溫病清熱治法及其臨床應(yīng)用課件

北京中醫(yī)藥薪火傳承3+3工程GAMH路志正名醫(yī)工作室溫病清熱治法及其臨床應(yīng)用中國中醫(yī)科學(xué)院廣安門醫(yī)院劉喜明2019年11月Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL北京中醫(yī)藥薪火傳承3+3工程18GAMH提綱清熱治法的定義溫病清熱法的應(yīng)用臨床舉例Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL82清熱治法的定義GAMH◆清熱法即清法,治療學(xué)術(shù)語,屬于中醫(yī)“八法”之一,使用寒涼藥物以治療熱性疾病心臨床多用于熱性病和臟腑火熱證。冷根據(jù)臨床病證的具體情況,清熱法可單用、亦可與其他治法互相配合使用,以病情需要為原則。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL清熱治法的定義3清熱治法的定義GAMH依據(jù):《素問至真要大論》:“治熱以寒”,“熱者寒之”,“溫者清之”凡由溫、熱、火、暑邪致病而形成里熱證,均以此法治療。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL清熱治法的定義48溫病清熱法的應(yīng)用GAMH清熱法按衛(wèi)氣營血與其他治法相配合辨證清熱解暑1、清衛(wèi)分清熱解表2、清氣分3、清熱解毒3、清營分4、清熱開竅4、清血分5、清熱利濕5.清氣營6、清熱涼血Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL858GAMH(一)按衛(wèi)氣營血辨證

1、清衛(wèi)分2、清氣分心3、清營分4、清血分心5.清氣營Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL868GAMH1、清衛(wèi)分適應(yīng)癥治法心方藥組方特點(diǎn)◆加減禁忌Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL878GAME1、清衛(wèi)分◆適應(yīng)癥:適用于溫?zé)岵?病在衛(wèi)分,表現(xiàn)為發(fā)熱,有汗不暢,微惡風(fēng)寒,口渴咽痛,舌質(zhì)尖紅,苔薄黃,脈浮數(shù)?！糁畏?辛涼解表,清熱解毒◆方藥:銀翹散(《溫病條辨》上焦篇方)即吳鞠通所說的“辛涼平劑Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL88GAMH1、清衛(wèi)分連翹一兩銀花一兩苦桔梗六錢薄荷六錢竹葉四錢生甘草五錢芥穗四錢淡豆豉五錢牛蒡子六錢上為散。每服六錢,鮮葦根湯煎,香氣大出,即取服,勿過煮。肺藥取輕清,過煎則味厚而入中焦矣。病重者,約二時(shí)一服,日三服,夜一服;輕者三時(shí)一服,日二服,夜服;病不解者,作再服。本方重用銀花和連翹,用量達(dá)一兩,其他均為四到六錢Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLGAMH98GAMH1、清衛(wèi)分組方特點(diǎn)◆方中重用銀花、連翹各一兩,乃借其二藥寒涼芳香,既能入肺清熱解毒,又能達(dá)表宣暢氣機(jī)。二者相須為用,既清且透,郁、熱兼顧,以收清熱而不遏氣,透邪而不傷津之效?！羰窃诖箨?duì)辛涼中配以小量(芥穗、豆豉)辛溫之品,使其溫而不燥,其意不在發(fā)汗祛邪,而在于開郁以暢氣機(jī),既利于透邪,又不悖辛涼之旨。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL810溫病清熱治法及其臨床應(yīng)用課件11溫病清熱治法及其臨床應(yīng)用課件12溫病清熱治法及其臨床應(yīng)用課件13溫病清熱治法及其臨床應(yīng)用課件14溫病清熱治法及其臨床應(yīng)用課件15溫病清熱治法及其臨床應(yīng)用課件16溫病清熱治法及其臨床應(yīng)用課件17溫病清熱治法及其臨床應(yīng)用課件18溫病清熱治法及其臨床應(yīng)用課件19溫病清熱治法及其臨床應(yīng)用課件20溫病清熱治法及其臨床應(yīng)用課件21溫病清熱治法及其臨床應(yīng)用課件22溫病清熱治法及其臨床應(yīng)用課件23溫病清熱治法及其臨床應(yīng)用課件24溫病清熱治法及其臨床應(yīng)用課件25溫病清熱治法及其臨床應(yīng)用課件26溫病清熱治法及其臨床應(yīng)用課件27溫病清熱治法及其臨床應(yīng)用課件28溫病清熱治法及其臨床應(yīng)用課件29溫病清熱治法及其臨床應(yīng)用課件30溫病清熱治法及其臨床應(yīng)用課件31溫病清熱治法及其臨床應(yīng)用課件32溫病清熱治法及其臨床應(yīng)用課件33溫病清熱治法及其臨床應(yīng)用課件34溫病清熱治法及其臨床應(yīng)用課件35溫病清熱治法及其臨床應(yīng)用課件36溫病清熱治法及其臨床應(yīng)用課件37溫病清熱治法及其臨床應(yīng)用課件38溫病清熱治法及其臨床應(yīng)用課件39溫病清熱治法及其臨床應(yīng)用課件40溫病清熱治法及其臨床應(yīng)用課件41溫病清熱治法及其臨床應(yīng)用課件42溫病清熱治法及其臨床應(yīng)用課件43溫病清熱治法及其臨床應(yīng)用課件44溫病清熱治法及其臨床應(yīng)用課件45溫病清熱治法及其臨床應(yīng)用課件46溫病清熱治法及其臨床應(yīng)用課件47溫病清熱治法及其臨床應(yīng)用課件48溫病清熱治法及其臨床應(yīng)用課件49溫病清熱治法及其臨床應(yīng)用課件50溫病清熱治法及其臨床應(yīng)用課件51溫病清熱治法及其臨床應(yīng)用課件52溫病清熱治法及其臨床應(yīng)用課件53溫病清熱治法及其臨床應(yīng)用課件54溫病清熱治法及其臨床應(yīng)用課件55溫病清熱治法及其臨床應(yīng)用課件56溫病清熱治法及其臨床應(yīng)用課件57北京中醫(yī)藥薪火傳承3+3工程GAMH路志正名醫(yī)工作室溫病清熱治法及其臨床應(yīng)用中國中醫(yī)科學(xué)院廣安門醫(yī)院劉喜明2019年11月Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL北京中醫(yī)藥薪火傳承3+3工程588GAMH提綱清熱治法的定義溫病清熱法的應(yīng)用臨床舉例Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL859清熱治法的定義GAMH◆清熱法即清法,治療學(xué)術(shù)語,屬于中醫(yī)“八法”之一,使用寒涼藥物以治療熱性疾病心臨床多用于熱性病和臟腑火熱證。冷根據(jù)臨床病證的具體情況,清熱法可單用、亦可與其他治法互相配合使用,以病情需要為原則。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL清熱治法的定義60清熱治法的定義GAMH依據(jù):《素問至真要大論》:“治熱以寒”,“熱者寒之”,“溫者清之”凡由溫、熱、火、暑邪致病而形成里熱證,均以此法治療。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL清熱治法的定義618溫病清熱法的應(yīng)用GAMH清熱法按衛(wèi)氣營血與其他治法相配合辨證清熱解暑1、清衛(wèi)分清熱解表2、清氣分3、清熱解毒3、清營分4、清熱開竅4、清血分5、清熱利濕5.清氣營6、清熱涼血Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL8628GAMH(一)按衛(wèi)氣營血辨證

1、清衛(wèi)分2、清氣分心3、清營分4、清血分心5.清氣營Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL8638GAMH1、清衛(wèi)分適應(yīng)癥治法心方藥組方特點(diǎn)◆加減禁忌Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL8648GAME1、清衛(wèi)分◆適應(yīng)癥:適用于溫?zé)岵?病在衛(wèi)分,表現(xiàn)為發(fā)熱,有汗不暢,微惡風(fēng)寒,口渴咽痛,舌質(zhì)尖紅,苔薄黃,脈浮數(shù)?！糁畏?辛涼解表,清熱解毒◆方藥:銀翹散(《溫病條辨》上焦篇方)即吳鞠通所說的“辛涼平劑Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL865GAMH1、清衛(wèi)分連翹一兩銀花一兩苦桔梗六錢薄荷六錢竹葉四錢生甘草五錢芥穗四錢淡豆豉五錢牛蒡子六錢上為散。每服六錢,鮮葦根湯煎,香氣大出,即取服,勿過煮。肺藥取輕清,過煎則味厚而入中焦矣。病重者,約二時(shí)一服,日三服,夜一服;輕者三時(shí)一服,日二服,夜服;病不解者,作再服。本方重用銀花和連翹,用量達(dá)一兩,其他均為四到六錢Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLGAMH668GAMH1、清衛(wèi)分組方特點(diǎn)◆方中重用銀花、連翹各一兩,乃借其二藥寒涼芳香,既能入肺清熱解毒,又能達(dá)表宣暢氣機(jī)。二者相須為用,既清且透,郁、熱兼顧,以收清熱而不遏氣,透邪而不傷津之效?！羰窃诖箨?duì)辛涼中配以小量(芥穗、豆豉)辛溫之品,使其溫而不燥,其意不在發(fā)汗祛邪,而在于開郁以暢氣機(jī),既利于透邪,又不悖辛涼之旨。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL867溫病清熱治法及其臨床應(yīng)用課件68溫病清熱治法及其臨床應(yīng)用課件69溫病清熱治法及其臨床應(yīng)用課件70溫病清熱治法及其臨床應(yīng)用課件71溫病清熱治法及其臨床應(yīng)用課件72溫病清熱治法及其臨床應(yīng)用課件73溫病清熱治法及其臨床應(yīng)用課件74溫病清熱治法及其臨床應(yīng)用課件75溫病清熱治法及其臨床應(yīng)用課件76溫病清熱治法及其臨床應(yīng)用課件77溫