试论《伤寒杂病论》中无形水饮的证治
China Journal of Traditional Chinese Medicine and Pharmacy（2018）
Abstract
中医水饮大多认为与水肿,或水液停聚于身体局部所致的胸腔积液、尿潴留等相关,其常被视为可见、可闻或可触的有形之邪.但是,临床上笔者发现许多无明显水肿或积液表形的患者,仍然有水饮内停的其他指征,且运用化饮利水方药后疗效显著.故重温经典,反思张仲景水饮之治,发现水饮确有有形与无形之分.而无形水饮致病既可以显现出痰饮、支饮之动象,又可以表现为留饮、伏饮的静象.其病机关键在于水气交结,而临床论治可遵张仲景温阳化气利水之法,从肺脾肾三焦辨治.
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Key words
Water-fluid disorder,Invisible,Edema,Water retention,Theoretical discussion
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