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气反,是指上下内外之病气相反。《素问·五常政大论》说:“气反者,病在上,取之下;病在下,取之上;病在中,傍取之。”笔者运用这一理论指导实践,确有效验。现举例报道于下: (一)表病里治。陈某,女性,21岁,学生。因肤疹瘙痒月余,初伴恶寒咳嗽,亟服西药抗过敏类,罔效,迩来寒去疹痒更甚,且见口渴烦躁,腹满便秘,苔黄脉实。于1978年暮春下旬求中药首诊,余诊为风热袭表,邪热壅肺。立疏风清热法,予消风散加减。药用荆芥防风蝉蜕牛子知母生地石膏甘草,2剂尽,效不应,且疹蔓遍身,瘙痒无度。再诊时余细稽,见口渴烦躁,咳嗽、腹满便秘,苔黄厚燥,脉沉实。揆肺外合皮毛,内与大肠相表里,此为风热袭表,己化热入里,而传入大肠,至肺气不宣,肠气不利。谛为手太阴肺与大肠同病也,若治不攻下大肠邪热,肺热无途可去,宣降之机不得利,
The antagonism is the opposite of illness from the inside and the outside. “Su Wen’s five-term political theory,” said: “The person who is angry is sick, and he is sick; he is sick; he is sick; he is sick; he is in the midst of the disease.” The author used this theory to guide the practice, and it was effectively tested. . Examples are reported below: (a) Treatment of epidemic diseases. Chen, female, 21 years old, student. More than a month due to skin rash and itching, initially accompanied by aversion to cold and coughing, to take Western medicine anti-allergic class, phlegm, even worse, itching chills, and see thirst irritability, abdominal full constipation, moss yellow pulse. In the late spring of 1978, he sought the first diagnosis of traditional Chinese medicine. Li Shufeng heat method, to eliminate wind dispersion. Medicinal Nepeta wind yak alfalfa Zhimao habitat of gypsum licorice, 2 to do, the effect should not, and rash spread over the body, itching inadequacy. At the time of the re-diagnosis, Yu Xiujie, see thirsty irritability, cough, constipation full of abdomen, thick yellow moss, heavy pulse. The outer surface of the phlegm and the outer surface of the intestine is the outer surface of the skin, which is the surface of the intestine. This is the form of the wind-heat attack. It has entered the intestine and enters the large intestine. As a result, the lungs and the large intestine of the hands are the same disease. If the rule does not attack the evil heat of the large intestine, the lung fever will have no way to go.