发表日期
2006-08-17
治疗内科病症之7(英汉对照)——哮喘Aathma
来源:内科病症之7 编辑:戈泉 阅读:
1. Excess Type (实证)
:: 风寒 Wind-Cold ::
主症
哮喘而咳痰,痰液清稀,兼恶寒发热,头痛,无汗,口不渴,舌苔白,脉浮紧。
Main Manifestations
Cough with thin sputum, accompanied by aversion to cold and fever, headache, without sweat, absence of thirst, white tongue coating, floating and tense pulse.
治法
取督脉,手太阴,手阳明经穴为主。毫针刺用泻法,并可用灸法,以解表散寒,宣肺平喘。
Treatment
The point of Governor Vessel, Lung Meridian and Large Intestine Meridian are selected as the principal points. Filiform needles are applied with reducing manipulation in combination with moxibustion to eliminate wind cold, relieve symptom, disperse the lung-Qi and soothe asthma.
处方
大椎 合谷 列缺 肺俞 风门
Prescription
Dazhui(GV 14), Hegu(LI 14), Lieque(LU 7), Feishu(BL 13), Fengmen (BL 12).
:: 痰热 Phlegm-Heat Type ::
主症
哮喘声高气粗,胸闷烦热,口干,咳吐黄痰,舌苔黄厚而腻,脉滑数。
Main Manifestations
Rapid and short breathing, coarse voice, chest stuffiness, dry mouth, cough with thick yellow sputum, thick yellow or sticky coating, rolling and rapid pulse.
治法
取手太阴,足阳明经穴为主。毫针刺用泻法,以清化痰热,宣肺定喘。
Treatment
The points of Lung and Stomach Meridians are selected as the principal points with reducing manipulation to resolve phlegm, reduce heat, disperse the lung-Qi and soothe asthma.
处方
鱼际 尺泽 定喘 丰隆
Prescription
Yuji(LU10), Chize (LU 5), Dingchuan (EX-B1), Fenglong(ST 40)
2. Deficiency Type (虚证)
:: 肺虚 Lung Deficiency ::
主症
喘促气短,语言无力,咳声低弱,自汗,舌质淡,脉虚弱。
Main Manifestations
short and rapid breathing, feeble voice, weak and low sound of coughing, sweating on exertion, pale tongue, pulse of deficiency type.
治法
取手太阴,足阳明经穴为主。毫针刺,用补法,酌用灸法,以补肺定喘。
Treatment
The points of Lung and Stomach Meridians are selected as the principal points with reinforcing method applied to strengthen the lung-Qi, and soothe asthma, moxibustion is also advisable.
处方
肺俞 中府 太渊 太白 足三里
Prescription
Feishu(BL 13), Zhongfu (LU 1), Taiyuan(LU 9), Taibai (SP3), Zusanli (ST 36)
:: 肾虚 Kidney Deficiency ::
主症
喘促日久,动则喘甚,张口抬肩,气不接续,神疲体倦,汗出肢冷,舌质淡,脉沉细。
Main Manifestations
Dispend on exertion after long-standing asthma, severe wheezing, short breath, lassitude and weakness, sweating, cold limbs, pale tongue, deep and thready pulse.
治法
取足少阴、任脉经穴为主。毫针用补法,酌用灸法,以补肾纳气定喘。
Treatment
The points of kidney Meridian and Conception Vessel are selected as the principal points with reinforcing manipulation to strengthen the kidney function in receiving Qi and soothe asthma. Moxibustion is also advisable.
处方
肾俞 太溪 肺俞 膏育俞 膻中 关元 脾俞 中脘
Prescription
Sheeshu(BL 23), Taixi(KI 3), Feishu(BL 13), Gaohuang(BL 43), Shanzhong(CV 17), Guanyuan(BL 26), Pishu(BL 20), Zhongwan (CV 12), Guan yuan(CV 4).
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