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《金匮·消渴小便不利淋病脉证并治第十三》载:“淋家不可发汗,发汗则必便血。”“淋家”当指久患淋病之人。其证常见为欲尿而不能出,胀急痛甚,不欲尿而点滴淋漓,亦可概括为小便急、迫、短、数、涩、痛等特征,是临床常见病证之一。本节原文叙证简单,但言及禁汗及汗后之变证,未出具体方治,故后世部分医家疑有脱漏。笔者细究其旨,旁参现代临床之成就,并结合个人的实践体会,觉得文辞虽简,却意义非浅,足资医者引以为戒。
“Jinyi Diabetes urination is not conducive to gonorrhoea syndrome and rule thirteenth” contains: “flood can not be sweating, sweating will be blood in the stool.” “Ningjia” when referring to people suffering from gonorrhea. The card is usually for urine and can not be out, swelling and acute pain, do not want urine and dripping, can also be summarized as urgency, urge, short, number, astringent, pain and other characteristics, is one of the common clinical syndromes. This section of the original text of the simple explanation, but the words and ban on sweating and post-sweat change, no specific treatment, so some later doctors suspected leakage. The author meticulously studies its purpose, studies the achievements of modern clinics, and combines individual experience with practice. She feels that although the texts are simple, they are of great significance.