浅析以方类证辨治水饮眩晕

Journal of New Chinese Medicine(2022)

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Abstract
以胡希恕先生"以方类证"理论为基础,以苓桂术甘汤、五苓散、真武汤、泽泻汤4首经方辨治水饮眩晕为例结合临证医案,分析总结胡希恕先生运用此4首经方的辨证要点与治案思路.经分析认为苓桂术甘汤、五苓散、真武汤、泽泻汤皆可治疗由于水饮所致的眩晕,临证需根据不同病机及方证选择相应经方:五苓散治太阳表虚,水饮内停;泽泻汤治心下停饮,上迫头面;真武汤治少阴太阴合病,阳虚水泛;苓桂术甘汤治中阳不运,痰饮水气内生.
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