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</div>  <div id="bnym7ac" class="news_con"> <div id="ym30izi" class="jxbox clearfix"> <p style="TEXT-INDENT: 2em"><strong>論婦人溫病 </strong></p> <p style="TEXT-INDENT: 2em">再婦人病溫與男子同，但多胎前產(chǎn)后，以及經(jīng)水適來適斷。大凡胎前病，古人皆以四物加減用之，謂恐邪來害妊也。如熱極者，有用井底泥及藍布浸冷覆蓋腹上等，皆是護胎之意。然亦須看其邪之可解而用之。如血膩之藥不靈，又當(dāng)審察，不可固執(zhí)，仍宜步步保護胎元，恐正損邪陷也。 </p> <p style="TEXT-INDENT: 2em">至于產(chǎn)后，方書謂慎用苦寒，恐傷已亡之陰也。然亦要辨其邪能從上中解者，稍從癥用之，亦無妨也。醫(yī)學(xué)教育網(wǎng)|搜索整理 </p> <p style="TEXT-INDENT: 2em">不過勿犯下焦，且屬虛體，當(dāng)如虛怯人病邪而治醫(yī)學(xué)教育網(wǎng)|搜索整理。況產(chǎn)后當(dāng)血氣沸騰之際，最多空竇，邪必乘虛內(nèi)陷，虛處受邪，為難治也。 </p> <p style="TEXT-INDENT: 2em">如經(jīng)水適來適斷，邪將陷于血室，少陽傷寒，言之詳悉，不必多贅。但數(shù)動與正傷寒不同。仲景立小柴胡湯提出所陷熱邪，參、棗以扶胃氣，因沖脈隸屬陽明也。此惟虛者為合治。若熱邪陷入，與血相結(jié)者，當(dāng)宗陶氏小柴胡湯去參、棗加生地、桃仁、楂肉、丹皮或犀角等。若本經(jīng)血結(jié)自甚，必少腹?jié)M痛，輕者刺期門，重者小柴胡湯去甘藥加延胡、歸尾、桃仁；挾寒加肉桂心；氣滯加香附、陳皮、枳殼等。然熱陷血室之癥，多有譫語，如狂之象，與陽明胃熱相似。此種病機，最須辨別。血結(jié)者身體必重，非若陽明之輕便者。何以故耶？陰主重濁，絡(luò)脈被阻，身之側(cè)旁氣痹，連及胸背，皆為阻窒。故去邪通絡(luò)，正合其病。往往延久，上逆心包，胸中痹痛，即陶氏所謂血結(jié)胸也。王海藏出一桂枝紅花湯加海蛤、桃仁，原欲表里上下一齊盡解之理，此方大有巧妙焉。</p> </div> </div>  <div style="margin-bottom:10px;"> <p align="center"> <img src="/upload/resources/image/2024/11/05/820258.jpg" alt="醫(yī)師資格考試公眾號" border="0"> </p> </div>    <div id="qvnaikt" class="share new-share clearfix"> <div id="qd3c7sc" class="info-share-new fl"> <div id="ilf4yzn" class="snltxt fl">分享到：</div> <div id="6wthfyv" class="fl" id="share-2020" data-sites="wechat, qzone, weibo, qq"></div> </div> <div id="c4kzjih" class="jc fr"></div> </div>  <div id="z9j21uo" class="xgzx clearfix"> <div id="imo9klt" class="consult clearfix"> <div id="8qrypra" class="tit"><div 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