张仲景为湿病、痰饮、水气病确立的共同治疗法则:宣通阳气,恢复三焦气化。在具体的方药应用上,则存在以下共同点:麻黄、桂枝等入肺宣通上焦,白术、甘草、生姜等入脾胃温运中焦,附子等入肾振奋下焦。湿病、痰饮、水气病之间存在紧密的动态联系,层层递进,不断发展:从主论外湿的湿病,到水液停聚于体内局部的痰饮病,再到水液泛溢于周身的水气病,由外到内,由轻到重,呈现动态的发展规律。痰饮病实为联系湿病与水气病的枢纽所在,因本篇的治法方药论述最为详实完整,而湿病与水气病的论述则有省略之处,而这些省略之处皆可在"痰饮病篇"找到相应内容,如治疗内湿可用五苓散,水气病之下法可用十枣汤、己椒苈黄丸等。"痰饮病"详实完整的论述正是其沟通联系湿病与水气病的坚实基础所在。因此,三病虽然分篇论述,但可前后合参,将湿病、痰饮病、水气病作为一整体来学习,将对津液代谢障碍类疾病的治疗起到一定的指导作用。
ZHANG Zhong-jing establishes tile eonmtion principle of treating damp syndrome,phlegmatic retention and water qi disea- ses is activating yang qi and regenerating qi transbnnation of the triple energizer. In terms of exact drug use in a prescription,there are the following generalities:Mahuang ( Herba Ephedrae) and Guizhi ( Ramulus Cinnamomi) are used to enter the lung to unbck the upper energizer; Baizhu ( Rhizoma Atractylodis Maerocephalae ), Ganeao ( Radix et Rhizoma Glycyrrhizae ) and Shengiiang (Rhizoma Zingiberis Recens) are used to enter the spleen and stomach to warm the middle energizer; Fuzi (Radix Aconiti Lateralis Praeparata) is used to enter the kidney to activate the lower energizer. The is a close dynamic relationship between damp syn- drome, phlegmatic retention and water qi diseases,which is continuously developing: From damp syndrome to phlegmatic retention and to water qi diseases, its dynamic developing law is from exterior to interior,from light to heavy. Phlegmatic retention is in fact the hub connecting damp syndrome and water qi diseases. In this part,Zhang Zhong-jing gives a more detailed description of prescrip- tions and thug-use than that of damp sldrome and water qi diseases which can be found in the content on phlegmatic retention. For example,Five Substances Powder with Poria can be used to treat internal dampness. "Fen Jujubes Decoction and Jijiao Lihuang Pill (JJLHP) can be used to treat water qi diseases. The complete and detailed deseription of phlegmatic retention is the strong founda- lion connecting damp syndrome and water qi diseases. So, the 'above three diseased are stated respectively, but they can be learnt as a whole,which will provide guidance for treating diseases due to disturbance of body fluid metabolism.