第39卷第3期2023年3月长春中医药大学学报JournalofChangchunUniversityofChineseMedicineVol.39No.3Mar.2023—252—DOI:10.13463/j.cnki.cczyy.2023.03.005《金匮要略》虚劳辨治纲要补遗王桂彬1，曹于2*，庞博1（1.中国中医科学院广安门医院，北京100053；2.中国中西医结合医院，北京100038）摘要：《金匮要略》虚劳一证，历来诸多医家对在经旨原意基础之上多有发挥，将虚劳之证归为内伤诸症末节，从气虚、血虚、阴虚、阳虚（或阴阳两虚）分类概括，或与虚、怯、劳、瘵混而谈之，然临床所见诸多虚劳病证，虚实皆现，混而难辨，教材所示五脏气血阴阳各设独立之病证、方药，亦难以随手择取效验于临床。通过对经旨中有关虚劳理论进行梳理与归纳，指出虚劳之治，当以补虚为要，权以调中复衡;气血为辨，施以祛风逐瘀；温养为要，勿忘育阴化气；补虚为基，应遵缓中图治；营卫为法，守机观变达权。并借此管窥仲师血痹虚劳经旨心法所在，以期更好地指导并应验于临床。关键词：虚劳；病机；辨治；思维中图分类号：R222文献标志码：A文章编号：2095-6258(2023)03-0252-04SupplementtothesyndromedifferentiationandtreatmentoftheconsumptiveSupplementtothesyndromedifferentiationandtreatmentoftheconsumptivesyndromesinsyndromesinSynopsisoftheGoldenChamberSynopsisoftheGoldenChamberWANGGuibin1,CAOYu2*,PANGBo1(1.Guang'anmenHospital,ChinaAcademyofChineseMedicalSciences,Beijing100053,China;2.ChineseHospitalofIntegratedTraditionalandWesternMedicine,Beijing100038,China)Abstract:Abstract:AnumberofdoctorsofdifferentgenerationshaveexploredtheconsumptivesyndromesrecordedintheSynopsisoftheGoldenChamberbyZhangZhongjingonthebasisofitsoriginaldenotation,categorizingitasthelastofinternalinjuries,generalizingitintothecategoriesofqideficiency,blooddeficiency,yindeficiency,yangdeficiency(ordeficiencyofbothyinandyang),ormixingitwithdeficiency,timidity,fatigueandphthisis.However,inclinicalpractice,manyconsumptivesyndromesaremanifestedasasyndromeofintermingleddeficiencyandexcess,whicharedifficulttodistinguish.Textbooksarrangeconsumptivesyndromesbylistingthemasindependentsyndromesunderthedifferentsub-headingsofthefiveviscera,qi,blood,yinandyangandofferingvaryingprescriptionsforthem,wh...
