板50克(ke)(ke)(ke)(碎)、槐花米、鉤藤、鐵(tie)銹各9克(ke)(ke)(ke)

【用法】水煎服,每(mei)日(ri)1劑、日(ri)服2次。

【功用(yong)】清熱養陰、安神(shen)鎮(zhen)靜。

【方(fang)解(jie)】方(fang)中以酸棗仁為君(jun),統治(zhi)失(shi)眠;生地(di)、石斛、麥冬(dong)養陰(yin)清熱利(li)小便;杜仲、桑寄(ji)生、槐米、鐵銹、鉤(gou)藤安神降(jiang)壓;牛膝、丹參活血化瘀;龜板鎮(zhen)靜兼養陰(yin)。諸藥(yao)合用,共奏清熱養陰(yin)、安神鎮(zhen)靜之功。

【主(zhu)治(zhi)】陽亢(kang)性失眠。證見肌肉豐滿,顏面潮(chao)紅、眼部充血、精神煩躁、容易激動(dong)、大便(bian)干燥。一般多伴有(you)高血壓者。

【加(jia)(jia)減】若血壓高者(zhe),加(jia)(jia)青木香15克(ke)(ke)(ke);虛熱上逆者(zhe),加(jia)(jia)龍膽草、黃柏各(ge)9克(ke)(ke)(ke);胃呆少納者(zhe),加(jia)(jia)厚樸9克(ke)(ke)(ke),廣木香6克(ke)(ke)(ke);大(da)便干結者(zhe),加(jia)(jia)生(sheng)大(da)黃6~9克(ke)(ke)(ke),玄明粉9~15克(ke)(ke)(ke)。

【療效(xiao)】臨床屢用、均獲良效(xiao)。

78.3 明志湯

【來源(yuan)】查玉明,《中國中醫(yi)藥報(bao)》

【組成】石決明、草決明各20克(ke)(ke),遠志、蟬蛻、生牡蠣、川芎各15克(ke)(ke),菊花25克(ke)(ke),蒺藜15克(ke)(ke),荷葉10克(ke)(ke)。

【用法】水煎服,每(mei)日1劑,一日2次,飯(fan)后服。

【功(gong)用(yong)】育陰潛(qian)陽、熄風、鎮志(zhi)安神(shen)。

【方解】明(ming)志湯來源于醫療(liao)實踐,借石決明(ming)、遠志兩味藥(yao)之尾字而(er)命(ming)名。明(ming)志湯能治“五志”引起的(de)“情志”之病(bing)故名。神(shen)經官能癥(zheng)是(shi)(shi)功能性疾病(bing),它包括中(zhong)醫的(de)“不(bu)(bu)寐”、“郁癥(zheng)”、臟(zang)躁、百合病(bing)等。失(shi)(shi)眠是(shi)(shi)本病(bing)主(zhu)要(yao)表現。陰(yin)(yin)陽(yang)失(shi)(shi)調(diao)(diao)、陽(yang)不(bu)(bu)入陰(yin)(yin),是(shi)(shi)不(bu)(bu)眠主(zhu)要(yao)病(bing)機(ji)。欲(yu)使(shi)陽(yang)潛(qian)(qian)入陰(yin)(yin)、陰(yin)(yin)能斂陽(yang),達到鎮(zhen)志安(an)神(shen)的(de)目的(de),務必(bi)協(xie)調(diao)(diao)陰(yin)(yin)陽(yang),使(shi)神(shen)志得安(an),神(shen)經失(shi)(shi)調(diao)(diao)得以(yi)改善,余(yu)證相應而(er)解。這是(shi)(shi)本方立法(fa)之寓意,體(ti)現異病(bing)治療(liao)精神(shen)。筆(bi)者認為在治療(liao)上(shang),不(bu)(bu)宜用(yong)參芪之品(pin),因其助陽(yang)耗陰(yin)(yin),凡歸(gui)脾養心補益之類,往往不(bu)(bu)能收(shou)效(xiao)。本方適用(yong)于陰(yin)(yin)虛(xu)證,若(ruo)肝膽(dan)火(huo)熾、痰(tan)熱內擾之實證,則不(bu)(bu)宜使(shi)用(yong)本方。方中(zhong)選二決明(ming)、牡蠣、蟬蛻(tui)為主(zhu),育陰(yin)(yin)潛(qian)(qian)陽(yang);川芎、菊花(hua)、荷葉為輔,升清提神(shen);蒺藜辛散苦泄,以(yi)散肝經風熱;遠志交通心腎,心安(an)則寐。以(yi)上(shang)9味藥(yao)為基(ji)礎,隨(sui)證加減,施用(yong)得當,療(liao)效(xiao)甚佳。

【主(zhu)治】神經官能癥(失(shi)眠為(wei)主(zhu))、神經性(xing)頭痛、更年期綜合征。

【加(jia)(jia)(jia)減】悲(bei)傷欲(yu)哭,加(jia)(jia)(jia)百合25克(ke),五味子10克(ke);憂郁善慮、加(jia)(jia)(jia)菖蒲15克(ke);失眠多夢,加(jia)(jia)(jia)夜(ye)交藤(teng)25克(ke),焦山梔、蓮(lian)(lian)心(xin)(xin)各(ge)(ge)10克(ke);潮(chao)熱少津,加(jia)(jia)(jia)丹(dan)皮10克(ke),石斛5克(ke);肢麻肌顫(zhan),加(jia)(jia)(jia)全蝎4.5克(ke),天麻10克(ke);驚而(er)不(bu)安,加(jia)(jia)(jia)磁石25克(ke),龍齒20克(ke);急(ji)躁易怒,加(jia)(jia)(jia)代(dai)赭石25克(ke);頭痛,加(jia)(jia)(jia)蔓荊子、僵(jiang)蠶各(ge)(ge)10克(ke);大便稀溏,去二決明、牡蠣,加(jia)(jia)(jia)蓮(lian)(lian)肉20克(ke),山藥25克(ke);食(shi)少納呆,加(jia)(jia)(jia)雞(ji)內金、焦山楂(zha)各(ge)(ge)15克(ke);惡(e)心(xin)(xin)嘔吐,加(jia)(jia)(jia)蘆(lu)根25克(ke);腹脹(zhang),加(jia)(jia)(jia)金鈴子15克(ke)。

【療(liao)效】屢用屢驗(yan),效果頗著(zhu)。

78.4 十一(yi)味(wei)溫膽湯

【來源】徐有玲,《醫方新解》

【組(zu)成】清(qing)半(ban)夏(xia)、陳皮各(ge)9克(ke)(ke),茯苓15克(ke)(ke),甘(gan)草、枳實(shi)各(ge)6克(ke)(ke),竹茹(ru)12克(ke)(ke),黃連(lian)、炙遠志(zhi)各(ge)6克(ke)(ke),石菖(chang)蒲(pu)9克(ke)(ke),夜交藤、珍(zhen)珠(zhu)母各(ge)30克(ke)(ke)。

【用法(fa)】水煎服,每日(ri)1劑,日(ri)服2次。

【功用】化痰清熱、和胃安神。

【方(fang)解】本方(fang)由《千(qian)金方(fang)》溫(wen)膽湯化裁而成。方(fang)中以溫(wen)膽湯加黃連化痰清熱為主,輔以遠(yuan)志祛痰安神(shen);菖(chang)蒲化濁逐痰,并有抗驚厥作(zuo)用;佐以夜交(jiao)藤(teng)養血寧心(xin);珍珠(zhu)母平(ping)肝潛陽。綜(zong)觀(guan)全方(fang),有一定(ding)的鎮靜、催(cui)眠作(zuo)用,尤長(chang)于(yu)調整胃(wei)腸機(ji)能,故(gu)為和胃(wei)安神(shen)之(zhi)劑。此外(wai)尚有抗驚、祛痰、止咳等作(zuo)用。

【主治】痰熱內擾、胃失和(he)降所致失眠,或膽虛(xu)不寐(mei)。證(zheng)見(jian)失眠、眩(xuan)暈(yun)、驚悸(ji)、胸悶、口苦、苔膩、脈滑數(shu)等(deng)。適用(yong)于神(shen)(shen)經衰弱、癔病、精(jing)神(shen)(shen)分裂癥、更(geng)年期綜合征、癲癇及冠(guan)心病等(deng),凡符(fu)合痰熱內擾、膽氣虛(xu)弱、胃失和(he)降之病機(ji),皆可選用(yong)。對(dui)于植(zhi)物(wu)神(shen)(shen)經功能紊(wen)亂,本方療效亦佳。

【加(jia)(jia)減】臨證運用,可隨(sui)病隨(sui)證加(jia)(jia)減。

【療效】多年使用,治驗甚多,療效甚佳。

78.5 活血眠(mian)通湯

【來源(yuan)】舒盛良,《四川(chuan)中(zhong)醫》(10)1987年

【組成】三棱、莪術(shu)、柴胡、炙甘草各(ge)(ge)10克,白(bai)芍、白(bai)術(shu)、酸棗仁各(ge)(ge)12克,當(dang)歸、丹參各(ge)(ge)15克,茯苓18克,夜交(jiao)藤24克,珍珠母30克。

【用法(fa)】水煎(jian)服(fu),每(mei)日1劑(ji),于(yu)午飯后(hou)及夜晚臨(lin)睡前各服(fu)1次。

【功用】活血通經、疏肝解郁(yu)。

【方(fang)解】頑固(gu)性(xing)失眠一證(zheng),發病以心(xin)為(wei)主,與肝(gan)(gan)脾(pi)腎關(guan)系密(mi)切。《景岳全書》云(yun):“痰(tan)火擾亂,心(xin)神不(bu)(bu)寧,思(si)慮過(guo)傷,火熾痰(tan)郁而致(zhi)不(bu)(bu)眠者多矣(yi)。”而日久(jiu)不(bu)(bu)愈,每(mei)與瘀血(xue)(xue)內阻(zu)有(you)關(guan),正(zheng)如《醫(yi)林改錯(cuo)》所云(yun):“夜晚多夢(meng),是血(xue)(xue)瘀。”故頑固(gu)性(xing)失眠,多因心(xin)氣(qi)不(bu)(bu)足、心(xin)神不(bu)(bu)寧、肝(gan)(gan)氣(qi)不(bu)(bu)舒(shu)、氣(qi)血(xue)(xue)運行不(bu)(bu)暢(chang),以致(zhi)氣(qi)滯血(xue)(xue)瘀、上(shang)擾清竅(qiao)所致(zhi)。是方(fang)用三棱、莪(e)術、當歸、丹參活血(xue)(xue)化(hua)瘀;柴胡疏肝(gan)(gan)解郁;茯苓、白術、炙草健脾(pi)滲濕(shi),以杜生痰(tan)之源;珍珠母、白芍育陰潛陽;酸棗(zao)仁(ren)、夜交滕養心(xin)安(an)神。諸(zhu)藥配伍為(wei)用,共奏(zou)活血(xue)(xue)通經、疏肝(gan)(gan)解郁之功。本(ben)方(fang)標本(ben)兼顧,氣(qi)血(xue)(xue)同治,心(xin)、肝(gan)(gan)、脾(pi)、腎并調,更結合輔助療法,因而效果較為(wei)滿(man)意。

【主治(zhi)】頑固性失眠,證(zheng)見夜不(bu)能(neng)(neng)寐、頭(tou)昏頭(tou)痛、記憶力減退,伴有心慌氣(qi)短、體(ti)倦乏力、飲食減少(shao)等(deng)癥。每晚只能(neng)(neng)睡1~3小時。

【加(jia)減】煩躁、舌紅(hong)苔黃(huang)、脈(mo)弦數者(zhe),加(jia)梔子、丹皮各(ge)10克(ke);口(kou)燥咽干者(zhe),加(jia)沙參、麥冬各(ge)15克(ke);心腎不(bu)交(jiao)、陽虛上擾者(zhe),加(jia)交(jiao)泰丸;心氣、心血(xue)不(bu)足者(zhe),加(jia)黃(huang)芪、桂(gui)圓肉各(ge)12克(ke)。

【療效(xiao)(xiao)(xiao)】治療112例(li)(li),經治2~3周后(hou),痊愈30例(li)(li)(占(zhan)27%),顯效(xiao)(xiao)(xiao)45例(li)(li)(占(zhan)40%),好轉(zhuan)29例(li)(li)(占(zhan)26%),無(wu)效(xiao)(xiao)(xiao)8例(li)(li)。總有效(xiao)(xiao)(xiao)率為93%。

【附記】輔助措(cuo)施:開導患者避(bi)免情緒激動,保持心情舒暢;睡(shui)前不吸煙、不飲(yin)酒、不喝濃茶;起居有度,按時作息,配合氣(qi)功(gong)(gong)方法,加強體育鍛煉;適當參加體力勞(lao)動等常可收到(dao)事半功(gong)(gong)倍之效。

78.6 琥珀合歡白芍(shao)湯

【來源】凌一(yi)揆,《中國中醫藥報》

【組成】琥珀0.6克(ke)(研末沖服(fu)),合歡(huan)花(hua)、白芍各9克(ke)。

【用法(fa)】水煎服(fu)(fu),每日1劑,于中午飯后(hou)、臨睡前各(ge)服(fu)(fu)1次。

【功用】安神解郁,養(yang)血(xue)柔肝。

【方(fang)(fang)解】思慮過甚則傷脾(pi),脾(pi)血虧損,血虛(xu)無以(yi)養心(xin),心(xin)虛(xu)則神不守舍;肝失條達,郁而(er)(er)化火、上擾心(xin)神、陰(yin)液虧耗(hao),無以(yi)上承于心(xin),五志之火無制,而(er)(er)君火更亢、陽不入(ru)(ru)陰(yin),致使心(xin)神不安(an)而(er)(er)產生失眠(mian)、多(duo)夢、神疲,舌(she)紅或淡紅、脈細(xi)弱或細(xi)數諸癥。方(fang)(fang)中以(yi)琥珀(po)安(an)五臟(zang)、定魂魄(po)、鎮驚安(an)神,為(wei)君藥;輔以(yi)合歡花安(an)神解郁,入(ru)(ru)脾(pi)補陰(yin),入(ru)(ru)心(xin)緩(huan)氣而(er)(er)令五臟(zang)安(an)和(he)、神氣舒暢;再佐以(yi)養血柔肝益脾(pi)之白芍,用其(qi)苦入(ru)(ru)心(xin)、微(wei)寒瀉心(xin)火、酸(suan)入(ru)(ru)肝、收斂肝陰(yin)。全方(fang)(fang)藥僅(jin)3味,但(dan)組方(fang)(fang)嚴謹,療效(xiao)確(que)切,尤其(qi)以(yi)血虛(xu)陰(yin)虛(xu)型病人為(wei)佳。

【主治】失眠(mian)、神經(jing)衰弱。

【加減(jian)】肝虛有熱(re)(re)之(zhi)虛煩(fan)不眠,與酸(suan)棗仁(ren)湯(tang)合(he)用(yong);熱(re)(re)病后期,熱(re)(re)邪未盡,陰(yin)液已傷者(zhe),與黃連(lian)阿膠湯(tang)合(he)用(yong);心(xin)腎不足,陰(yin)虛陽亢失眠、心(xin)悸、健(jian)忘(wang)、口燥(zao)咽干,舌紅(hong)無苔者(zhe),加生地、柏(bo)子仁(ren)等養(yang)心(xin)滋腎之(zhi)品。

【療效】屢用效佳。

78.7 鎮(zhen)靜安(an)神方

【來源(yuan)】王季儒(ru),《肘后積(ji)余集》

【組成】生龍骨、生牡蠣各12克(ke)(ke),珍珠母、石決明各30克(ke)(ke),龍膽草10克(ke)(ke),朱(zhu)蓮(lian)心(xin)6克(ke)(ke),旋覆花、代赭石各10克(ke)(ke)。

【用法(fa)】水煎服(fu),每日(ri)1劑(ji),日(ri)服(fu)3次。

【功用】鎮靜安神。

【方解】證分虛(xu)實,實證多因肝熱(re)擾動心(xin)(xin)(xin)包所(suo)致,治宜鎮靜(jing)安(an)神,故方用(yong)(yong)生龍牡、珍珠母、石決明鎮肝安(an)神;蓮(lian)子(zi)心(xin)(xin)(xin)、龍膽草,一(yi)清心(xin)(xin)(xin)熱(re)、一(yi)清肝熱(re),心(xin)(xin)(xin)肝不為(wei)熱(re)邪沖動則(ze)神自(zi)安(an)。旋覆(fu)花、代赭石亦為(wei)平肝鎮靜(jing)之劑。用(yong)(yong)治精(jing)神過度緊張、憂郁暴怒所(suo)致之神經(jing)官能癥(zheng),療效頗(po)佳。

【主治(zhi)】神(shen)經官(guan)能(neng)癥,證(zheng)見(jian)失眠、多夢、頭昏、記憶力減退、精神(shen)萎靡(mi)、煩躁、心(xin)悸、有時昏厥,或(huo)哭笑無常,或(huo)神(shen)志朦朧等證(zheng)。

【加減】失眠(mian),加首烏藤30克(ke)(ke)(ke)(ke)(ke),五味子6克(ke)(ke)(ke)(ke)(ke),或加黃連(lian)1克(ke)(ke)(ke)(ke)(ke),肉(rou)桂0.3克(ke)(ke)(ke)(ke)(ke),朱砂1克(ke)(ke)(ke)(ke)(ke)同研隨藥(yao)送下。黃連(lian)、肉(rou)桂可交心腎于頃(qing)刻,故能治失眠(mian);頭昏(hun),加杭(hang)菊、白(bai)蒺藜、清半(ban)夏各10克(ke)(ke)(ke)(ke)(ke),橘皮6克(ke)(ke)(ke)(ke)(ke);記憶力差(cha),加茯神10克(ke)(ke)(ke)(ke)(ke),遠志6克(ke)(ke)(ke)(ke)(ke),石菖蒲10克(ke)(ke)(ke)(ke)(ke);精(jing)神朦朧及煩躁(zao)、哭笑無常,加十香丹1粒、浮(fu)小麥30克(ke)(ke)(ke)(ke)(ke),甘草5克(ke)(ke)(ke)(ke)(ke),大棗5枚,或加百合30克(ke)(ke)(ke)(ke)(ke);抽搐,加全(quan)蝎(xie)5克(ke)(ke)(ke)(ke)(ke),鉤(gou)藤12克(ke)(ke)(ke)(ke)(ke);憂郁不解,加合歡花10克(ke)(ke)(ke)(ke)(ke)。

【療效(xiao)】多年使用,療效(xiao)頗著(zhu)。

78.8 八味(wei)安神湯(tang)

【來源】鄭僑,《老中(zhong)醫經驗匯編》第1集

【組(zu)成(cheng)】熟地、山萸肉、茯神各(ge)15克(ke)(ke),炒酸棗仁30克(ke)(ke),琥(hu)珀12克(ke)(ke),節(jie)菖蒲、白人參各(ge)12克(ke)(ke),炙甘草9克(ke)(ke)。

【用(yong)法】水煎服,每(mei)日1劑,日服2次。或共研細(xi)末、煉(lian)蜜為丸(wan),每(mei)丸(wan)重(zhong)9克。每(mei)服1丸(wan)。

【功(gong)用】滋陰補腎、強志(zhi)益精、鎮靜安神。

【方解】本方系從(cong)《小兒藥(yao)證直訣(jue)》之六味地(di)黃(huang)丸和《濟(ji)生方》之歸脾(pi)湯化裁而成。方用熟地(di)、山萸肉(rou)補血滋陰、補益(yi)肝腎(shen);茯(fu)神、炒棗仁益(yi)脾(pi)養肝、寧心安(an)神;人參、甘草補脾(pi)益(yi)氣;琥珀、菖蒲強志益(yi)精(jing)、鎮靜安(an)神。諸(zhu)藥(yao)合(he)用、共奏滋陰補腎(shen)、強志益(yi)精(jing)、鎮靜安(an)神之功。

【主治】心腎(shen)不(bu)交之(zhi)心悸(ji)癥和失眠癥。心悸(ji)氣短、健(jian)忘失眠、怔忡、脈細弱微急無力等。

【加減(jian)】臨證運(yun)用必須(xu)根據病情變化,靈活加減(jian)運(yun)用,如以心悸(ji)為主者,可(ke)加生龍(long)骨、當歸、肉蓯蓉(rong)、枸(gou)杞(qi)子。

【療(liao)效】臨床屢用、療(liao)效滿(man)意。

78.9 十味甘麥大(da)棗湯(tang)

【來源】胡肇(zhao)基,《新(xin)中醫》(8)1984年(nian)

【組成(cheng)】懷小(xiao)麥30~60克(ke)(ke)(ke),酸棗仁10~15克(ke)(ke)(ke),大棗10~20克(ke)(ke)(ke),桑椹子(zi)10~15克(ke)(ke)(ke),五味子(zi)3~10克(ke)(ke)(ke),生(sheng)牡蠣(li)15~30克(ke)(ke)(ke),懷山藥、玉竹各(ge)10~15克(ke)(ke)(ke),天冬、生(sheng)甘(gan)草各(ge)5~10克(ke)(ke)(ke)。

【用法】水煎服,每(mei)日1劑,日服2次。

【功用】酸(suan)甘合化、養陰潛陽(yang)。

【方(fang)解】本方(fang)是由《金匱(kui)要(yao)略(lve)》之甘(gan)麥大(da)棗(zao)湯(tang)(甘(gan)草(cao)、小麥、大(da)棗(zao))加味而成。方(fang)用懷小麥養(yang)心益腎、除熱(re)止渴(ke),酸棗(zao)仁補(bu)心陰、導虛熱(re)、與小麥配(pei)用有養(yang)陰寧(ning)神之功(gong);大(da)棗(zao)(宜用黑棗(zao))補(bu)脾(pi)氣(qi)以(yi)助補(bu)血(xue);紫桑(sang)椹養(yang)肝陰,配(pei)大(da)棗(zao)補(bu)陰滋液;北五味子斂肺(fei)氣(qi);牡(mu)蠣潛(qian)(qian)肝陽(yang),二(er)藥合(he)用有斂陰潛(qian)(qian)陽(yang)之功(gong);懷山藥、玉竹既益脾(pi)肺(fei)二(er)陰、又(you)(you)潤(run)上下之燥(zao);天冬(dong)、生甘(gan)草(cao)既能(neng)養(yang)陰潤(run)燥(zao),又(you)(you)能(neng)瀉火清熱(re)。諸藥合(he)用,共奏酸甘(gan)合(he)化、養(yang)陰潛(qian)(qian)陽(yang)之功(gong)。

【主治(zhi)】由陰(yin)不濟陽而引(yin)起的失眠(mian)、多夢、健(jian)忘、驚(jing)悸(ji)(心神浮越(yue)所致)、眩(xuan)暈(肝(gan)陽上亢所致)。臟(zang)燥陰(yin)虛型(xing)體(ti)征而具下(xia)列癥狀者:①淚液、涕液、唾液偏少(shao);②舌體(ti)偏瘦,較嫩而薄,舌質紅,苔少(shao),舌面偏干;③脈偏細、弱、數;④大便偏干、小(xiao)便偏短(duan)、少(shao)、黃。

【加減】(1)心陰不(bu)足之失眠、怔(zheng)忡(chong),可加遠志、磁石以安神(shen)定悸(ji)。

(2)氣(qi)陰兩(liang)虛之心悸、怔忡(chong)、神疲、虛汗,可加人參、麥冬,合五味子(zi)而成生脈散以養陰益(yi)氣(qi)、斂汗生脈。

(3)心氣失守之(zhi)煩躁不安、哭笑無(wu)常(chang),可加龍齒、朱砂、靈(ling)磁石(shi)以安神定志(zhi)。

(4)肺(fei)陰(yin)不足(zu)之咳嗽、喉(hou)干或痰帶血絲,可加阿膠以(yi)滋補肺(fei)陰(yin),加款冬(dong)花(hua)、百(bai)合以(yi)潤肺(fei)寧嗽。

(5)肺腎陰虛(xu)之(zhi)咳嗽、潮熱,或(huo)低(di)熱不退(tui),可加百合、麥冬(dong)以潤肺生(sheng)津,加玄參(can)、生(sheng)地以滋陰清熱;低(di)熱不退(tui),或(huo)潮熱明顯的,可加青蒿、鱉甲、地骨皮(pi)以養陰退(tui)熱。

(6)脾(胃)陰不足之口干舌(she)燥、饑不欲食,可加沙參、麥冬(dong)、石斛(hu)以(yi)滋養(yang)胃陰。

(7)肝陰不足(zu)之煩躁(zao)不安(an)、失眠、多夢,可加生龍(long)骨、靈磁石、柏(bo)子仁以(yi)平肝安(an)神(shen)。

(8)肝陰不(bu)足、不(bu)能養(yang)目(mu)之眼目(mu)昏花,可加(jia)枸杞、菊花、石(shi)決(jue)明以養(yang)肝明目(mu)。

(9)肝血不(bu)足、血虛(xu)生風(feng)之身(shen)癢、皮膚(fu)感覺異(yi)常者(zhe),可加當歸、芍(shao)藥以養肝血,加僵蠶(can)、蟬蛻以祛風(feng)止(zhi)癢。

(10)肝陰不足、肝風(feng)內動而驚癇抽(chou)搐者,可(ke)加龜(gui)板、鱉甲以育陰潛陽,鎮痙熄風(feng)。

⑾肝(gan)腎不足(zu)之(zhi)陰虛眩暈(yun),可(ke)加旱蓮草、女貞子以補益肝(gan)腎。

(12)陰虛(xu)陽亢之頭(tou)(tou)(tou)暈、頭(tou)(tou)(tou)痛、頭(tou)(tou)(tou)脹,可加天麻、鉤(gou)藤以平肝;加珍珠母、靈磁石以潛(qian)陽。

(13)腎陰不足之咽(yan)干、口渴,可以本方送服六味地(di)黃丸(wan)以滋補腎陰。

(14)陰(yin)虛火(huo)(huo)旺(wang)之潮熱、顴紅,可(ke)加黃柏(bo)、知母、熟地、龜板(ban)以滋陰(yin)降火(huo)(huo)。

(15)心(xin)腎(shen)不(bu)安之(zhi)心(xin)煩不(bu)眠,可加(jia)黃連、阿膠以交通心(xin)腎(shen)。

(16)心神(shen)不寧之心慌、多夢,可加?NB021?砂、磁(ci)石鎮驚安(an)神(shen)。

(17)肝(gan)氣郁滯、脅痛明顯者,加延胡索、川楝子疏肝(gan)理氣止痛。

(18)胸(xiong)(xiong)中氣機(ji)阻滯之胸(xiong)(xiong)悶隱痛,可加(jia)絲瓜絡、郁金以通絡止(zhi)痛。

(19)脾胃(wei)虛弱、食少乏力者,可加茯苓、扁豆以健脾和(he)胃(wei)。

(20)腎(shen)虛封藏(zang)失職,小便頻數量多(duo)、尿如脂膏者,可加(jia)覆(fu)盆(pen)子、益智仁、酸五味子以(yi)補腎(shen)固精縮泉。

(21)肝(gan)腎虧虛,腰腿(tui)酸軟(ruan)者,可加(jia)杜仲(zhong)、牛(niu)膝、川(chuan)續斷,狗(gou)脊以補肝(gan)腎,壯腰膝。

(22)虛火熾盛,迫(po)血(xue)妄行之月經先期量(liang)多,可加地(di)榆炭、蒲黃(huang)、炒阿膠以涼(liang)血(xue)止血(xue)。

【療(liao)(liao)效】經長期臨床運用,治(zhi)驗甚多、療(liao)(liao)效卓著(zhu)。

【附(fu)記】胡老常以此方加減,用治神(shen)經(jing)衰弱、慢性肝炎、肺(fei)結核、高血壓病(bing)、糖尿(niao)病(bing)以及傳染病(bing)后期(qi)等(deng)表現為(wei)陰(yin)液不(bu)足者。頗獲療效。凡脾陽不(bu)振、大便(bian)稀爛及胃酸過(guo)多唾液較(jiao)盛的患者,則(ze)非本(ben)方所宜。

每日十(shi)條(tiao)中醫臨床用藥經驗2020.11.22

肺癆咯血潮熱可用制何首烏、生地榆、黃精、老鸛草、桑葉治之,收效良好。若與筆者抗癆四藥合用,其效可靠。

茵陳五苓散加金錢草、豨薟草、劉寄奴、車前草可統治肝性黃疸,若結合辨證隨證加減,收效優于一般治療。上藥若合逍遙散養肝血疏達肝郁,其效更著。

隨著中醫理論基礎研究的日漸深入,人們對于中醫學的特點的人士也逐步加深,中醫學區別于其它醫學的特點更加清晰。目前被公認的特點有以下各方面:“中醫不僅是有醫學自然科學屬性,同時還有以東方文化和哲學體系為基礎的文化哲學等人文 社會 科學屬性;中醫的基礎理論是用人文 社會 科學的理論和語言總結了醫學自然科學的規律;中醫的臨床實踐是以病人為中心,以證候為基礎,側重于對人的整體、個體化治療,注重平衡調理,而中藥則是以天然藥物為基礎,通過方劑配伍,形成多種化學成分,多渠道,多層次,多靶點對人體某些狀態(證候)進行調理,強調整體調節。”內容引自《中國中醫藥報》2011年3月7日3版載文《以基礎研究強學術發展之根》

治療心肺疾病,調理脾胃乃治本之要,臨證對心肺病的治療,雖有陽虛氣弱,但濕濁不除,陽氣難以振奮,故心肺之治為標,脾胃調理為治本之道,這是調理脾胃法在心血管病中的具體應用。

甲狀腺結節偏方:白花蛇舌草30g白茅根20g赤芍15g桔梗6g浙貝母10g夏枯草15g橘葉10g。水煎服,日一劑,連用30劑為一療程。

痤瘡偏方:白花蛇舌草30g麥冬20g生地20g元參20g連翹20g銀花藤20g白芷6g荊芥6g防風6g。水煎服,日一劑,藥渣再煎水待溫洗患處日2-3次。

紹派傷寒創始人俞根初先生讀書之廣,學習之勤為人稱道,他主張廣讀書多臨證。他說:“諺云熟讀王叔和,不如臨證多,非謂臨證多者不必讀書也,亦謂臨證多者乃讀書耳。”(《通俗傷寒論·傷寒要義》)

醫生診病,先望其眼神,察其有無舌纓線,若有者必因七情所致;再查舌下絡脈有無異常,舌下絡脈青紫迂曲怒張者,體內必有瘀滯。有了初步印象后,再細心問診飲食、二便、用過何藥,一一了解,然后再切脈辨證,查明其病,審定其癥狀,心中了了,毫無疑似后,即可處方,這樣診療即可完成。

太子參補氣生津,補中有潤,為清補之珍品;合歡皮寧心安神,和心志,解憂愁。二藥相伍可療心氣不足、肝郁不達諸癥,有調肝解郁、調和氣陰之功。藥性平和,對胸痹心悸確有良效。太子參價格高,方藥少時兩藥用15-30g,藥味多時6-10g即效。

心(xin)慌膽(dan)怯、虛煩憂郁、健忘失眠者,除煩降(jiang)火舒郁安神為治。酸棗仁湯加(jia)太子參、合歡皮有(you)效驗(yan)。

中(zhong)醫如(ru)何(he)看(kan)病:論中(zhong)醫臨(lin)證程(cheng)序(xu)

根(gen)(gen)據(ju)自己學(xue)習(xi)(xi)《光明(ming)(ming)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)函授教材:中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)程(cheng)(cheng)(cheng)(cheng)序(xu)(xu)(xu)與(yu)(yu)(yu)辯證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)思維方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)》后所(suo)摘(zhai)錄整理(li)(li)(li) 何(he)謂(wei)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)程(cheng)(cheng)(cheng)(cheng)序(xu)(xu)(xu):在(zai)(zai)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)論治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)過(guo)程(cheng)(cheng)(cheng)(cheng)中(zhong)(zhong)(zhong)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)施(shi)各(ge)項(xiang)診(zhen)(zhen)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)內(nei)容(rong)(rong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)次序(xu)(xu)(xu)。 程(cheng)(cheng)(cheng)(cheng)序(xu)(xu)(xu)分(fen)(fen)(fen)(fen)(fen)(fen)三(san)(san)(san)個(ge)階(jie)段(duan):診(zhen)(zhen)察(cha)(cha)(cha);辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng);論治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。 具體(ti)(ti)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)程(cheng)(cheng)(cheng)(cheng)序(xu)(xu)(xu)內(nei)容(rong)(rong)有(you)(you)(you)(you)(you)(you):診(zhen)(zhen)察(cha)(cha)(cha)、議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)性(xing)(xing)(xing)(xing)、定(ding)(ding)(ding)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)、求(qiu)因(yin)、度(du)勢(shi)(shi)、明(ming)(ming)本(ben)(ben)、立法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)、選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)、遣(qian)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)、醫(yi)(yi)(yi)囑、隨(sui)(sui)(sui)訪。一(yi)(yi)(yi)、診(zhen)(zhen)察(cha)(cha)(cha) 診(zhen)(zhen)察(cha)(cha)(cha):醫(yi)(yi)(yi)者(zhe)應(ying)(ying)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)四(si)診(zhen)(zhen)全(quan)面(mian)(mian)而(er)(er)(er)(er)(er)(er)(er)系(xi)(xi)(xi)統地(di)收集病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)提供的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)癥(zheng)(zheng)(zheng)狀及(ji)(ji)(ji)(ji)與(yu)(yu)(yu)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)有(you)(you)(you)(you)(you)(you)關(guan)情(qing)(qing)(qing)(qing)(qing)況(kuang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)程(cheng)(cheng)(cheng)(cheng)序(xu)(xu)(xu)。1、需(xu)遵循(xun)“四(si)診(zhen)(zhen)合參”原(yuan)(yuan)則(ze)(ze)(ze)。2、應(ying)(ying)具備對(dui)(dui)癥(zheng)(zheng)(zheng)狀的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)認識(shi)和(he)鑒別能力。其(qi)主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)包括:(1)類(lei)(lei)(lei)似癥(zheng)(zheng)(zheng)狀的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)鑒別;(2)癥(zheng)(zheng)(zheng)狀真偽的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)識(shi)別。 議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing):1、議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)一(yi)(yi)(yi)般情(qing)(qing)(qing)(qing)(qing)況(kuang):性(xing)(xing)(xing)(xing)別、年齡、體(ti)(ti)質(zhi)、居(ju)住環(huan)(huan)境(jing)(jing)、生(sheng)活(huo)習(xi)(xi)慣(guan)、心境(jing)(jing)。2、議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)主(zhu)(zhu)癥(zheng)(zheng)(zheng)情(qing)(qing)(qing)(qing)(qing)況(kuang):(1)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)邪(xie)(xie)(xie):審(shen)(shen)議(yi)(yi)(yi)(yi)致病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)素以(yi)(yi)(yi)(yi)(yi)及(ji)(ji)(ji)(ji)所(suo)形(xing)成的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)性(xing)(xing)(xing)(xing)質(zhi)。邪(xie)(xie)(xie)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)有(you)(you)(you)(you)(you)(you):風(feng)(feng)(feng)、寒(han)(han)(han)(han)、暑、濕(shi)、燥、火、痰(tan)、食(shi)、蟲、毒(du)十二種(zhong)。(2)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)性(xing)(xing)(xing)(xing):審(shen)(shen)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)寒(han)(han)(han)(han)熱(re)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)性(xing)(xing)(xing)(xing)質(zhi)。臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)中(zhong)(zhong)(zhong)決(jue)定(ding)(ding)(ding)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)性(xing)(xing)(xing)(xing)質(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)因(yin)素,仍以(yi)(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)邪(xie)(xie)(xie)屬(shu)性(xing)(xing)(xing)(xing)和(he)正(zheng)(zheng)(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)盛衰(shuai)(shuai)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)核心,疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)性(xing)(xing)(xing)(xing)質(zhi)是(shi)以(yi)(yi)(yi)(yi)(yi)寒(han)(han)(han)(han)熱(re)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)形(xing)式(shi)顯示出(chu)(chu)來(lai)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)。 疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)寒(han)(han)(han)(han)熱(re)性(xing)(xing)(xing)(xing)質(zhi),主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)取決(jue)于(yu)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)邪(xie)(xie)(xie)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)屬(shu)性(xing)(xing)(xing)(xing)和(he)人(ren)(ren)體(ti)(ti)陰陽(yang)(yang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)偏盛、偏衰(shuai)(shuai),且與(yu)(yu)(yu)地(di)理(li)(li)(li)環(huan)(huan)境(jing)(jing)、發(fa)(fa)(fa)(fa)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)季(ji)節(jie)、正(zheng)(zheng)(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)強弱(ruo),病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)邪(xie)(xie)(xie)多少有(you)(you)(you)(you)(you)(you)一(yi)(yi)(yi)定(ding)(ding)(ding)關(guan)系(xi)(xi)(xi)。疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)性(xing)(xing)(xing)(xing)質(zhi),主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)反(fan)映了(le)(le)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)發(fa)(fa)(fa)(fa)展(zhan)(zhan)過(guo)程(cheng)(cheng)(cheng)(cheng)中(zhong)(zhong)(zhong)人(ren)(ren)體(ti)(ti)正(zheng)(zheng)(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)強弱(ruo)與(yu)(yu)(yu)致病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)邪(xie)(xie)(xie)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)盛衰(shuai)(shuai)以(yi)(yi)(yi)(yi)(yi)及(ji)(ji)(ji)(ji)二者(zhe)相(xiang)(xiang)互抗爭的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)狀態(tai)。 審(shen)(shen)議(yi)(yi)(yi)(yi)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),當(dang)(dang)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)邪(xie)(xie)(xie)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)何(he)?是(shi)風(feng)(feng)(feng)寒(han)(han)(han)(han)暑濕(shi)燥火?還(huan)(huan)(huan)(huan)是(shi)痰(tan)飲(yin)蟲食(shi)毒(du)瘀?審(shen)(shen)議(yi)(yi)(yi)(yi)虛(xu)(xu)(xu)(xu)(xu)(xu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),當(dang)(dang)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)清虛(xu)(xu)(xu)(xu)(xu)(xu)在(zai)(zai)何(he)處,是(shi)津(jin)液?是(shi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)?還(huan)(huan)(huan)(huan)是(shi)陰陽(yang)(yang)?在(zai)(zai)何(he)臟(zang)(zang)腑(fu)(fu)?在(zai)(zai)審(shen)(shen)議(yi)(yi)(yi)(yi)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)時(shi)(shi)(shi)(shi),還(huan)(huan)(huan)(huan)要(yao)(yao)(yao)(yao)(yao)(yao)對(dui)(dui)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)間(jian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)因(yin)果關(guan)系(xi)(xi)(xi)進(jin)行(xing)考(kao)察(cha)(cha)(cha),弄清是(shi)由(you)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)而(er)(er)(er)(er)(er)(er)(er)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)虛(xu)(xu)(xu)(xu)(xu)(xu),還(huan)(huan)(huan)(huan)是(shi)在(zai)(zai)虛(xu)(xu)(xu)(xu)(xu)(xu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)基(ji)(ji)(ji)(ji)(ji)礎(chu)上(shang)(shang)感(gan)(gan)受邪(xie)(xie)(xie)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi),或為(wei)(wei)(wei)(wei)(wei)(wei)(wei)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)夾雜癥(zheng)(zheng)(zheng)。 (3)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei):審(shen)(shen)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian)(bian)(bian)(bian)(bian)部位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)。病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)指(zhi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian)(bian)(bian)(bian)(bian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong)分(fen)(fen)(fen)(fen)(fen)(fen)類(lei)(lei)(lei),具體(ti)(ti)包括:身(shen)形(xing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)置(zhi)、經(jing)(jing)(jing)(jing)絡臟(zang)(zang)腑(fu)(fu)、氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)等(deng)(deng)。 將辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)部位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)落(luo)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)到臟(zang)(zang)腑(fu)(fu)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue),是(shi)一(yi)(yi)(yi)種(zhong)執(zhi)簡馭繁的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)捷徑。 (4)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)勢(shi)(shi):審(shen)(shen)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)在(zai)(zai)演變(bian)(bian)(bian)(bian)(bian)過(guo)程(cheng)(cheng)(cheng)(cheng)中(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)發(fa)(fa)(fa)(fa)展(zhan)(zhan)趨勢(shi)(shi)。審(shen)(shen)議(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)勢(shi)(shi)主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)從(cong)(cong)體(ti)(ti)內(nei)正(zheng)(zheng)(zheng)(zheng)邪(xie)(xie)(xie)交(jiao)爭兩(liang)方(fang)(fang)(fang)(fang)(fang)(fang)面(mian)(mian)力量的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)對(dui)(dui)比,體(ti)(ti)質(zhi)或臟(zang)(zang)腑(fu)(fu)陰陽(yang)(yang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)偏盛偏衰(shuai)(shuai),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)候環(huan)(huan)境(jing)(jing),情(qing)(qing)(qing)(qing)(qing)志狀態(tai),辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)論治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)當(dang)(dang)否(fou),方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)配伍是(shi)否(fou)合理(li)(li)(li),病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)攝養(yang)(yang)或病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)后調(diao)(diao)(diao)護等(deng)(deng)方(fang)(fang)(fang)(fang)(fang)(fang)面(mian)(mian)加以(yi)(yi)(yi)(yi)(yi)考(kao)慮(lv)。 病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)傳(chuan)(chuan)(chuan)(chuan)變(bian)(bian)(bian)(bian)(bian)形(xing)式(shi),臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)常(chang)(chang)(chang)見有(you)(you)(you)(you)(you)(you)表里出(chu)(chu)入,上(shang)(shang)下(xia)(xia)(xia)(xia)互傳(chuan)(chuan)(chuan)(chuan),虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)轉換,寒(han)(han)(han)(han)熱(re)更替(ti)。 二、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng):1、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin): 首(shou)先從(cong)(cong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)上(shang)(shang)分(fen)(fen)(fen)(fen)(fen)(fen)清外(wai)感(gan)(gan)和(he)內(nei)傷(shang)。外(wai)感(gan)(gan)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)和(he)內(nei)傷(shang)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing):外(wai)感(gan)(gan)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)六(liu)經(jing)(jing)(jing)(jing)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),或用(yong)(yong)(yong)(yong)(yong)(yong)(yong)衛(wei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)營(ying)血(xue)、三(san)(san)(san)焦(jiao)(jiao)(jiao)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng);內(nei)傷(shang)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)則(ze)(ze)(ze)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)五臟(zang)(zang)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),即(ji)臟(zang)(zang)腑(fu)(fu)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。2、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei):確定(ding)(ding)(ding)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)發(fa)(fa)(fa)(fa)生(sheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)部位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)。(1)表里定(ding)(ding)(ding)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei):表里標(biao)示著(zhu)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)深淺、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)情(qing)(qing)(qing)(qing)(qing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)輕(qing)重(zhong)和(he)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian)(bian)(bian)(bian)(bian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)趨勢(shi)(shi)。(2)上(shang)(shang)中(zhong)(zhong)(zhong)下(xia)(xia)(xia)(xia)定(ding)(ding)(ding)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei):上(shang)(shang)部、中(zhong)(zhong)(zhong)部、下(xia)(xia)(xia)(xia)部、三(san)(san)(san)部同(tong)(tong)(tong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(3)臟(zang)(zang)腑(fu)(fu)定(ding)(ding)(ding)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei):五臟(zang)(zang)、六(liu)腑(fu)(fu)、奇恒(heng)之(zhi)(zhi)(zhi)(zhi)腑(fu)(fu)。(4)經(jing)(jing)(jing)(jing)絡定(ding)(ding)(ding)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei):十二經(jing)(jing)(jing)(jing)脈(mo)、奇經(jing)(jing)(jing)(jing)八(ba)脈(mo)3、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)勢(shi)(shi):辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)識(shi)和(he)預測疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)發(fa)(fa)(fa)(fa)生(sheng)發(fa)(fa)(fa)(fa)展(zhan)(zhan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)趨勢(shi)(shi)或趨向,稱為(wei)(wei)(wei)(wei)(wei)(wei)(wei)度(du)勢(shi)(shi),或定(ding)(ding)(ding)向。(1)六(liu)經(jing)(jing)(jing)(jing)傳(chuan)(chuan)(chuan)(chuan)變(bian)(bian)(bian)(bian)(bian)規律(lv)(lv)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)揣(chuai)度(du):傳(chuan)(chuan)(chuan)(chuan)、不(bu)(bu)(bu)(bu)(bu)(bu)(bu)傳(chuan)(chuan)(chuan)(chuan)、合病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)、并病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing);越經(jing)(jing)(jing)(jing)傳(chuan)(chuan)(chuan)(chuan)、誤(wu)下(xia)(xia)(xia)(xia)傳(chuan)(chuan)(chuan)(chuan)、表里傳(chuan)(chuan)(chuan)(chuan)、首(shou)尾傳(chuan)(chuan)(chuan)(chuan)。(2)衛(wei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)營(ying)血(xue)傳(chuan)(chuan)(chuan)(chuan)變(bian)(bian)(bian)(bian)(bian)規律(lv)(lv)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)揣(chuai)度(du):一(yi)(yi)(yi)般規律(lv)(lv)是(shi)由(you)衛(wei)而(er)(er)(er)(er)(er)(er)(er)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)(er)(er)(er)(er)營(ying)而(er)(er)(er)(er)(er)(er)(er)血(xue)。又因(yin)感(gan)(gan)邪(xie)(xie)(xie)有(you)(you)(you)(you)(you)(you)輕(qing)重(zhong),體(ti)(ti)質(zhi)強弱(ruo)之(zhi)(zhi)(zhi)(zhi)異(yi),夾濕(shi)兼痰(tan)之(zhi)(zhi)(zhi)(zhi)別,診(zhen)(zhen)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)失誤(wu)以(yi)(yi)(yi)(yi)(yi)及(ji)(ji)(ji)(ji)發(fa)(fa)(fa)(fa)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)又有(you)(you)(you)(you)(you)(you)新感(gan)(gan)、伏氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)和(he)新感(gan)(gan)引(yin)(yin)動伏氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)三(san)(san)(san)種(zhong)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong)情(qing)(qing)(qing)(qing)(qing)況(kuang)。傳(chuan)(chuan)(chuan)(chuan)變(bian)(bian)(bian)(bian)(bian)可(ke)出(chu)(chu)現:初起即(ji)見氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)分(fen)(fen)(fen)(fen)(fen)(fen)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候;有(you)(you)(you)(you)(you)(you)衛(wei)分(fen)(fen)(fen)(fen)(fen)(fen)受邪(xie)(xie)(xie),不(bu)(bu)(bu)(bu)(bu)(bu)(bu)傳(chuan)(chuan)(chuan)(chuan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)分(fen)(fen)(fen)(fen)(fen)(fen),而(er)(er)(er)(er)(er)(er)(er)逕直傳(chuan)(chuan)(chuan)(chuan)入營(ying)分(fen)(fen)(fen)(fen)(fen)(fen);有(you)(you)(you)(you)(you)(you)長期稽留氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)分(fen)(fen)(fen)(fen)(fen)(fen);更有(you)(you)(you)(you)(you)(you)衛(wei)、氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)、營(ying)、血(xue)各(ge)個(ge)階(jie)段(duan)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)候交(jiao)叉出(chu)(chu)現而(er)(er)(er)(er)(er)(er)(er)呈衛(wei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)同(tong)(tong)(tong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)營(ying)兩(liang)燔等(deng)(deng)。(3)三(san)(san)(san)焦(jiao)(jiao)(jiao)傳(chuan)(chuan)(chuan)(chuan)變(bian)(bian)(bian)(bian)(bian)規律(lv)(lv)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)揣(chuai)度(du):上(shang)(shang)焦(jiao)(jiao)(jiao)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)傳(chuan)(chuan)(chuan)(chuan)中(zhong)(zhong)(zhong)焦(jiao)(jiao)(jiao),胃(wei)與(yu)(yu)(yu)脾也,中(zhong)(zhong)(zhong)焦(jiao)(jiao)(jiao)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),即(ji)傳(chuan)(chuan)(chuan)(chuan)下(xia)(xia)(xia)(xia)焦(jiao)(jiao)(jiao),肝與(yu)(yu)(yu)腎也。始上(shang)(shang)焦(jiao)(jiao)(jiao),終下(xia)(xia)(xia)(xia)焦(jiao)(jiao)(jiao)。(4)臟(zang)(zang)腑(fu)(fu)傳(chuan)(chuan)(chuan)(chuan)變(bian)(bian)(bian)(bian)(bian)規律(lv)(lv)揣(chuai)度(du):所(suo)勝(sheng)太(tai)(tai)過(guo),相(xiang)(xiang)乘所(suo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)勝(sheng);所(suo)勝(sheng)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)及(ji)(ji)(ji)(ji),為(wei)(wei)(wei)(wei)(wei)(wei)(wei)所(suo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)勝(sheng)反(fan)侮(wu)。4、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)性(xing)(xing)(xing)(xing):辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)別疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)性(xing)(xing)(xing)(xing)質(zhi)和(he)屬(shu)性(xing)(xing)(xing)(xing),稱為(wei)(wei)(wei)(wei)(wei)(wei)(wei)定(ding)(ding)(ding)性(xing)(xing)(xing)(xing)。(1)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)陰陽(yang)(yang)寒(han)(han)(han)(han)熱(re)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(2)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue):氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)(xu)(xu)(xu)(xu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)、氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)、氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)逆證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)、血(xue)虛(xu)(xu)(xu)(xu)(xu)(xu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)、血(xue)瘀證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)5、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機(ji)(ji)(ji):病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機(ji)(ji)(ji)是(shi)分(fen)(fen)(fen)(fen)(fen)(fen)析綜(zong)合疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)發(fa)(fa)(fa)(fa)生(sheng)、發(fa)(fa)(fa)(fa)展(zhan)(zhan)變(bian)(bian)(bian)(bian)(bian)化(hua)(hua)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)機(ji)(ji)(ji)理(li)(li)(li),病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機(ji)(ji)(ji)包括:病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)勢(shi)(shi)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)性(xing)(xing)(xing)(xing)等(deng)(deng)各(ge)項(xiang)內(nei)容(rong)(rong)。6、辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng):病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)多有(you)(you)(you)(you)(you)(you)主(zhu)(zhu)癥(zheng)(zheng)(zheng)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)等(deng)(deng)一(yi)(yi)(yi)個(ge)或幾(ji)個(ge)因(yin)素而(er)(er)(er)(er)(er)(er)(er)定(ding)(ding)(ding),這(zhe)些病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)有(you)(you)(you)(you)(you)(you)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)以(yi)(yi)(yi)(yi)(yi)癥(zheng)(zheng)(zheng)狀命(ming)名,如(ru)(ru)(ru)(ru)發(fa)(fa)(fa)(fa)熱(re)、浮(fu)腫(zhong)、泄瀉(xie);有(you)(you)(you)(you)(you)(you)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)以(yi)(yi)(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)命(ming)名,如(ru)(ru)(ru)(ru)痹、痿(wei)、厥;有(you)(you)(you)(you)(you)(you)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)以(yi)(yi)(yi)(yi)(yi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)命(ming)名,如(ru)(ru)(ru)(ru)太(tai)(tai)陽(yang)(yang)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)、哮喘證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)、濕(shi)溫證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。三(san)(san)(san)、論治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(一(yi)(yi)(yi))立法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)1、何(he)謂(wei)立法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa):立法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)包含三(san)(san)(san)個(ge)層次的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)概念(nian)。法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)則(ze)(ze)(ze):指(zhi)導(dao)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)基(ji)(ji)(ji)(ji)(ji)本(ben)(ben)原(yuan)(yuan)理(li)(li)(li),如(ru)(ru)(ru)(ru)調(diao)(diao)(diao)和(he)陰陽(yang)(yang)、治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)求(qiu)本(ben)(ben)、扶(fu)正(zheng)(zheng)(zheng)(zheng)祛(qu)(qu)邪(xie)(xie)(xie)、逆治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)或從(cong)(cong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)等(deng)(deng)。其(qi)下(xia)(xia)(xia)(xia)再分(fen)(fen)(fen)(fen)(fen)(fen)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze),如(ru)(ru)(ru)(ru)“從(cong)(cong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)”法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)包含“熱(re)因(yin)熱(re)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)、寒(han)(han)(han)(han)因(yin)寒(han)(han)(han)(han)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)、塞因(yin)塞用(yong)(yong)(yong)(yong)(yong)(yong)(yong)、通因(yin)通用(yong)(yong)(yong)(yong)(yong)(yong)(yong)”等(deng)(deng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)。 治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze):是(shi)對(dui)(dui)某一(yi)(yi)(yi)類(lei)(lei)(lei)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)原(yuan)(yuan)則(ze)(ze)(ze),如(ru)(ru)(ru)(ru)祛(qu)(qu)風(feng)(feng)(feng)、清暑、祛(qu)(qu)寒(han)(han)(han)(han)、汗(han)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)、下(xia)(xia)(xia)(xia)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)、和(he)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)、補(bu)(bu)(bu)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)等(deng)(deng),均為(wei)(wei)(wei)(wei)(wei)(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)。 治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa):是(shi)針(zhen)對(dui)(dui)某一(yi)(yi)(yi)種(zhong)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa),如(ru)(ru)(ru)(ru)針(zhen)對(dui)(dui)太(tai)(tai)陽(yang)(yang)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)表寒(han)(han)(han)(han)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)辛溫發(fa)(fa)(fa)(fa)汗(han)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)。所(suo)謂(wei)“方(fang)(fang)(fang)(fang)(fang)(fang)隨(sui)(sui)(sui)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)立”,“以(yi)(yi)(yi)(yi)(yi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)”等(deng)(deng),這(zhe)里的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)就(jiu)是(shi)這(zhe)種(zhong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)。 2、治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)原(yuan)(yuan)則(ze)(ze)(ze):在(zai)(zai)認識(shi)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)發(fa)(fa)(fa)(fa)生(sheng)發(fa)(fa)(fa)(fa)展(zhan)(zhan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)普遍(bian)規律(lv)(lv)基(ji)(ji)(ji)(ji)(ji)礎(chu)上(shang)(shang),逐步總(zong)結(jie)出(chu)(chu)來(lai)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)總(zong)原(yuan)(yuan)則(ze)(ze)(ze)。(1)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)與(yu)(yu)(yu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)標(biao):治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)與(yu)(yu)(yu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)標(biao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)運用(yong)(yong)(yong)(yong)(yong)(yong)(yong),主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)取決(jue)于(yu)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)情(qing)(qing)(qing)(qing)(qing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)輕(qing)重(zhong)與(yu)(yu)(yu)緩急(ji)(ji)。病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)輕(qing)重(zhong)緩急(ji)(ji),有(you)(you)(you)(you)(you)(you)常(chang)(chang)(chang)和(he)變(bian)(bian)(bian)(bian)(bian)兩(liang)類(lei)(lei)(lei)。常(chang)(chang)(chang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa):緩則(ze)(ze)(ze)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)其(qi)本(ben)(ben),急(ji)(ji)則(ze)(ze)(ze)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)其(qi)標(biao):輕(qing)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)宜(yi)(yi)緩治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)重(zhong)宜(yi)(yi)急(ji)(ji)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi);虛(xu)(xu)(xu)(xu)(xu)(xu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)宜(yi)(yi)緩治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)宜(yi)(yi)急(ji)(ji)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。 變(bian)(bian)(bian)(bian)(bian)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa):病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)雖(sui)輕(qing)而(er)(er)(er)(er)(er)(er)(er)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機(ji)(ji)(ji)漸增,有(you)(you)(you)(you)(you)(you)由(you)淺入深之(zhi)(zhi)(zhi)(zhi)患,則(ze)(ze)(ze)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)容(rong)(rong)緩;病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)重(zhong)而(er)(er)(er)(er)(er)(er)(er)蟠結(jie)已久(jiu),有(you)(you)(you)(you)(you)(you)欲(yu)速不(bu)(bu)(bu)(bu)(bu)(bu)(bu)達之(zhi)(zhi)(zhi)(zhi)虞,則(ze)(ze)(ze)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)容(rong)(rong)急(ji)(ji)。虛(xu)(xu)(xu)(xu)(xu)(xu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)陰陽(yang)(yang)大傷(shang),不(bu)(bu)(bu)(bu)(bu)(bu)(bu)急(ji)(ji)扶(fu)之(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)難(nan)復;實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)彌漫不(bu)(bu)(bu)(bu)(bu)(bu)(bu)解,不(bu)(bu)(bu)(bu)(bu)(bu)(bu)緩圖(tu)之(zhi)(zhi)(zhi)(zhi)則(ze)(ze)(ze)邪(xie)(xie)(xie)正(zheng)(zheng)(zheng)(zheng)并王。此為(wei)(wei)(wei)(wei)(wei)(wei)(wei)權變(bian)(bian)(bian)(bian)(bian)之(zhi)(zhi)(zhi)(zhi)計(ji),可(ke)視(shi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)情(qing)(qing)(qing)(qing)(qing)而(er)(er)(er)(er)(er)(er)(er)采(cai)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)、治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)標(biao)、標(biao)本(ben)(ben)兼治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)(yuan)則(ze)(ze)(ze)。 病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)單獨發(fa)(fa)(fa)(fa)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)可(ke)以(yi)(yi)(yi)(yi)(yi)按(an)上(shang)(shang)述的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)(yuan)則(ze)(ze)(ze)進(jin)行(xing)分(fen)(fen)(fen)(fen)(fen)(fen)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),若(ruo)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)相(xiang)(xiang)兼為(wei)(wei)(wei)(wei)(wei)(wei)(wei)患時(shi)(shi)(shi)(shi),當(dang)(dang)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)合治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)。如(ru)(ru)(ru)(ru)一(yi)(yi)(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)而(er)(er)(er)(er)(er)(er)(er)見二經(jing)(jing)(jing)(jing),一(yi)(yi)(yi)經(jing)(jing)(jing)(jing)而(er)(er)(er)(er)(er)(er)(er)見兩(liang)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing),或虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)并著(zhu),或新舊(jiu)相(xiang)(xiang)雜,表里兼困,上(shang)(shang)下(xia)(xia)(xia)(xia)俱傷(shang),其(qi)中(zhong)(zhong)(zhong)寒(han)(han)(han)(han)、熱(re)、虛(xu)(xu)(xu)(xu)(xu)(xu)、實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)錯(cuo)綜(zong)復雜。合治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)關(guan)鍵在(zai)(zai)于(yu)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)明(ming)(ming)賓主(zhu)(zhu),視(shi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)情(qing)(qing)(qing)(qing)(qing)而(er)(er)(er)(er)(er)(er)(er)采(cai)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben)(ben)、治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)標(biao)、標(biao)本(ben)(ben)兼治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)(yuan)則(ze)(ze)(ze)。(2)扶(fu)正(zheng)(zheng)(zheng)(zheng)與(yu)(yu)(yu)祛(qu)(qu)邪(xie)(xie)(xie):“萬(wan)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)出(chu)(chu)乎虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)兩(liang)端,萬(wan)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)越乎補(bu)(bu)(bu)瀉(xie)二法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)”,由(you)于(yu)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)認為(wei)(wei)(wei)(wei)(wei)(wei)(wei)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)發(fa)(fa)(fa)(fa)生(sheng),皆因(yin)正(zheng)(zheng)(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)(xu)(xu)(xu)(xu),故曰(yue)虛(xu)(xu)(xu)(xu)(xu)(xu)邪(xie)(xie)(xie)留邪(xie)(xie)(xie)。因(yin)此,扶(fu)正(zheng)(zheng)(zheng)(zheng)與(yu)(yu)(yu)祛(qu)(qu)邪(xie)(xie)(xie)是(shi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)兩(liang)大類(lei)(lei)(lei)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)。中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)在(zai)(zai)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)踐(jian)中(zhong)(zhong)(zhong),時(shi)(shi)(shi)(shi)時(shi)(shi)(shi)(shi)以(yi)(yi)(yi)(yi)(yi)維護、維持人(ren)(ren)體(ti)(ti)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)正(zheng)(zheng)(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)主(zhu)(zhu),然而(er)(er)(er)(er)(er)(er)(er),攻(gong)補(bu)(bu)(bu)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)都可(ke)以(yi)(yi)(yi)(yi)(yi)使(shi)(shi)(shi)正(zheng)(zheng)(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)恢復。從(cong)(cong)這(zhe)個(ge)意(yi)義(yi)(yi)上(shang)(shang)說,兩(liang)者(zhe)都具有(you)(you)(you)(you)(you)(you)共同(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)基(ji)(ji)(ji)(ji)(ji)礎(chu),所(suo)以(yi)(yi)(yi)(yi)(yi)二者(zhe)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)可(ke)以(yi)(yi)(yi)(yi)(yi)相(xiang)(xiang)互轉化(hua)(hua)。 邪(xie)(xie)(xie)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)盛時(shi)(shi)(shi)(shi),只有(you)(you)(you)(you)(you)(you)有(you)(you)(you)(you)(you)(you)效(xiao)(xiao)地(di)攻(gong)擊邪(xie)(xie)(xie)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi),才能更好地(di)保存正(zheng)(zheng)(zheng)(zheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi),實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)現邪(xie)(xie)(xie)去正(zheng)(zheng)(zheng)(zheng)安的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)目的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)。所(suo)以(yi)(yi)(yi)(yi)(yi)要(yao)(yao)(yao)(yao)(yao)(yao)分(fen)(fen)(fen)(fen)(fen)(fen)清補(bu)(bu)(bu)與(yu)(yu)(yu)攻(gong),何(he)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)主(zhu)(zhu),何(he)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)次,同(tong)(tong)(tong)時(shi)(shi)(shi)(shi)要(yao)(yao)(yao)(yao)(yao)(yao)做到有(you)(you)(you)(you)(you)(you)虛(xu)(xu)(xu)(xu)(xu)(xu)必補(bu)(bu)(bu),補(bu)(bu)(bu)要(yao)(yao)(yao)(yao)(yao)(yao)及(ji)(ji)(ji)(ji)時(shi)(shi)(shi)(shi);有(you)(you)(you)(you)(you)(you)邪(xie)(xie)(xie)必攻(gong),中(zhong)(zhong)(zhong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)即(ji)止(zhi)。 (3)正(zheng)(zheng)(zheng)(zheng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)與(yu)(yu)(yu)反(fan)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi):以(yi)(yi)(yi)(yi)(yi)寒(han)(han)(han)(han)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)熱(re),未至反(fan)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),以(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)變(bian)(bian)(bian)(bian)(bian)。反(fan)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)有(you)(you)(you)(you)(you)(you)真反(fan)和(he)假反(fan)之(zhi)(zhi)(zhi)(zhi)分(fen)(fen)(fen)(fen)(fen)(fen)。 (4)同(tong)(tong)(tong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)異(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)與(yu)(yu)(yu)異(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)同(tong)(tong)(tong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi):異(yi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)而(er)(er)(er)(er)(er)(er)(er)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)相(xiang)(xiang)同(tong)(tong)(tong),則(ze)(ze)(ze)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)基(ji)(ji)(ji)(ji)(ji)本(ben)(ben)相(xiang)(xiang)同(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa);同(tong)(tong)(tong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)而(er)(er)(er)(er)(er)(er)(er)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong),則(ze)(ze)(ze)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)基(ji)(ji)(ji)(ji)(ji)本(ben)(ben)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)。此即(ji)所(suo)謂(wei):正(zheng)(zheng)(zheng)(zheng)同(tong)(tong)(tong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)亦同(tong)(tong)(tong),證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)異(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)亦異(yi)。(5)因(yin)時(shi)(shi)(shi)(shi)因(yin)地(di)因(yin)人(ren)(ren)制宜(yi)(yi):在(zai)(zai)立法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)時(shi)(shi)(shi)(shi),應(ying)(ying)綜(zong)合考(kao)慮(lv)四(si)季(ji)及(ji)(ji)(ji)(ji)方(fang)(fang)(fang)(fang)(fang)(fang)土的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)候情(qing)(qing)(qing)(qing)(qing)況(kuang),體(ti)(ti)質(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)強弱(ruo),長幼的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong),生(sheng)活(huo)習(xi)(xi)慣(guan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)差(cha)別等(deng)(deng)方(fang)(fang)(fang)(fang)(fang)(fang)面(mian)(mian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)情(qing)(qing)(qing)(qing)(qing)況(kuang)。3、治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)選(xuan)(xuan)(xuan)(xuan)用(yong)(yong)(yong)(yong)(yong)(yong)(yong):(1)宜(yi)(yi)和(he)忌(ji)(ji):既(ji)要(yao)(yao)(yao)(yao)(yao)(yao)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)明(ming)(ming)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)適(shi)應(ying)(ying)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)指(zhi)征,還(huan)(huan)(huan)(huan)需(xu)考(kao)察(cha)(cha)(cha)是(shi)否(fou)有(you)(you)(you)(you)(you)(you)禁(jin)忌(ji)(ji)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。若(ruo)有(you)(you)(you)(you)(you)(you)則(ze)(ze)(ze)可(ke)權變(bian)(bian)(bian)(bian)(bian)其(qi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)。(2)常(chang)(chang)(chang)和(he)變(bian)(bian)(bian)(bian)(bian):臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)選(xuan)(xuan)(xuan)(xuan)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)應(ying)(ying)做到知(zhi)常(chang)(chang)(chang)達變(bian)(bian)(bian)(bian)(bian)。常(chang)(chang)(chang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)指(zhi)基(ji)(ji)(ji)(ji)(ji)本(ben)(ben)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa),為(wei)(wei)(wei)(wei)(wei)(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)權變(bian)(bian)(bian)(bian)(bian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)依據(ju)。(二)選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang):方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)(ji)(ji)以(yi)(yi)(yi)(yi)(yi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)憑,方(fang)(fang)(fang)(fang)(fang)(fang)從(cong)(cong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)出(chu)(chu)。狹義(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang),主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)是(shi)指(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)而(er)(er)(er)(er)(er)(er)(er)言,廣(guang)(guang)義(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang),還(huan)(huan)(huan)(huan)包括很多非藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)療(liao)(liao)(liao)(liao)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa),如(ru)(ru)(ru)(ru)針(zhen)灸、按(an)摩(mo)、食(shi)療(liao)(liao)(liao)(liao)、意(yi)療(liao)(liao)(liao)(liao)等(deng)(deng)。1、選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)原(yuan)(yuan)則(ze)(ze)(ze):(1)依據(ju)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang);方(fang)(fang)(fang)(fang)(fang)(fang)依法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)立,方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)合證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。(2)要(yao)(yao)(yao)(yao)(yao)(yao)分(fen)(fen)(fen)(fen)(fen)(fen)析所(suo)選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)組(zu)成藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong),按(an)照君臣佐使(shi)(shi)(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)組(zu)方(fang)(fang)(fang)(fang)(fang)(fang)原(yuan)(yuan)則(ze)(ze)(ze),重(zhong)點看(kan)方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)是(shi)否(fou)與(yu)(yu)(yu)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)和(he)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)相(xiang)(xiang)符合。(3)考(kao)慮(lv)前人(ren)(ren)總(zong)結(jie)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)“七方(fang)(fang)(fang)(fang)(fang)(fang)”、“十劑(ji)(ji)(ji)(ji)(ji)”的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)(yuan)則(ze)(ze)(ze)。七方(fang)(fang)(fang)(fang)(fang)(fang):大方(fang)(fang)(fang)(fang)(fang)(fang)、小方(fang)(fang)(fang)(fang)(fang)(fang)、奇方(fang)(fang)(fang)(fang)(fang)(fang)、偶方(fang)(fang)(fang)(fang)(fang)(fang)、復方(fang)(fang)(fang)(fang)(fang)(fang)、緩方(fang)(fang)(fang)(fang)(fang)(fang)、急(ji)(ji)方(fang)(fang)(fang)(fang)(fang)(fang)。 十劑(ji)(ji)(ji)(ji)(ji):宣劑(ji)(ji)(ji)(ji)(ji)、通劑(ji)(ji)(ji)(ji)(ji)、補(bu)(bu)(bu)劑(ji)(ji)(ji)(ji)(ji)、泄劑(ji)(ji)(ji)(ji)(ji)、輕(qing)劑(ji)(ji)(ji)(ji)(ji)、重(zhong)劑(ji)(ji)(ji)(ji)(ji)、滑劑(ji)(ji)(ji)(ji)(ji)、澀劑(ji)(ji)(ji)(ji)(ji)、燥劑(ji)(ji)(ji)(ji)(ji)、濕(shi)劑(ji)(ji)(ji)(ji)(ji)。 (4)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)隨(sui)(sui)(sui)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)轉移,方(fang)(fang)(fang)(fang)(fang)(fang)隨(sui)(sui)(sui)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)加減。(5)若(ruo)虛(xu)(xu)(xu)(xu)(xu)(xu)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)難(nan)明(ming)(ming),寒(han)(han)(han)(han)熱(re)難(nan)定(ding)(ding)(ding),辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)在(zai)(zai)疑似之(zhi)(zhi)(zhi)(zhi)間(jian),補(bu)(bu)(bu)瀉(xie)之(zhi)(zhi)(zhi)(zhi)意(yi)未定(ding)(ding)(ding),則(ze)(ze)(ze)可(ke)使(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)探病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)。2、選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa):(1)以(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)分(fen)(fen)(fen)(fen)(fen)(fen)類(lei)(lei)(lei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa):解表、涌吐、瀉(xie)下(xia)(xia)(xia)(xia)、和(he)解、表里雙解、清熱(re)瀉(xie)火、祛(qu)(qu)暑、開竅通關(guan)、溫里回陽(yang)(yang)、消(xiao)導(dao)化(hua)(hua)積、補(bu)(bu)(bu)益、重(zhong)鎮安神、固(gu)澀、理(li)(li)(li)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)、理(li)(li)(li)血(xue)、治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)風(feng)(feng)(feng)、祛(qu)(qu)濕(shi)、潤燥、祛(qu)(qu)痰(tan)、驅蟲、癰瘍等(deng)(deng)類(lei)(lei)(lei)。每(mei)一(yi)(yi)(yi)類(lei)(lei)(lei)有(you)(you)(you)(you)(you)(you)古(gu)今醫(yi)(yi)(yi)家臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)有(you)(you)(you)(you)(you)(you)效(xiao)(xiao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)代表方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)(ji)(ji);每(mei)一(yi)(yi)(yi)類(lei)(lei)(lei)又根(gen)(gen)據(ju)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)性(xing)(xing)(xing)(xing)質(zhi)等(deng)(deng)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong)而(er)(er)(er)(er)(er)(er)(er)將此類(lei)(lei)(lei)方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)(ji)(ji)分(fen)(fen)(fen)(fen)(fen)(fen)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)類(lei)(lei)(lei)型。(2)需(xu)要(yao)(yao)(yao)(yao)(yao)(yao)注(zhu)意(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)問題:選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)當(dang)(dang)辨(bian)(bian)(bian)(bian)(bian)(bian)(bian)方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)(ji)(ji)作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)異(yi)同(tong)(tong)(tong);選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)當(dang)(dang)明(ming)(ming)方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)禁(jin)忌(ji)(ji);選(xuan)(xuan)(xuan)(xuan)方(fang)(fang)(fang)(fang)(fang)(fang)當(dang)(dang)究方(fang)(fang)(fang)(fang)(fang)(fang)名與(yu)(yu)(yu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)味(wei)組(zu)成。(三(san)(san)(san))遣(qian)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao):1、通治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)(fang)(fang)(fang)(fang)與(yu)(yu)(yu)主(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)(fang)(fang)(fang)(fang):變(bian)(bian)(bian)(bian)(bian)通治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)(fang)(fang)(fang)(fang)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)主(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)(fang)(fang)(fang)(fang)式(shi)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)處方(fang)(fang)(fang)(fang)(fang)(fang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)常(chang)(chang)(chang)規。2、遣(qian)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)應(ying)(ying)知(zhi)宜(yi)(yi)知(zhi)避(bi):在(zai)(zai)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)時(shi)(shi)(shi)(shi),不(bu)(bu)(bu)(bu)(bu)(bu)(bu)僅應(ying)(ying)知(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)味(wei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong),更宜(yi)(yi)知(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)味(wei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)良作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong),還(huan)(huan)(huan)(huan)應(ying)(ying)看(kan)到藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)配伍后宜(yi)(yi)和(he)避(bi),同(tong)(tong)(tong)時(shi)(shi)(shi)(shi)還(huan)(huan)(huan)(huan)應(ying)(ying)了(le)(le)解藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)與(yu)(yu)(yu)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)、藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)與(yu)(yu)(yu)人(ren)(ren)之(zhi)(zhi)(zhi)(zhi)間(jian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)利害(hai)關(guan)系(xi)(xi)(xi)。先避(bi)其(qi)害(hai),后用(yong)(yong)(yong)(yong)(yong)(yong)(yong)其(qi)利。總(zong)之(zhi)(zhi)(zhi)(zhi),應(ying)(ying)該根(gen)(gen)據(ju)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)性(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)四(si)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)五味(wei)及(ji)(ji)(ji)(ji)升降(jiang)沉浮(fu)特點,使(shi)(shi)(shi)之(zhi)(zhi)(zhi)(zhi)順(shun)應(ying)(ying)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)勢(shi)(shi)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)性(xing)(xing)(xing)(xing)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)位(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)等(deng)(deng),其(qi)次應(ying)(ying)依據(ju)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)情(qing)(qing)(qing)(qing)(qing)與(yu)(yu)(yu)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)初中(zhong)(zhong)(zhong)末不(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)(tong)階(jie)段(duan),而(er)(er)(er)(er)(er)(er)(er)適(shi)當(dang)(dang)選(xuan)(xuan)(xuan)(xuan)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)適(shi)宜(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)。3、既(ji)要(yao)(yao)(yao)(yao)(yao)(yao)廣(guang)(guang)泛學(xue)習(xi)(xi)了(le)(le)解前人(ren)(ren)臨(lin)(lin)(lin)(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)實(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)踐(jian)中(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)選(xuan)(xuan)(xuan)(xuan)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)經(jing)(jing)(jing)(jing)驗(yan),又要(yao)(yao)(yao)(yao)(yao)(yao)隨(sui)(sui)(sui)人(ren)(ren)、隨(sui)(sui)(sui)時(shi)(shi)(shi)(shi)、隨(sui)(sui)(sui)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)而(er)(er)(er)(er)(er)(er)(er)異(yi),做到藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)隨(sui)(sui)(sui)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)用(yong)(yong)(yong)(yong)(yong)(yong)(yong),順(shun)乎病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)情(qing)(qing)(qing)(qing)(qing)。4、應(ying)(ying)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)引(yin)(yin)。5、重(zhong)視(shi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)炮制。四(si)、醫(yi)(yi)(yi)囑1、向病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)家說明(ming)(ming)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)情(qing)(qing)(qing)(qing)(qing)況(kuang)2、向病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)家說明(ming)(ming)方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)煎服方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)3、向病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)家說明(ming)(ming)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)調(diao)(diao)(diao)養(yang)(yang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)注(zhu)意(yi)事項(xiang):三(san)(san)(san)分(fen)(fen)(fen)(fen)(fen)(fen)醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),七分(fen)(fen)(fen)(fen)(fen)(fen)調(diao)(diao)(diao)養(yang)(yang)。主(zhu)(zhu)要(yao)(yao)(yao)(yao)(yao)(yao)為(wei)(wei)(wei)(wei)(wei)(wei)(wei)飲(yin)食(shi)調(diao)(diao)(diao)養(yang)(yang),因(yin)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)需(xu)飲(yin)食(shi)禁(jin)忌(ji)(ji),因(yin)服藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)而(er)(er)(er)(er)(er)(er)(er)需(xu)飲(yin)食(shi)禁(jin)忌(ji)(ji);還(huan)(huan)(huan)(huan)需(xu)身(shen)居(ju)靜處,情(qing)(qing)(qing)(qing)(qing)緒穩(wen)定(ding)(ding)(ding),勞逸適(shi)度(du),節(jie)制房事,飲(yin)食(shi)清淡等(deng)(deng)。五、隨(sui)(sui)(sui)訪:醫(yi)(yi)(yi)家對(dui)(dui)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)家診(zhen)(zhen)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)效(xiao)(xiao)果進(jin)行(xing)追(zhui)隨(sui)(sui)(sui)訪問,通過(guo)隨(sui)(sui)(sui)訪了(le)(le)解病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)家的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)癥(zheng)(zheng)(zheng)變(bian)(bian)(bian)(bian)(bian)化(hua)(hua)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)全(quan)過(guo)程(cheng)(cheng)(cheng)(cheng),以(yi)(yi)(yi)(yi)(yi)利于(yu)總(zong)結(jie)診(zhen)(zhen)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)經(jing)(jing)(jing)(jing)驗(yan)。 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