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首页 脾虚寒湿和脾虚湿热

脾虚寒湿和脾虚湿热.doc

脾虚寒湿和脾虚湿热

王德盛
2017-11-14 0人阅读 举报 0 0 0 暂无简介

简介:本文档为《脾虚寒湿和脾虚湿热doc》,可适用于综合领域

脾虚寒湿和脾虚湿热脾虚寒湿和脾虚湿热痰饮与湿痰脾虚寒湿和脾虚湿热脾主运化喜燥恶湿若为湿所困则运化失常表现为大便稀溏腹满腹涨不思饮食嗳腐吞酸等其病机为湿邪困脾故要健脾祛湿。所以好多健脾的药物本身有利湿的功效如茯苓,薏苡仁等脾虚寒湿为阴病治法相对较易一般健脾燥湿散寒。脾虚湿热多为脾湿胃热属脾胃不合脾胃共同完成饮食食物的消化吸收与输布为气血生化之源后天之本。脾升清不足胃腐熟太过常见症状除上边症状外还可有浮肿、出血、面红身热、口干、口苦、口臭、喜欢冷饮食、心烦、小便少而黄舌质红、苔黄燥脉滑数。脾虚寒湿和脾虚湿热都具有脾虚湿浸的特点,即纳食少,腹胀,饭后加重,大便溏薄,肢体倦怠,少气懒言,头身困重,或浮肿,或消瘦,舌淡苔白,边有齿痕,脉濡缓等症如果兼寒湿困脾,则中阳受阻,脘腹痞闷胀痛,泛恶欲吐,便溏,口淡不渴,面色晦黄,或肌肤面目发黄,黄色晦暗如烟熏,或肢体浮肿,小便短少舌淡胖苔白腻如果兼湿热蕴脾,则腹部痞闷,纳呆呕恶,便溏尿黄,肢体困重,或面目发黄,或色泽鲜明如橘子,皮肤发痒,或身热起伏,汗出热不解,舌红苔黄腻,脉濡数齿痕舌多因舌体胖大而受齿缘压迫所致故齿痕舌常与胖大舌同见多属脾虚,主虚证。若舌质淡白而湿润所为脾虚而寒湿壅盛。齿痕舌的成因多由于脾虚不能运化水湿湿阻于舌而舌体胖大受齿列挤压而形成因痕故齿痕常与胖嫩舌同见一方面由于舌体水肿属脾之阳虚而湿盛另一方面由于舌体肌肉松弛张口不足属脾之气虚。齿痕舌主病:淡白湿润而有齿印属寒湿壅盛淡红而有齿痕属脾虚或气虚红而肿胀满口边有齿痕多属湿热痰浊壅滞总之可分成气虚与阳虚型:arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicin虚者忌。”螺蛳性寒味甘虽有清热作用但对脾胃虚寒之体则不相宜。“此物体性大寒善解一切热瘴。胃中有冷饮腹中有久泄不实不宜食之。”“多食令人腹痛不消。”故凡脾虚者法当忌食之。蚌肉性寒味甘咸能滋阴、清热但脾虚之人不宜多食食之易伤脾胃阳气。所以“蚌甘咸寒。多食寒中脾虚便滑者皆忌。”牡蛎肉性质微寒味甘咸虽有滋阴养血作用但多食久食则导致脾胃虚寒加重消化系统慢性疾病的病情凡因脾虚所致的慢性胃炎、慢性肠炎、消化不良症、慢性腹泻者均忌多食。“脾虚精滑者忌。”梨子生梨性凉脾虚切忌。“多食令人寒中损脾生食多成冷痢。”“脾虚泄泻法咸忌之。”“中虚寒泻者忌之。”因此凡脾虚之人尤其是脾胃虚寒腹泻便溏者切勿食用。山楂又叫棠株、山里红。能开胃消食但有损害脾胃之弊。“凡脾弱食物不克化胸腹酸刺胀闷者于每食后嚼二三枚绝佳但不可多食恐反克伐也。”“脾胃虚兼有积滞者当与补药同施亦不宜过用。”“山楂若胃中无食积脾虚不能运化不思食者多服之反克伐脾胃生发之气也。”因此脾虚之人勿食之更忌多食常食之。甜菜又叫君达菜。其性凉有损脾气。“脾虚人服之则有腹痛之患气虚人服之则有动气之忧滑肠人服之则有泄泻之虞。”由此可见对脾气虚弱尤其是脾虚便溏之人不宜多食常食之。arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale枸杞子性平味甘。但古代医家也有认为枸杞性寒。“枸杞甘寒性润。”正因如此对平素脾胃虚弱或素有脾胃虚寒便溏者皆当忌之“脾胃薄弱时时泄泻者勿入。”此外脾虚者根据其宜忌原则应当忌食或少吃阿胶、马奶、牛奶、海参、甲鱼、螃蟹、蛤蜊、蚌肉、蚬肉、鳆鱼、芝麻、荞麦、柿子、柿饼、荸荠、柑、橘、香蕉、桑椹、无花果、猕猴桃、西瓜、甜瓜、海松子、柏子仁、生萝卜、水芹菜、落葵、菊花脑、茼蒿、菠菜、莼菜、发菜、蕺菜、地瓜、丝瓜、生菜瓜、生黄瓜、紫菜、地耳、金针菇、草菇、菊花、金银花、地黄、决明子、西洋参、胖大海、薄荷等。脾虚者宜吃以下食品。粳米性平味甘有补脾益气之功。“粳米皆能补脾益五脏壮气力止泄痢惟粳米之功为第一。”“粳米即人所常食米为五谷之长人相赖以为命者也。其味甘而淡其性平而无毒虽专主脾胃而五脏生气血脉精髓因之以充溢周身筋骨肌肉皮肤因之而强健。”可以说凡虚弱之人粳米皆宜尤脾虚之人最宜食之。糯米性温味甘有补脾益气的作用脾虚者宜用之煮粥服食。“糯米脾病宜食益气止泄。”所谓脾病乃指脾虚为病之义。“糯米益气补脾肺但磨粉作稀糜庶不黏滞。若作糕饼性难运化病人莫食。”锅巴又称锅焦。性平。“补气运脾消食止泄泻”。凡脾虚不运、饮食不香或食不消化或脾虚久泻者最宜食用。古方中亦常用之如小儿常用健脾消食的“锅焦丸”治老人脾泄的“玉露霜”。用以治疗“老幼脾虚久泻不愈”就是用锅巴同莲子肉为末加白糖调服颇有效果。西国米又称西谷米西米。白净滑糯营养丰富。性温味甘能温中补脾凡脾胃虚弱、消化不良者食之颇宜。“西谷米健脾运胃久病虚乏者煮粥食最宜。”番薯俗称甘薯、山芋、红薯。性平味甘有补脾和血、益气通便的作用。“煮食补脾胃益气力御风寒益颜色。”番薯能“补中暖胃肥五脏”。脾虚之人可用番薯当主粮常食之。arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale薏苡仁俗称苡仁米、六谷米。有补脾健胃的作用。味甘能入脾补脾。脾虚者宜用苡仁米同粳米煮粥服食相得益彰。饭豇豆性平味甘能健补脾胃对脾胃虚弱、食少便泻或妇女脾虚带下者食之最宜。“治脾土虚弱开胃健脾”的记载。明李时珍还说它能“理中益气补肾健胃和五脏调营卫生精髓”。除通常炒食外还可同粳米煮饭或煮粥食用。白扁豆性平味甘能补脾胃虚弱。“白扁豆其性温平得乎中和脾之谷也。止泄泻暖脾胃。”“扁豆如何补脾盖脾喜甘扁豆得味之甘故能于脾而有益也。”扁豆“炒用健脾止泻”。对于脾虚呕逆食少久泄、小儿脾虚疳积、妇女脾虚带下者最宜食之。或炒熟食用或用白扁豆煮粥服食均有裨益。牛肉性平味甘有补脾胃、益气血的作用。“牛肉味甘专补脾土脾胃者后天气血之本补此则无不补矣。”故凡久病脾虚、中气下陷、气短乏力、大便泄泻、脾虚浮肿之人宜用牛肉炖汁服食或用牛肉适量与大米煮粥调料进服这对脾胃虚弱的恢复大有裨益。牛肚性平味甘也能补虚养脾胃。“牛肚和中益脾胃”。“补中益气养脾胃。”所以凡脾虚之人或病后脾胃虚羸宜煨食之。羊肚也有与牛肚同等的功用脾虚者食之亦宜。鲫鱼性平味甘入脾胃大肠经有健脾养胃作用故脾胃虚弱者宜食。“鲫鱼合莼作羹主胃弱不下食”。“鲫鱼甘温能益脾生肌调胃实肠与病无碍诸鱼中惟此可常食。”白鲞为大黄鱼或者小黄鱼的干制品。有健脾、开胃、补虚、消食的作用。“开胃醒脾补虚活血为病人产后食养之珍”。“黄鱼有养脾理肺之功治久病胃弱食减不能进厚味者。以白鲞水煮烂食之健利肠胃为肠虚胃弱之人必需用之诚药食中之良品也。”可见脾胃虚弱者食之颇宜。鲈鱼arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale性平味甘能补益脾胃。“鲈鱼味甘淡气平与脾胃相宜。脾胃有病则五脏无所滋养脾虚则水气泛滥益脾胃则诸症自除。”脾胃虚弱者宜常食之。大枣性温味甘有补脾胃、益气血的作用。“大枣安中养脾”“枣为脾之果脾病宜食之。”对脾虚便溏、胃弱食少、气血不足之人最宜经常服用大枣。樱桃性温味甘能补脾益气。“樱桃主调中益脾气。”“樱桃治一切虚症能大补元气滋润皮肤。”凡脾气虚弱者宜食。芡实性平味甘涩入脾、肾经有补脾益气、固肾涩精的作用。尤其是脾虚而大便泄泻或脾虚妇人带下者食之最宜。菱角熟者甘平鲜者甘凉煮熟服食有健脾益气的作用。“煮熟取仁食之代粮。”用老菱制取淀粉叫菱粉也有补脾作用。“菱作粉极白润宜人。”“菱粉补脾胃强脚膝健力益气。”脾胃气虚者食之为佳。莲子肉性平味甘涩有补脾胃之功。“莲之味甘气温而性涩禀清芳之气得稼穑之味乃脾之果也。”“莲子甘平甚益脾胃而固涩之性最宜滑泄之家遗精便溏极有良效。”所以对脾虚之人久痢虚泻妇女白带清稀频多者最宜食之。党参性平味甘无毒有补脾胃、益气血的作用。“党参力能补脾养胃润肺生津健运中气本与人参不甚相远。其尤可贵者则健脾运而不燥滋胃阴而不湿。凡古今成方之所用人参无不可以潞党参当之凡百证治之应用人参者亦无不可以潞党参投之。”可见党参补脾胃作用与人参相同且运用得比人参更广泛。太子参又称孩儿参、童参。能补脾益气。“大补元气”。太子参“补脾肺元气”。“补气益血健脾生津。治脾虚腹泻不思饮食。”脾虚者宜常食之。此外脾虚之人还宜服食山药、粟米、高粱、青稞、蚕豆、狗肉、羊肚、鸡肉、青鱼、鲢鱼、乌鱼、鲂鱼、白鱼、银鱼、鳜鱼、白木耳、花生、黄芪、紫河车、白术、甘草等arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale痰饮与湿痰痰饮痰和饮都是津液代谢障碍所形成的病理产物。一般以较稠浊的称为痰清稀的称为饮。痰不仅是指咳吐出来有形可见的痰液还包括瘰疬、痰核和停滞在脏腑经络等组织中的痰液临床上可通过其所表现的证候来确定这种痰称为"无形之痰"饮即水液停留于人体局部者因其所停留的部位及症状不同而有不同的名称。如《金匮要略》即有"痰饮"、"悬饮"、"溢饮"、"支饮"等区分。痰饮的形成痰饮多由外感六淫或饮食所伤及七情内伤等使肺、脾、肾及三焦等脏腑气化功能失常津液代谢障碍以致水液停滞而成。肺、脾、肾及三焦与津液代谢关系密切肺主宣降通调水道敷布津液脾主运化水液肾阳主水液蒸化三焦为水液通调之道路。故肺、脾、肾及三焦功能失常均可聚湿而生痰。痰饮形成后饮多留积于肠胃、胸胁及肌肤而痰则随气之升降流行内而脏腑外至筋骨皮肉形成多种病证因此有"百病多由痰作祟"之说。痰饮的病证特点痰饮形成之后由于停滞的部位不同临床表现亦不一样阻滞于经脉可影响气血运行和经络的生理功能。停滞于脏腑则可影响脏腑的功能和气机升降。痰的病证特点痰滞在肺可见喘咳咯痰痰阻于心心血不畅而见胸闷心悸痰迷心窍则可见神昏痴呆痰火扰心则发为癫狂痰停于胃胃失和降可见恶心呕吐胃脘痞满痰在经络筋骨则可致瘰疬痰核肢体麻木或半身不遂或成阴疽流注等痰浊上犯于头可见眩晕昏冒痰气凝结咽喉则可出现咽中梗阻吞之不下吐之不出之病症。饮的病证特点饮在肠间则肠鸣沥沥有声饮在胸胁则胸胁胀满咳唾引痛饮在胸隔则胸闷咳喘不能平卧其形如肿饮溢肌肤则见肌肤水肿无汗身体疼重。中医认识痰饮病证除根据临床病证特点外还常结合舌苔滑腻脉滑或弦等全面综合分析以进行判断。痰饮治疗的辨证论治痰饮【证见】形体消瘦胸脘胀满纳呆呕吐胃中振水音或肠鸣漉漉便溏或背部寒冷头昏目眩心悸气短。舌苔白润脉弦滑。【治法】温阳化饮。【方药】arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale主方茯桂术甘汤(张仲景《金匮要略》)加减处方:茯苓克桂枝克白术克炙甘草克法半夏克生姜lO克。水煎服。若小便不利者加猪苓克、泽泻克。脘部冷痛、背寒者加干姜克、吴茱萸克、肉桂克。饮郁化热者可改用己椒苈黄丸己椒苈黄丸防己椒目葶苈子(炒)大黄简介:功用泻热逐水通利二便。主治水饮积聚脘腹肠间有声腹满便秘小便不利口干舌燥脉沉弦。方解本方病证以水饮内停郁而化热积聚肠间为主要病机。水走肠间一则阻滞气机使腑气不通二则使水不化津津不上传三则病及肺使肺不能通调水道往下输送到膀胱故病人腹满便秘。本方中防己、椒目、葶苈子均可以利水。其中防己长于清湿热椒目消除腹中水气葶苈子能泄降肺气消除痰水另外大黄能泻热通便。加减法A如果水饮犯肺兼见喘咳加麻黄杏仁B如痰涎雍盛加紫苏子莱菔子C气滞较甚腹满较重加川朴槟榔D如果病人久病体虚中气不足者加人参(另炖服)白术黄芪悬饮【证见】病侧胁间胀满刺痛转侧及咳唾尤甚气短息促。舌苔白脉沉弦。arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale【治法】宣利逐饮。【方药】(主方柴枳半夏汤(李梃《医学入门》)合葶苈大枣泻肺汤(张仲景《金匮要略》)加减处方:柴胡克黄芩克枳实克法半夏克瓜蒌仁克桔梗克赤芍克葶苈子克桑白皮克白芥子克茯苓克泽泻克大枣枚。水煎服。(单方验方悬饮汤(贾河先等《百病良方》)处方:桑白皮、茯苓皮各克半夏克瓜蒌、葶苈子各克蜀椒目、生姜、苏子各克。水煎服。每日剂。支饮【证见】咳逆喘满不得卧痰吐白沫量多颜面浮肿。舌苔白腻脉弦紧【治法】温肺化饮。【方药】(主方苓甘五味姜辛汤(张仲景《金匮要略》)加减处方:茯苓克干姜克细辛克法半夏克紫菀克款冬花克五味子克北杏仁克炙甘草克。水煎服。(单方验方支饮汤(袁桂生验方)处方:麻黄(克桂枝(克干姜(克北细辛(克生白芍(克五味子(克甘草(克瓜蒌仁克干薤白克(白酒洗)法半夏克。水煎服。溢饮【证见】四肢沉重或关节重甚则微肿恶寒无汗或有喘咳痰多白沫胸闷干呕口不渴。舌苔白脉弦紧。【治法】发表化饮。【方药】主方小青龙汤(张仲景《金匮要略》)加减处方:麻黄克桂枝克北杏仁克生姜克茯苓克细辛克法半夏arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale克五味子克白芍克紫菀克甘草克。水煎服。若肢体浮肿明显者加猪苓克、泽泻克。内有郁热者加石膏克。湿痰湿痰病证或病理名称。作为病证则为痰证之一。湿痰有外感、内伤之分。《医学入门》卷五:“生于脾多四肢倦怠或腹痛、肿胀、泄泻名曰湿痰。”当予化痰利湿宜山精丸、三仙丸或以二陈汤加苡仁、竹茹、杭芍、山药。《杂病源流犀烛痰饮源流》:“在脾曰湿痰其色黄滑而易出多倦怠软弱喜卧腹胀食滞脉必缓宜白术丸或挟虚宜六君子汤挟食宜保和丸挟暑宜消暑丸挟惊宜妙应丸。各宜从脾分治。”由此可见湿痰其病重在脾经故又有脾经湿痰之称。参见痰饮、外感湿痰、内伤湿痰、脾经湿痰条。外感湿痰外感湿痰证名。外感湿邪与体内水湿互结所致的病证。湿痰证之一。见《症因脉治外感痰症》。多因坐卧卑湿之地或感受雨湿与体内水液交凝而致。症见身发寒热面目浮肿恶寒头痛身痛不能转侧呕吐恶心烦满不渴。治宜散风除湿用羌活胜湿汤、化痰二陈汤、平胃散等方。参见湿痰条内伤湿痰湿痰证之一。见《症因脉治内伤痰症》。证见身或热或不热体重足酸呕而不渴胸膈满时吐痰身体软倦。多因脾胃阳虚水液停留生湿酿痰所致。治宜理脾燥湿为主用二陈平胃散、二陈羌防汤、栀连二陈汤、六君子汤等方。小青龙汤由麻黄、桂枝、干姜、白芍、五味子、甘草各g半夏g细辛g组成。方中麻黄、桂枝开表逐邪发汗平喘半夏除饮干姜、细辛温化水饮桂枝助之五味子收敛肺气以保肺白芍牵制上药之温燥以防伤及阴津甘草调和诸药。故合而用之为开表逐饮之良方。其方仲景所以有五种加减法者是因为水饮波动或上或下也。此方在《伤寒论》有二见:一为“伤寒表不解心下有水气干呕发热而咳或噎或利或小便不利少腹满或喘者小青龙汤主之。”一为“伤寒心下有水气咳而微喘发热不渴小青龙汤主之。”在《金匮要略》有四:见一为“肺胀咳而上气烦躁而喘脉浮者心下有水小青龙加石膏汤主之。”一为“病溢饮者当发其汗„„小青龙汤主之。”一为“咳逆倚息不得卧其形如肿小青龙汤主之。”一为“妇从吐涎沫医反下之心下即痞当先治其吐涎沫小青龙汤主之。”arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale伤寒表不解心下有水气系外有寒里有饮之证若见肺胀咳喘脉浮为心下有水烦躁为内热因此为里饮兼里热之候。当逐饮清热故方用小青龙除饮加后膏者清里热以除烦躁也。《金匮要略》云:“饮水流行归于四肢当汗出而不汗身体疼重谓之溢饮。”溢饮系饮流四肢虽非表证但病位接近于表故可用发汗之法使饮邪从表而出。这是因利势导并非以发汗来驱除表邪也。咳逆倚息不得卧谓之支饮邪在于肺故用小青龙汤既开表使肺得宣降又涤除饮邪遂可令病转缓。此也是无表证用小青龙汤之例。妇人吐涎沫也属水气或寒饮为患虽无表证但仍宜用小青龙汤温化水饮。上述说明治里饮无论有无表证均可用小青龙汤治之。所以然者以小青龙汤中之桂枝既能解表又具有温阳化饮及平息咳而上气之功效麻黄开表使外不闭有利于肺气之肃降故能缓解饮邪引起之喘咳。基于上述故麻黄、桂枝与小青龙汤中之余药相合则化饮之力更宏也。患者胃脘部经常出现水鸣声以手振动尤为明显干呕时作作则连续十余声。即治之前医予旋覆代赭石汤等方药加减均未取效。改用西药治之月余而其病不减。又服中药半夏泻心汤反见吐涎少许心下及背部出现冷感。今诊除上述外尚见口干不欲饮水头时晕苔白滑脉沉缓等。此乃水饮停于心下之候当温化水饮。遂用桂枝、白芍、干姜、五味子各g半夏g麻黄、细辛、砂仁、甘草各g剂而心下水声明显减少剂而诸症悉去。继用香砂六君子汤调理数剂而愈、脾胃湿热主症:()舌苔黄腻()胃脘或胸脘或脘腹痞闷()口苦而粘()食欲不振次症:()舌质红或淡红、体胖齿印()口渴不喜饮或喜热饮()脉濡缓或濡数()大便溏判断:主症()为必备具备两个主症、一个次症即可诊断为脾胃湿热证。、脾气虚主症:脾虚:()食欲减退()大便溏泄arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale()食后脘胀气虚:()消瘦()体倦乏力()头晕()神疲懒言()舌胖有齿印()脉虚无力次症:()口淡()呕吐()腹痛绵绵、喜温喜按()肠鸣()虚胖()面菱黄()唇淡()短气()排便无力()白带清稀()浮肿()咳痰多清稀()失眠、不寐()小便清长判断:()气虚主症个脾虚主症个arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale()气虚主症、舌象脾虚主症个()气虚主症、舌象脾虚主症个次症个。以上三项中具备一项即可诊断为脾气虚证。色白、有咸味的痰属寒痰可选用干姜、细辛、桂枝、厚朴等温化痰液的药物中成药有苏子降气丸、小青龙口服液等色黄、粘稠的为热痰可选用浙贝母、黄芩、竹沥、瓜蒌皮等清热化痰的药物中成药有贝羚胶囊、金果饮、川贝枇杷膏等。另外泡沫痰多为风痰口干、粘腻的多为燥痰痰中带血的称为血痰等分别使用祛风化痰、润燥化痰和清热凉血化痰的方法治疗均不相同。二陈汤半夏、橘红各自克、白茯苓克炙甘草克。【主治】湿痰咳嗽、痰多色白易咯胸膈痞闷恶心呕吐、肢体困倦或头眩心悸舌苔白润脉滑。【正文】用法:水煎服。功能:燥湿化痰、理气和中。方解:本方为祛痰基本方。方中半夏辛温而燥最善燥湿化痰且能降逆止呕,变主药辅以橘红理气燥湿化痰使气顺痰消佐以茯苓健脾渗湿使湿无所聚使以甘草和中健脾。诸药合用共奏燥湿和中理气化痰之功。方中橘红、半夏以陈久者良故有“二陈”之名。临床运用:(临床以咳嗽痰多色白苔白润、脉滑为辩证要点。(治疗各种痰证:风痰者加制南星、白附子以祛风化痰寒痰者加干姜、细辛以温化寒痰热痰者加瓜萎、竹黄、黄芩以清热化痰食痰者加莱菔子、枳壳以消食化痰顽痰者加礞石、浮海石以攻逐陈积深伏之痰。arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemale附:温胆汤《千金方》即二陈汤加枳实克竹茹克。水煎服主治肝胃不和痰多胆怯虚烦不眠眩晕惊悸苔腻之证。此方清而不燥是与二陈汤区别之处。arenospecialinstructionsbelow,inthisreport,the"I"meangreentowninyingdecitymiddleschool,"we"meansyoungqingtangtownmiddleschoolintheTownshipofyingdecitymiddleschoolteachers'professionaldevelopmentstudygroup)Theactualconditionandthespecificsituationofyoungteachers'professionaldevelopmentforyoungteachers'College(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemalebesidetheeffectivefillinpassengersfromsurveyofdataview,Ischoolyoungteachersinthe,femaleteacherspeople,maleteacherspeople,highoutpeoplefrombyaccountedforproportionview,femaleteachersaccountedforthan,maleteachers,ratiooffemaleteachersaccountforpercentYoungteacherinourschoolcanbeseenintheseriousimbalanceinthesexratio,obviouslytherewiththecurrentoutlooksagreaterrelationshipThisrequirestheattentionofourAdministrativeDepartmentofeducationhighallocationsineducationissuesndquestionshowoldyouare(a)form(A)(Youngteachersof)basicinformationdataanalysisthproblemyouofgender()singletopicsoptionsmallmeterproportiona,malebfemal
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