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《金匮要略》第九篇之“胸痹”“心痛”当为一病 被引量:6

Chest Impediment and Heart Pain in the Ninth Section of Synopsis of Prescriptions of the Golden Chamber should be the Same Disease
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摘要 《金匮要略.胸痹心痛短气病脉证并治》心痛涉及心胸和胃脘部位,但从原文来看,所论胸痹和心痛都是上焦心胸病证,为上焦阳虚,阴寒上乘,阻痹胸阳所致,症状上胸痹与心痛相关,治疗上中上焦同治示人以法。因而本篇中"心痛"不论在心胸部还是在胃脘上腹部,均当与"胸痹"为一病。 Heart pain discussed in the ninth section of Synopsis of Prescriptions of the Golden Chamber involves cardiothoracic and epigastric region. It is found from tile original text that the chest impediment and heart pain due to yang-deficiency in file upper energizers and blockage of chest yang by upper yin cold belong to the heart disease in the upper energizers: Chest impediment and heart pain are related in symptoms, and the diseases in the upper energizers and the middle energizers are treated simultaneously. Therefore, heart pain discussed in the ninth section, whether in the chest or epigastric region, should be the same as chest impediment.
作者 丁跃玲
机构地区 河北医科大学
出处 《河南中医》 2012年第11期1417-1418,共2页 Henan Traditional Chinese Medicine
关键词 胸痹 心痛 《金匮要略》 张仲景 chest impediment heart pain Synopsis of Prescriptions of the Golden Chamber Zhang Zhongjing
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参考文献3

  • 1吴谦.医宗金鉴·订正金匮要略注[M].第2版.北京:人民卫生出版社,1982:523.
  • 2叶天士.临证指南医案·心痛[M].北京:科技卫生出版社,1959.
  • 3尤在泾.金匮要略心典[M].北京:中国中医出版社,1992:2.

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