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1、中中风历节病篇病篇 本篇论述中风与历节病的辨证论治。 由于这两种病都属于广义风病的范畴，故合为一篇讨论。中风历节病篇中风是以口眼喎斜、语言不利、半身不遂，甚或突然昏倒，不省人事为主要表现的疾病，多因正气亏虚，偶受外邪诱发致病。历节是以疼痛遍历关节，痛势剧烈，日久可致骨节变形为主要临床表现的疾病。除正气亏虚为发病条件外，尚与感受风邪有较密切关系。中风历节病篇一、中风成因与辨证脉证与鉴别中风历节病篇 原文 寸口脉浮而紧，紧则为寒，浮则为虚；寒虚相搏，邪在皮肤；浮者血虚，络脉空虚；贼邪不泻，或左或右；邪气反缓，正气引邪，喎僻不遂。邪在于络，肌肤不仁；邪在于经，即重不胜；邪入于腑，即不识人；邪入于脏，
2、舌即难言，口吐涎。（2） 中风历节病篇 提要 本条论述中风的病因、病机和脉证病因：正气不足，又外感风寒 病机：病邪痹阻经络 症状：邪气痹阻络脉则见肌肤不仁；邪气痹阻经脉则见肢体沉重，半身不遂；邪气内陷于腑则见昏迷不省人事；邪气内陷于脏，又增语言不利，口吐涎水等症。 中风历节病篇 原文 夫风之为病，当半身不遂，或但臂不遂者，此为痹。脉微而数，中风使然。（1）中风历节病篇 提要 本条论述中风病的脉证及中风与痹症的鉴别。病因：气血不足，外感风邪 脉证：半身不遂，脉微而数 中风与痹证的鉴别：中风为半身不遂，痹证为但臂不遂（某一侧肢臂不遂）中风历节病篇二、历节病因、病机证治 中风历节病篇 原文 寸口脉沉
3、而弱，沉即主骨，弱即主筋，沉即为肾，弱即为肝。汗出入水中，如水伤心，历节黄汗出，故曰历节。（4）中风历节病篇提要 本条论述的历节病机病机：肝肾不足，寒湿内侵，痹阻关节中风历节病篇 原文 少阴脉浮而弱，弱则血不足，浮则为风，风血相搏，即疼痛如掣 。（6）中风历节病篇提要 本条论述历节的病机病机：阴血不足，外感风邪，痹阻关节中风历节病篇原文 盛人脉涩小，短气，自汗出，历节痛，不可屈伸，此皆饮酒汗出当风所致。（7）中风历节病篇提要 本条论述历节的病机病机：阳虚湿盛，外感风邪，痹阻关节中风历节病篇 原文 诸肢节疼痛，身体魁羸，脚肿如脱，头眩短气，温温欲吐，桂枝芍药知母汤主之。（8）中风历节病篇提要 本
4、条论述风湿历节的证治。病机：风湿痹阻关节，日久化热伤阴 症状：遍历关节疼痛、足部肿大、身体消瘦、头眩、短气、恶心呕吐 治则：祛风除湿，滋阴清热 方剂：桂枝芍药知母汤（桂枝、芍药、甘草、麻黄、生姜、白术、知母、防风、附子） 中风历节病篇 原文 病历节不可屈伸，疼痛，乌头汤主之。（10）中风历节病篇提要 本条论述寒湿历节的证治病机：寒湿痹阻关节，经脉气血不畅 症状：关节剧烈疼痛，不能屈伸 治则：温经祛寒，除湿止痛 方剂：乌头汤（麻黄、芍药、黄芪、甘草、川乌） 中风历节病篇桂枝芍药知母汤证与乌头汤证鉴别中风历节病篇中风历节病篇中风历节病小结中风历节病篇中风历节病篇中风历节病篇复习思考题何谓中风？其病
5、因病机及主症是什么？ 中风在络在经、入腑入脏有何不同表现？四者有何内在联系？ 桂枝芍药知母汤与乌头汤同治历节，二者有何异同？中风历节病篇aJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x
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18、*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D2A-x*t$qZnVkShPdMa3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7
19、F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYm
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