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【关键词】 少阳；三焦； 膜原；系统论
Systemic Theory of Shaoyang, Sanjiao and Pleurodiaphragmatic Interspace
Su Yunfang Basic Medical College of Zhejiang Chinese Medical University, Hangzhou(310053)
Abstract： The Systemic Theory of Shaoyang, Sanjiao and pleurodiaphragmatic interspace aims to apply systemic complex research method, exposing the “half superficial and half inside syndrome” in “the same”; “the same” takes harmony method. On the systemic level for the same type of evidence, to explore “different” space disease spot of half superficial and half inside syndrome of Shaoyang, Sanjiao and pleurodiaphragmatic interspace; the treatment principle, “different” harmonizing Shaoyang—gallbladder, cut away in purgation—Sanjiao, dredge for penetration pleurodiaphragmatic interspace. On the systemic level of differentiating signs for difference of the formulae of Xiaochaihu Decoction, Haoqin Qingdan Decoction, Xianbuling Wendan Decoction, Dayuanyin, inherit classics, develop the “half superficial and half inside syndrome” study of exogenous febrile disease, opening up thoughts of treatment based on differentiation of present globalization intensive epidemic diseases, as well as of TCM active and initiative intervention.
Key words: Shaoyang; Sanjiao; pleurodiaphragmatic interspace; systemic theory
温病学用和解法，把少阳、三焦、膜原作为半表半里病位层次贯串一体，之所以得到了成功的组合，足以证明温病学在承传伤寒论少阳病脉证辨治基础上，拓宽了外感热病半表半里证候空间领域，在病因、病机、治法、用药上作出了全新的突破。
1 少阳、三焦、膜原证的系统复杂性研究
外感热病从汉代黄土地，过渡到明清时代江南“湿地”，其病因属性，病机转归，治法用药均发生了质的变化，而证候学的变化是根本特征。就少阳伤寒为佐例，病变机理由寒邪郁而化热的单一性病理，转化为湿热阻滞少阳胆腑的湿、热、秽、浊、痰、火、水、毒等。证候、病因呈现复杂系统多样性叠加。“吾吴湿邪害人最广，其气最杂”。
1.1 少阳、三焦、膜原证的系统复杂性研究，旨在廓清外感热病半表半里证多元关系结构、功能层次、证候分型、类证组合、枢机效应。企图在立法制方选药思路上，揭示半表半里证立体空间病位，最终目标是建构中医藏象学的形态结构。
少阳、三焦、膜原的半表半里病位：少阳居太阳、阳明之间，因其病邪既不在太阳之表，又未达到阳明之里，故称少阳病为三阳证之半表半里病位。所谓半表半里，并非一半表证，一半里证，而是不表不里，介于表里之间。就其病位来说，处于太阳证之里，阳 [1] [2] [3] [4] [5] [6] 下一页 |
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