圆园23年9月第47卷第5期山东中医药大学学报音论著音理论与方法研究叶黄帝内经曳野胆瘅冶探析孟祥丽袁郭松伟袁王禹清袁许志超袁张庆祥渊山东中医药大学袁山东济南250355冤咱摘要暂梳理叶黄帝内经曳中关于野瘅冶的论述及古代医家的阐释袁认为叶黄帝内经曳中野瘅冶总不离野劳冶野热冶野黄冶三义遥分析胆瘅内涵袁认为原文胆瘅是多虑劳胆致胆气郁而化热所出现的以口苦为主要临床表现的病证袁后世分别从脏腑气血津液辨证尧经络辨证及六经辨证等角度予以解读发挥遥其治疗宜调整阴阳尧疏胆降浊曰针刺治疗实证宜选阳陵泉袁虚郁宜选胆之募俞曰药物治疗单药常选柴胡尧兰叶渊佩兰冤袁复方常选刘完素之益胆汤和罗天益之龙胆泻肝汤遥咱关键词暂胆瘅曰口苦曰劳曰热曰黄曰叶黄帝内经曳曰益胆汤曰龙胆泻肝汤咱中图分类号暂R221咱文献标志码暂A咱文章编号暂1007-659X渊2023冤05-0560-06DOI院10.16294/j.cnki.1007-659x.2023.05.004Analysisof野Dandan冶inHuangdi爷sCanonofInternalMedicineMENGXiangli袁GUOSongwei袁WANGYuqing袁XUZhichao袁ZHANGQingxiang渊ShandongUniversityofTraditionalChineseMedicine袁Jinan250355袁China冤AbstractByreviewingtheanalysisof野Dan冶intheHuangdi爷sCanonofInternalMedicineandtheinter鄄pretationsofancientphysicians袁itisbelievedthatthe野Dan冶intheHuangdi爷sCanonofInternalMedicinealwaysreferstothreemeanings院野overstrain冶野heat冶and野jaundice冶.AnalyzingtheconnotationofDandan袁itisbelievedintheoriginaltextthatDandanreferstoadiseasecharacterizedbybittertasteinmouthcausedbyexcessiveanxietystraininggallbladder袁gallbladderdepressiontransformingintoheat袁whichwasinterpretedanddevelopedinlatergenerationsfromtheperspectivesofsyndromedifferentiationbasedonzangfu-organs袁qi袁blood袁bodyfluids袁meridians袁andsixmeridians.Thetreatmentshouldregulateyinandyang袁soothegallbladderandreduceturbidity.AcupuncturetreatmentforexcesssyndromeshouldchooseYanglingquan渊GB34冤袁andfordeficiencyandde鄄pressionsyndromeshouldchoosetheMuandShuacupointsofthegallbladdermeridian.Chaihu渊Bu鄄pleuriRadix冤andLanye渊EupatoriiHerba冤arecommonlyusedinthemedication袁whilethemostcommonlyusedcompoundformulasareLIUWan鄄su爷sYidanDecoction渊益胆汤冤andLUOTianyi爷sLongdanXie...
