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cong shang han lun xue xi qi gao zhe yin er jie zhi de ti hui
Author(s): 
Pages: 434-435
Year: Issue:  5
Journal: Journal of Liaoning College of Traditional Chinese

Keyword:  上病下治引而竭之高而越之病位病机吐法;
Abstract: 1“其高者引而竭之”含义《素问·阴阳应象大论篇》中有“……其高者,因而越之,其下者,引而竭之……”。吴注:“高,胸之上也,越之,吐之也”;“下,脐之下也,或利其小便,或通其大便,皆引而竭之。竭,尽也”。《类经》释:“越,发扬也。谓升散之,吐涌之,可以治其上之表里也。……竭,祛除也。谓涤荡之,疏利之,可以治其下之前后也。”即病位在胸之上者,可用涌吐升散法向上泄越邪气,病位在脐以下的,引导邪气从前后二阴而出。如,张仲景用瓜蒂散治疗“……胸中痞硬,气上冲喉咽,不得息者,此为胸有寒当吐之,宜瓜蒂散”,即是体现了在“高以越之”;应用大承气汤治疗便秘腹痛绕脐的阳明腑实证、五苓散治疗小便不利的太阳蓄水证则
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