【摘要】：1研究目標(biāo)厘清風(fēng)痰及熄風(fēng)化痰法的學(xué)術(shù)源流,明確相關(guān)概念內(nèi)涵的演變；從病因病機(jī)、臨床常見證候、復(fù)合治法、方藥分析等方面,闡明熄風(fēng)化痰法的基本理論；總結(jié)熄風(fēng)化痰法在中風(fēng)、癇證、眩暈、顫證、小兒驚風(fēng)中的運(yùn)用。2研究方法2.1文獻(xiàn)學(xué)方法(1)古代文獻(xiàn)：以“痰”為檢索詞,對(duì)《中華醫(yī)典》(第五版)所收錄的古籍進(jìn)行檢索,并結(jié)合《中醫(yī)臨床必讀叢書》、“讀秀”等,搜集和“風(fēng)痰”相關(guān)的資料,并按照醫(yī)論、本草、方書、醫(yī)案醫(yī)話等四部分加以分類整理。(2)現(xiàn)代期刊：以“風(fēng)痰”“熄風(fēng)”“化痰”等為檢索詞,在中國(guó)知網(wǎng)、萬方、維普等數(shù)據(jù)庫中,搜集相關(guān)論文共852篇。其中,期刊論文798篇、學(xué)位論文30篇、會(huì)議論文24篇,分析并綜述理論、實(shí)驗(yàn)、臨床相關(guān)進(jìn)展。(3)工具書、教材及現(xiàn)代論著：參考《中醫(yī)大辭典》等工具書10部；《中醫(yī)內(nèi)科學(xué)》等教材12部；《中醫(yī)痰病研究與臨床》等專著50部,對(duì)其中和“風(fēng)痰”“熄風(fēng)化痰”相關(guān)的理論、方藥、臨床診療經(jīng)驗(yàn)等進(jìn)行分析和歸納。2.2醫(yī)史學(xué)方法運(yùn)用醫(yī)史學(xué)方法,縱向梳理古代文獻(xiàn)中關(guān)于風(fēng)痰的理法方藥、醫(yī)案醫(yī)話等,概要闡明各歷史時(shí)期的發(fā)展特點(diǎn)；厘清風(fēng)痰、熄風(fēng)化痰法的學(xué)術(shù)源流。2.3理論研究方法對(duì)已收集的相關(guān)資料,通過分析總結(jié)代表性醫(yī)家關(guān)于風(fēng)痰、熄風(fēng)化痰法的學(xué)術(shù)觀點(diǎn),闡明風(fēng)痰、熄風(fēng)化痰法的基本理論；對(duì)古今醫(yī)家的臨床診療經(jīng)驗(yàn)進(jìn)行理論提煉,歸納臨床運(yùn)用熄風(fēng)化痰法治療相關(guān)疾病的規(guī)律與法則。3研究結(jié)果3.1學(xué)術(shù)源流先秦兩漢時(shí)代《黃帝內(nèi)經(jīng)》記載了和“肝風(fēng)內(nèi)動(dòng)”相關(guān)的理論,出現(xiàn)了與后世所言“風(fēng)痰”相似的證候描述；《神農(nóng)本草經(jīng)》記載了多種后世認(rèn)為具有祛風(fēng)痰功效的藥物。魏晉隋唐時(shí)代 《諸病源候論》提出了“風(fēng)痰可致頭痛”、“風(fēng)痰可致目病”等相關(guān)理論；《千金要方》記載了徐嗣伯“痰熱相感而動(dòng)風(fēng)”的論述,為“痰熱生風(fēng)”的理論發(fā)展奠定了基礎(chǔ)；記載了不少治療風(fēng)痰的方藥。兩宋時(shí)代 有關(guān)于風(fēng)痰證成因及相關(guān)證候特點(diǎn)的論述；提出“治療風(fēng)痰當(dāng)先順其氣”的治療原則；關(guān)于風(fēng)痰證的治法和方藥記載也更為具體,記載了被后世認(rèn)為具有熄風(fēng)化痰功效、治療內(nèi)風(fēng)挾痰證的方劑。金元時(shí)代 發(fā)展了內(nèi)風(fēng)學(xué)說,朱丹溪更是提出了“痰熱生風(fēng)”的理論；多位醫(yī)家從風(fēng)痰的病因病機(jī)、臨床證候等角度對(duì)風(fēng)痰進(jìn)行闡釋,但仍缺乏對(duì)“內(nèi)風(fēng)挾痰”的理論探討；創(chuàng)制了不少后世認(rèn)為具有熄風(fēng)化痰功效、治療內(nèi)風(fēng)挾痰證的代表方劑,如搜風(fēng)化痰丸(《丹溪心法》)、真方白丸子(《瑞竹堂經(jīng)驗(yàn)方》)等。明清時(shí)代 從外風(fēng)挾痰、內(nèi)風(fēng)挾痰兩個(gè)層面補(bǔ)充、豐富了風(fēng)痰的基本理論；基本確立了“疏風(fēng)化痰法治療外風(fēng)挾痰證,熄風(fēng)化痰法治療內(nèi)風(fēng)挾痰證”的原則；方藥記載更為具體,提出“熄風(fēng)化痰”法,并明確其治療內(nèi)風(fēng)挾痰證。近現(xiàn)代界定了風(fēng)痰、熄風(fēng)化痰法的范疇。更加明確熄風(fēng)化痰法是治療風(fēng)痰之內(nèi)風(fēng)挾痰證的治法。同時(shí)拓寬了熄風(fēng)化痰法治療疾病的范圍；臨床診治時(shí),尤善注重熄風(fēng)化痰法和活血化瘀法等治法的結(jié)合。3.2基本理論3.2.1熄風(fēng)化痰法的基本概念熄風(fēng)化痰法,是指運(yùn)用熄風(fēng)藥配伍化痰藥為主,治療內(nèi)風(fēng)挾痰證的治法。具體包括滌痰熄風(fēng)、豁痰熄風(fēng)、搜風(fēng)化痰、截風(fēng)化痰等法。臨床運(yùn)用時(shí),常針對(duì)所治疾病的病機(jī)及其具體證候特點(diǎn),適當(dāng)結(jié)合通絡(luò)法、開竅法、燥濕法、清熱法、滋陰法、活血法等,治療以內(nèi)風(fēng)挾痰為基本病機(jī)的相關(guān)病證。3.2.2熄風(fēng)化痰法的適用范圍(1)內(nèi)風(fēng)挾痰證的病因病機(jī),主要病因包含情志不遂、勞逸失度、飲食不節(jié)、年老體衰等,基本病機(jī)指肝風(fēng)內(nèi)動(dòng)、挾痰內(nèi)擾。(2)內(nèi)風(fēng)挾痰證常見以下三種證候類型：肝風(fēng)挾痰、閉阻經(jīng)絡(luò)；肝風(fēng)挾痰、上擾清竅,及肝風(fēng)挾痰,內(nèi)蒙心神。3.2.3熄風(fēng)化痰法的復(fù)合治法熄風(fēng)化痰通絡(luò)法 指在熄風(fēng)化痰基礎(chǔ)上,結(jié)合通絡(luò)法,治療以口眼?斜、半身不遂等為主要臨床表現(xiàn)的風(fēng)痰阻絡(luò)證的治法；代表方劑有真方白丸子、搜風(fēng)化痰丸等。熄風(fēng)化痰開竅法 指在熄風(fēng)化痰基礎(chǔ)上,結(jié)合開竅法,治療以突然昏倒、神志不清等為主要臨床表現(xiàn)的風(fēng)痰蒙蔽心竅證的治法；代表方劑有金箔鎮(zhèn)心丸等。燥濕熄風(fēng)化痰法 指熄風(fēng)化痰法和燥濕法相合,治療以頭痛、眩暈等為主要臨床表現(xiàn)的肝風(fēng)兼挾痰濕證的治法；代表方劑有半夏白術(shù)天麻湯等。清熱熄風(fēng)化痰法 指清熱法和熄風(fēng)化痰法合用,治療以高熱抽搐、兩目上視等為主要臨床表現(xiàn)的痰熱動(dòng)風(fēng)證的治法；代表方劑有琥珀抱龍丸等。滋陰熄風(fēng)化痰法 指滋陰法和熄風(fēng)化痰法合用,治療風(fēng)痰兼夾陰虛證的治法；其適應(yīng)證除見內(nèi)風(fēng)挾痰的基本證候外,還常伴腰膝酸軟、面色潮紅、手足心熱等；代表方劑有六味地黃丸、大補(bǔ)陰丸等加減。熄風(fēng)化痰活血法 指熄風(fēng)化痰法和活血化瘀法合用,治療風(fēng)痰挾瘀證的治法；其適應(yīng)證除見內(nèi)風(fēng)挾痰的基本證候外,還常伴肢體麻木疼痛、舌質(zhì)紫暗有瘀斑等；代表方劑在熄風(fēng)化痰的基礎(chǔ)上配伍當(dāng)歸、丹參等活血化瘀之品。3.2.4熄風(fēng)化痰法的代表方劑半夏白術(shù)天麻湯 熄風(fēng)化痰,健脾燥濕,主治肝風(fēng)挾痰上擾所致頭痛、眩暈。定癇丸 滌痰熄風(fēng),清熱定癇,主治肝風(fēng)挾痰熱內(nèi)擾所致癇證。神仙解語丹 化痰開竅,熄風(fēng)通絡(luò),主治肝風(fēng)挾痰、阻滯經(jīng)絡(luò)之中風(fēng)不語。真方白丸子 熄風(fēng)化痰通絡(luò),主治肝風(fēng)挾痰,閉阻經(jīng)絡(luò)之中風(fēng)病中經(jīng)絡(luò)證。琥珀抱龍丸 熄風(fēng)化痰,清熱定驚,主治肝風(fēng)挾痰熱內(nèi)擾之小兒驚風(fēng)、驚悸。金箔鎮(zhèn)心丸 熄風(fēng)化痰,開竅安神,主治肝風(fēng)挾痰內(nèi)擾之急慢驚風(fēng)、慢脾、胎驚、天吊。3.2.5熄風(fēng)化痰法的常用藥物歸納了熄風(fēng)化痰法的代表藥物,如膽南星、僵蠶、天南星、牛黃；并對(duì)具有熄風(fēng)化痰功效的方劑進(jìn)行了藥物頻次分析。發(fā)現(xiàn)除熄風(fēng)藥和化痰藥之外,配伍頻率最高的,是解表藥、清熱藥、補(bǔ)氣藥等；單味藥物使用頻率最高的,是天麻、全蝎、僵蠶、天南星等；熄風(fēng)藥配伍化痰藥的組合中,以天麻配伍白附子、天麻配伍半夏、僵蠶配伍白附子等最為常見。3.3熄風(fēng)化痰法的臨床運(yùn)用選取常用熄風(fēng)化痰法治療的中風(fēng)、癇證、眩暈、顫證、小兒驚風(fēng)等五種疾病,對(duì)該病的病因病機(jī)及適用證候進(jìn)行分析和總結(jié),并佐以相應(yīng)醫(yī)案分析。中風(fēng)熄風(fēng)化痰法治療中風(fēng),主要用于治療中風(fēng)病肝風(fēng)挾痰閉阻之中經(jīng)絡(luò)證、肝風(fēng)挾痰內(nèi)擾之中臟腑閉證及中風(fēng)恢復(fù)期之風(fēng)痰瘀阻證。其中,肝風(fēng)挾痰閉阻之中經(jīng)絡(luò)證,是由于肝腎陰虛,陽亢風(fēng)動(dòng),挾痰閉阻經(jīng)絡(luò)所致,代表方劑有真方白丸子、搜風(fēng)化痰丸加減方等；肝風(fēng)挾痰內(nèi)擾之中臟腑閉證,是由于肝風(fēng)挾痰內(nèi)蒙清竅,代表方劑有滌痰湯等加減方；中風(fēng)恢復(fù)期之風(fēng)痰瘀阻證,是由于風(fēng)痰挾瘀阻滯經(jīng)絡(luò)所致,代表方劑有神仙解語丹加減方等。癇證 熄風(fēng)化痰法治療癇證,主要治療癇證之風(fēng)痰閉阻證。代表方劑有定癇丸等。若因痰濁日久,郁而化熱生風(fēng),肝風(fēng)挾痰熱內(nèi)擾所致,配伍黃芩、黃連等清熱之品。若痰濁素盛,復(fù)因頭部外傷、腦手術(shù)等導(dǎo)致瘀血內(nèi)生,痰瘀交阻,肝風(fēng)內(nèi)動(dòng)證,在熄風(fēng)化痰的基礎(chǔ)上當(dāng)配伍當(dāng)歸、丹參等活血化瘀之品。眩暈 熄風(fēng)化痰法治療眩暈,主要治療眩暈之風(fēng)痰上擾證。代表方劑有半夏白術(shù)天麻湯等。顫證 熄風(fēng)化痰法治療顫證,主要治療顫證之痰熱動(dòng)風(fēng)證。由于久病多瘀,風(fēng)痰閉阻日久,血行不暢,而致瘀血內(nèi)生,則佐以活血化瘀。代表方劑有羚角鉤藤湯等加減。小兒驚風(fēng) 熄風(fēng)化痰法治療小兒驚風(fēng),主要治療小兒驚風(fēng)之痰熱動(dòng)風(fēng)證。代表方劑有琥珀抱龍丸、金箔鎮(zhèn)心丸等加減方。其他疾病 臨床上,熄風(fēng)化痰法還常用于治療其他病證,如風(fēng)痰閉阻經(jīng)絡(luò)導(dǎo)致的麻木、痙證,風(fēng)痰上擾清竅導(dǎo)致的頭痛,風(fēng)痰蒙蔽心神導(dǎo)致的厥證、癲證、狂證等。在臨床診療疾病時(shí),應(yīng)當(dāng)病證結(jié)合,仔細(xì)分辨,合理運(yùn)用。4研究結(jié)論(1)熄風(fēng)化痰法,是指運(yùn)用熄風(fēng)藥配伍化痰藥為主,治療內(nèi)風(fēng)挾痰證的治法。具體包括滌痰熄風(fēng)、豁痰熄風(fēng)、搜風(fēng)化痰、截風(fēng)化痰等法。臨床運(yùn)用時(shí),常針對(duì)所治疾病的病機(jī)及其具體證候特點(diǎn),適當(dāng)結(jié)合通絡(luò)法、開竅法、燥濕法、清熱法、滋陰法、活血法等,治療以內(nèi)風(fēng)挾痰為主要病機(jī)的相關(guān)病證。內(nèi)風(fēng)挾痰證的病因,主要包含情志不遂、勞逸失度、飲食不節(jié)及年老體衰等；基本病機(jī)為肝風(fēng)旋動(dòng),挾痰內(nèi)擾。熄風(fēng)化痰法適用的臨床證候,包含肝風(fēng)挾痰、閉阻經(jīng)絡(luò)證；肝風(fēng)挾痰、上擾清竅證；及肝風(fēng)挾痰,內(nèi)蒙心神證三種。代表方劑有半夏白術(shù)天麻湯、定癇丸、神仙解語丹、真方白丸子、琥珀抱龍丸、金箔鎮(zhèn)心丸等；具有熄風(fēng)化痰功效的代表藥物有膽南星、白僵蠶、天南星、牛黃等。(2)臨床運(yùn)用熄風(fēng)化痰法治療的疾病有多種,主要用于中風(fēng)、癇證、眩暈、顫證、小兒驚風(fēng)等疾病。通過分析,熄風(fēng)化痰法主要治療中風(fēng)病肝風(fēng)挾痰閉阻之中經(jīng)絡(luò)證、肝風(fēng)挾痰內(nèi)擾之中臟腑閉證,及中風(fēng)恢復(fù)期之風(fēng)痰瘀阻證；癇證之風(fēng)痰閉阻證；眩暈之風(fēng)痰上擾證；顫證之痰熱動(dòng)風(fēng)證；小兒驚風(fēng)之痰熱動(dòng)風(fēng)證等。除此之外,常用于治療風(fēng)痰閉阻經(jīng)絡(luò)導(dǎo)致的麻木、痙證,風(fēng)痰上擾清竅導(dǎo)致的頭痛,風(fēng)痰蒙蔽心神導(dǎo)致的厥證、癲證、狂證等。臨床上,當(dāng)病證結(jié)合,辨證立法。
[Abstract]:1 the objective of this study was to clarify the academic origin of wind and sputum and extinguish the weathering phlegm, to clarify the evolution of the connotation of related concepts, and to clarify the basic theory of the method of extinguishing weathering phlegm from the etiology and pathogenesis, clinical syndromes, compound treatment and prescription analysis, and to sum up the application of.2 research method in the study of stroke, epilepsy, vertigo, tremor, and infantile wind. 2.1 Literature method (1) Ancient Literature: with the "phlegm" as the retrieval word, the ancient books included in the Chinese medical code (Fifth Edition) were retrieved, and the data related to "wind phlegm" were collected and collected in combination with the clinical compulsory reading series of Chinese medicine, "reading show" and so on. And four parts were classified according to the medical theory, the herbal medicine, the prescription book, the medical case medicine and so on. (2) modern periodicals: With "wind phlegm", "extinguishing the wind" and "phlegm" as the retrieval words, in the Chinese knowledge network, Wanfang, VIP and other databases, 852 articles are collected. Among them, 798 papers, 30 dissertations and 24 conference papers, analysis and summary of theory, experiment, clinical related development. (3) tool books, textbooks and modern Treatises: reference < Chinese Dictionary > > > > 10 parts of the instrument book, 12 parts of the textbook of internal medicine medicine, and 50 books of "TCM phlegm disease research and clinical", including the theories related to "wind phlegm", "wind and phlegm extinguishing and phlegm," and the experience of clinical diagnosis and treatment, such as "wind phlegm", "Fang Feng" and "clinical diagnosis and treatment", are analyzed and summed up by the methods of medical history in.2.2 medical history and the longitudinal combing of ancient literature about wind phlegm. Medicine, medical case medicine and so on, outline the development characteristics of each historical period; to clarify the academic origin of the academic origin of the wind and phlegm and extinguish the phlegm by the.2.3 theory research method on the collected data, through the analysis and summary of the academic viewpoint of the representative doctors on wind phlegm, extinguishing the phlegm method, clarifying the basic theory of wind phlegm, extinguishing the wind and removing phlegm, and to the ancient and modern doctors The experience of clinical diagnosis and treatment was abstracted, and the rules and rules of clinical application of weathering phlegm in the treatment of related diseases were summed up. The results of.3 study were 3.1. The theories related to the "internal movement of the liver" in the period of the Han Dynasty and the Han Dynasty in the Pre-Qin and Han Dynasties and the "internal movement of the liver" were recorded, and the description of the syndrome similar to "wind phlegm" in the later generations was described; < Shennong Ben Cao Jing > recorded In the Sui and Tang Dynasties, the theory of "wind phlegm can cause headache", "wind phlegm can lead to eye disease" and other related theories were put forward in the Wei, Jin, Sui and Tang Dynasties, and the exposition of Xu Sibo's "phlegm heat phase and dynamic wind" has laid a foundation for the theory development of "phlegm heat generating wind"; many records have been recorded. The prescription for the treatment of wind phlegm. In the two Song period, there was a discussion about the causes of the wind phlegm syndrome and the characteristics of the related syndromes; the treatment principle of "treating wind phlegm first along its Qi" was put forward; the treatment method and prescription of the wind phlegm syndrome were more specific, and the prescription for the later generations believed to have the effect of extinguishing the phlegm and treating the internal wind and carrying the phlegm syndrome. The theory of "internal wind" has been developed, and Zhu Danxi has put forward the theory of "phlegm heat generating wind". Many doctors interpret wind phlegm from the etiology, pathogenesis and clinical syndromes of wind and sputum, but still lack theoretical discussion on "internal wind carrying phlegm", and have created many representative prescriptions for later generations to put out the efficacy of weathering phlegm and treat the internal wind with phlegm syndrome. In the Ming and Qing Dynasties, the basic theory of wind and phlegm was enriched in the Ming and Qing Dynasties, and the principle of "Shu Feng and phlegm method to treat the external wind and the phlegm syndrome, the rule of extinguishing the phlegm with the wind and carrying the phlegm syndrome" was basically established. The records of the prescription were more specific, The method of "extinguishing the phlegm and eliminating phlegm" is put forward, and its treatment of internal wind and phlegm is clearly defined. In recent modern times, wind phlegm and wind and phlegm method are defined. The method of eliminating weathering phlegm is the treatment of wind phlegm with the wind and sputum. At the same time, it widens the scope of the treatment of disease by the method of extinguishing weathering phlegm; especially in clinical diagnosis and treatment, it pays more attention to the method of eliminating weathering phlegm and the method of activating blood and removing blood stasis. Combined with the basic theory of ".3.2", the basic concept of "3.2.1" to extinguish the weathering phlegm method is to extinguish the weathering phlegm method, which refers to the treatment of the internal wind carrying the phlegm with the combination of the prescription of the extinguishing wind medicine and the treatment of the internal wind with the phlegm. The specific methods include the elimination of the wind, the sputum extinguishing, the wind and the phlegm, the wind and the phlegm. In combination with the method of dredging collaterals, opening the orifices, dryness and damp method, clearing heat method, nourishing yin method, and activating blood method, the applicable scope of the related disease syndrome.3.2.2 extinguishing phlegm method (1) the etiology and pathogenesis of the internal wind carrying phlegm syndrome, the main cause of the disease includes the emotional failure, the loss of fatigue, the diet, the aging body and failure, the basic pathogenesis refers to the internal movement of the liver, the basic pathogenesis refers to the liver wind, and the basic pathogenesis. (2) there are three types of syndromes in the syndrome of internal wind carrying phlegm: liver wind carrying phlegm, blocking meridian, liver wind carrying phlegm, disturbing clear orifices, and carrying phlegm in the liver wind, the combined treatment of.3.2.3 quenching and weathering phlegm method of the heart God, the method of extinguishing the wind and phlegm and collaterals on the basis of extinguishing the wind and eliminating phlegm, combined with the method of dredging collaterals, is the main clinical treatment with the mouth eye, oblique, hemiplegia and so on. The treatment of wind and phlegm obstructing the collaterals of wind and collaterals of wind and phlegm obstructing the collaterals; the representative prescription has the true Fang Bazi pill, the wind and the phlegm pill, etc. the method of extinguishing the wind and eliminating phlegm, combining the method of opening the orifices on the basis of extinguishing the wind and eliminating phlegm, is used to treat the main clinical manifestation of the wind phlegm, which is the golden foil town heart pill and so on. The method refers to the treatment of the main clinical manifestations of the liver wind and the phlegm damp syndrome, with the treatment of headache and vertigo as the main clinical manifestation. The representative prescription is Banxia Baizhi Tianma soup. The method of clearing heat and eliminating weathering phlegm is used in combination with the method of clearing heat and extinguishing the weathering phlegm, and treating the phlegm thermal wind syndrome with high fever and two eyes as the main clinical manifestation. The treatment method: the representative prescription has amber holding the Dragon pill and so on. The method of nourishing yin and eliminating weathering phlegm means the combination of the method of nourishing yin and the method of eliminating the weathering phlegm. The treatment of wind phlegm and yin deficiency syndrome is treated; its indications are often accompanied by the basic syndromes of the internal wind and the phlegm, and often accompanied by the soft, flush, hand, foot and heart of the waist and knees, and the representative prescription has six flavors of rehmannia pill and Da tonic Yin pill. The method of extinguishing wind and promoting phlegm and activating blood circulation refers to the treatment of wind phlegm and blood stasis syndrome by quenching the sputum and activating blood and removing stasis. Its indications are often accompanied by numbness and pain of the limbs, purple dark and bruises in the tongue, except for the basic syndromes of internal wind carrying phlegm; the prescription of the representative prescription is on the basis of extinguishing the wind and phlegm, and the products of activating blood and removing blood stasis, such as Salvia miltiorrhiza,.3.2.4 extinguish weathering phlegm. The representative prescription of the method is the Banxia Baizhi Tianma soup to extinguish the weathered phlegm, invigorate the spleen and dampness, mainly treat the liver wind and the phlegm disturbance caused by the headache and vertigo. The treatment of phlegm and collaterals, the main treatment of the liver wind and phlegm, obstruct the meridian syndrome in the apoplexy of the meridian. The amber hold the Dragon pill to extinguish the weathering phlegm, to clear the heat and to be frightened, to treat the children with the wind and the phlegm heat, to extinguish the weathering phlegm in the golden foil town heart pill, to open the orifices, to treat the acute and slow shock with the liver wind to disturb the phlegm, the slow spleen, the fetal shock and the commonly used drugs to extinguish the weathering phlegm by.3.2.5. The representative drugs, such as Dun Nan star, Bombyx Silkworm, Southern Star, and bezoar, were summed up, and the frequency analysis of the prescriptions with the efficacy of extinguishing the wind and eliminating phlegm was carried out. It was found that the highest frequency of compatibility except for the extinguishing of wind and phlegm drugs was the antipyretic drug, the antipyretic drug, and the supplement of Qi, and the highest frequency of the single flavor drugs was the Gastrodia elata, scorpion, stiffness. Five diseases, such as apoplexy, epileptic syndrome, vertigo, vertigo, tremor, and infantile wind, were used in the combination of the combination of Rhizoma Aconiti with gastrodia elata, the compatibility of Rhizoma Pinelliae and Rhizoma Pinelliae in the combination of Gastrodia elata, Rhizoma silkworm and white aconite, and five diseases such as apoplexy, epilepsy syndrome, vertigo, tremor, and infantile wind. Analysis and summary are conducted with the analysis of the corresponding medical cases. Stroke is used to treat stroke with the treatment of weathering phlegm. It is mainly used to treat the meridian syndrome, the liver wind carries the phlegm and the wind phlegm stasis syndrome in the recovery period of the stroke, among which the liver wind carries the phlegm obstruction and the meridian syndrome, which is due to the deficiency of the liver kidney yin and the hyperactivity of yang hyperactivity, It is caused by blocking phlegm and obstructing the meridian and collaterals. The representative prescription has the real white ball, the wind and the phlegm pill added, the liver wind carries the phlegm in the viscera closed syndrome, which is due to the liver wind carrying the phlegm in Inner Mongolia Qing Qiao, representing the prescription with Ditan soup and so on; the wind phlegm stasis syndrome caused by the wind phlegm and stasis is caused by the wind phlegm and stasis block. The epilepsy syndrome is treated with the method of weathering phlegm to treat epileptic syndrome, the main treatment of epilepsy with wind phlegm blocking syndrome. On the basis of the wind internal motion, in the foundation of extinguishing the phlegm and eliminating phlegm on the basis of the combination of Chinese angelica, Salvia miltiorrhiza and blood circulation to remove stasis, vertigo and weathering phlegm method were used to treat vertigo, mainly to treat vertigo and phlegm disturbance. For a long time, the blood flow is not smooth, and the blood stasis is caused by blood stasis and blood stasis. The representative prescriptions are added and subtracted by the antelope horn and hooked Riner soup. The children's wind extinguishing wind and weathering phlegm method is used to treat children's wind, mainly treating the phlegm and thermal wind syndrome of children's wind. The representative prescription is amber holding dragon pill, Jin foil town heart pill, etc. In the treatment of other syndromes, such as the numbness of the wind and phlegm obstructing the meridians, the spasmodic syndrome, the headache caused by the wind phlegm, the wind phlegm and the mind caused by the heart, the epilepsy, the madness, etc.. In the clinical diagnosis and treatment of the disease, the combination of the disease and the syndrome, the rational use of the.4 research conclusion (1) to extinguish the weathering phlegm method, is to use the combination of the extinguishing drug and the chemical phlegm medicine. The treatment of internal wind and phlegm syndrome, including eliminating the wind, eliminating phlegm and extinguishing the wind, searching wind and eliminating phlegm, cutting wind and eliminating phlegm, often aimed at the pathogenesis of the disease and its specific syndrome characteristics, combined with the method of dredging collaterals, opening the orifices, dry wet method, heat clearing, nourishing yin method, living blood method and so on, in the treatment of the internal wind carrying the phlegm as the main pathogenesis of the disease. The cause of the wind carrying the phlegm syndrome mainly includes the emotional failure, the loss of labor, the diet and the aging and aging, the basic pathogenesis is the liver wind whirling, the phlegm disturbance and the extinguishing phlegm, including the liver wind carrying phlegm, the obstruction of the meridian syndrome, the liver wind carrying phlegm, the perturbed clearing syndrome, the liver wind carrying phlegm, the Inner Mongolia heart God syndrome. The representative prescription has Banxia. Baizhi Tianma soup, fixed eclampsia pill, fairy Jieyu Dan, real white ball, amber pellet, golden foil town heart pill, and other representative drugs with extinguishing wind and phlegm effect are Dan Nan star, white Bombyx Silkworm, Tiannan star, bezoar and so on. (2) there are a variety of diseases treated by clinical use of weathering sputum method, mainly used for stroke, epilepsy, vertigo, tremor, children's wind and other diseases. The method of analysis and extinguishing the weathering phlegm was mainly used to treat the meridian syndrome, the liver wind carrying the phlegm obstruction in the phlegm, the wind phlegm stasis syndrome in the recovery period of the stroke, the wind phlegm obstruction syndrome of the epileptic syndrome, the vertigo wind sputum perturbed syndrome, the phlegm heat syndrome of the tremor syndrome, the phlegm heat syndrome of the infantile wind, and so on. Besides, it was commonly used in treatment. Wind phlegm closed the meridian caused by numbness, spasmodic syndrome, wind phlegm to disturb the headache caused by clearing the orifices, wind phlegm blinded by the mind caused by the syncope, epilepsy, madness, and so on. Clinical, when the combination of disease and syndrome, dialectical legislation.
【學(xué)位授予單位】：中國(guó)中醫(yī)科學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R242

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