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外感发热,为何用医圣之经方却不效?在反复的实践和思考 中,金元四大家应运而生
首先是刘完素认为,当时的运气和 东汉时代的运气已不同,所以“古方今病不相能”,这些外感 发热感受的虽然是风寒,用麻桂治不好的原因是“六气皆从火 化” 了, 출장 ,在这一理论指导下,他 就创用了表里双解散和凉膈散等名方来治疗外感发热,这些方 子多是麻桂等辛温解表药再加上淸热汚火药物组成,这些凉药 制约了麻桂的温性,所以对许多发热的病人还是有效的,刘完 素也就被推崇为寒凉派的代表人物,很自然地成为了金元叫大 家的第一家.金元因大家为何会首出寒凉派? 출장샵 出现发明“阳常有余阴常不足”论点的滋阴派朱丹溪?这些问 题都值得我们思考。滋阴也好,寒凉也好.虽然从客观上是对 当时过用温燥药物和多服用丹石的补偏救弊,但就治疗外感病 来说,这个时期仍然没有人敢质疑六经辨证可以统用于外感热 病的正确性,所以这些发展还只能是景变而不是质变^
明代医家吴有性著有《温疫论》,提出外感致病邪气除风、 寒、異、湿1燥、火这六淫外.还有一种“疫疬之气' 这才 第一次从理论上真正实现了质变——因为感受的邪气变r,所 以也就不能再套用伤寒麻桂诸方了。 출장 《素 问•热论篇》“今夫伤寒者,皆热病之类也”为据,认为仲景 治的是包括六淫在内的所有外感热病,所以也从来没有怀疑过 用六经辩证治疗温病的正确性.
출장샵 ,从师17人,从长期的临 床实践中观察到,温病与伤寒致病邪气不同,入侵途径不同, 传变规律也不一样,虽然都是由表入里,但伤寒按六经传变, 温病按卫气营血传变,所著《温热论》虽仅万苕,却提出来了 温病十二字纲领:“温邪上受,首先犯肺,逆传心包”(其临床
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