ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-04-001 中医学研究 2025, (04)

基于 13 例治验分析的经方治疗寒热错杂证的临床实践观察、运用与理论探析

河北燕郊二三医院

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摘要

寒热错杂证作为中医临床常见的复杂证候,以寒热症状并见为特征,其病机为阴阳失调、邪正相争及脏腑功能紊乱。本文系统梳理了黄连汤、半夏泻心汤、乌梅丸用于治疗寒热错杂证的经典方剂,并结合 13 例临床案例,深入剖析了黄连汤、半夏泻心汤、乌梅丸在临床运用中的思路与成效。临床结果显示,通过经方的寒热并用、调和阴阳的组方方法,在改善睡眠障碍、胃肠功能紊乱以及内分泌失调等方面疗效卓著,为寒热错杂证的临床辨证治疗筑牢了理论根基,提供了切实可行的实践范例。

Abstract

Mixed cold-heat syndrome, a common complex syndrome in clinical traditional Chinese medicine practice, is characterized by the co-occurrence of cold and heat symptoms. Its pathogenesis involves the imbalance of yin and yang, the struggle between pathogenic factors and healthy qi, and the dysfunction of zangfu organs. This paper systematically reviews the classical prescriptions such as Huanglian Decoction, Banxia Xiexin Decoction, and Wumei Pill for the treatment of mixed cold-heat syndrome, and combines with 13 clinical cases, deeply analyzes the ideas and effectiveness of Huanglian Decoction, Banxia Xiexin Decoction, and Wumei Pill in clinical application. The results showed that by using the method of cold and heat and harmonizing yin and yang in the prescription of classical prescriptions, the curative effects of improving sleep disorders, gastrointestinal dysfunction, and endocrine disorders were remarkable, which has solidified a theoretical foundation for the clinical differentiation and treatment of mixed cold-heat syndrome, and provided feasible examples for clinical practice.

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[1]方金良.基于 13 例治验分析的经方治疗寒热错杂证的临床实践观察、运用与理论探析[J],2025,01(04):.