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双语推荐：金匮

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异病同治是后人根据《黄帝内经》中的“同病异治”的精神和临床治疗的实际情况而提出的，在《金匮要略》一书中，仲景虽未明言此法，然在《金匮要略》的条文中却体现得淋漓尽致。笔者现不揣浅陋，对《金匮要略》中的常用方，如防己黄芪汤、赤小豆当归散、大承气汤、肾气丸等，进行分析归纳。
Treating different diseases with the same prescription is proposed by later generations according to the idea of “treating the same disease with different methods”in Essentials of Internal Classic and clinical experience.Though the great Zhang zhongjin did not clearly bring out the method in “Synopsis of Golden Chamber”,but it was embodied most incisive.The author makes some analysis on the commonly used prescriptions of “Synopsis of Golden Chamber”including the Fangji Huangqi decoction,red adzuki beans angelica powder,Dachengqi Decoction,Shenqi pill.

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＂治未病＂理论在《黄帝内经》和《难经》中均被作为预防原则,而该理论在《金匮要略》中则经历了从预防意义进一步被发展为治疗原则并成为该著作重要的诊治体系的过程。应用原著中明确提出的方法对原文进行分析研究,其结论无疑更客观、可靠。《金匮要略》中虚劳病与现代中医内科中虚劳的含义有所不同。文章以仲景＂治未病＂理论试分析《金匮要略》中虚劳病的原文思考及诊治步骤疾病思路,以期扩展对《金匮要略》原文的理解方法,丰富现代辨证论治体系的内容。
The theory of “preventive treatment of disease”is regarded as a kind of precautionary principle in Neijing and Nanjing,and it is inherited and extended in Jingui Yaolue to be a kind of system of disease diagnosis and treatment.It is more objective and reliable ap-plying the clear method to analyze the diagnosis,the treatment ideas and steps in original.The meaning of consumptive disease described in Jingui is diffident from what the modern Chinese medicine explains.This paper analyzes the original contents in Jingui and seeks for diagnosis and treatment thoughts using the theory of “preventive treatment of disease”so as to expand the understanding of original con-tents in Jingui and to enrich the modern system of diagnosis and treatment of the disease.

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东汉张仲景的《金匮要略》是中医经典古籍之一,二十二篇中涉及40多种疾病,对湿热的论述贯穿于各篇中。本文归纳总结了《金匮要略》中与湿热相关的条文,探讨了湿热的病因病机、辨证论治和预防原则。
Jingui Yao Lue written by ZHANG Zhong-jing is one of the most classic ancient books of traditional Chinese medicine.There’ re 40 kinds of diseases in it and the discussion about damp-heat runs through the book.This paper summarizes the articles associated with damp-heat and investigates the etiology and pathogenesis, syndrome differentia-tion and treatment and precautionary principle.

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《金匮要略》是我国现存最早的一部诊治杂病的专著,是仲景创造辨证理论的代表作。该书简明扼要,首创以病为纲、病证结合、辨证论治的杂病诊疗体系,为临床诊治提供思路。现就《金匮要略》黄疸病篇条文1、条文2、条文8提出笔者自己的理解,供学者参考。
The Synopsis of Golden Chamber , Zhang Zhongjing′s masterpiece of dialectical theory , is the earliest monograph on diagnosis and treatment of diseases in China .Being concise , the book is the first to establish the system of combination of disease and syndrome , syndrome differentiation and treatment of the diseases diagnosis and treatment , providing ideas for clinical diagnosis and treatment .This paper provides the author′s interpretation on Jaundice Article 1, 2, and 8 in The Synopsis of Golden Chamber , hoping to serve as refer-ence for scholars .

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现存《金匮要略》版本中,最重要的莫过于“元·邓珍版”和“明·吴迁写本”.“元·邓珍版”《金匮要略》是赵万里、常芝英等前辈发现的,在收藏于北京大学图书馆之前由李盛铎父子收藏.沈津在《书城挹翠录》一书,以较大篇幅对“明·吴迁写本”做了较为详细的题录,可以断定“明·吴迁写本”的发现者为沈津,发现时间不会晚于1996年.应该重视版本学家的研究成果,赵万里、常芝英、沈津等前辈在《金匮要略》两种善本的底本发现和版本判定方面的功绩不容抹杀.
Among the existing versions of Jin gui yao lue (Synopsis of Prescriptions of the Golden Chamber),Deng Zhen''s version in the Yuan Dynasty and Wu Qian''s version in the Ming Dynasty are the most important ones.Deng Zhen''s version is found by Zhao Wan-li,Chang Zhi-ying et al.Before it was collected at the Library of Peking Beijing University,this version was preserved by Li Sheng-duo and his son.Since there is a rather detailed topic dissertation on Wu Qian''s version in Shen Jin''s Shu cheng yi cui lu (Records of Collecting Essentials of Book City),it can be sure that the Wu Qian''s version of the Ming Dynasty was found by Shen Jin no later than 1996.The merits of Zhao Wan-li,Chang Zhi-ying and Shen Jin in the discovery of the two rare versions are not to be ignored.

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目的：观察金匮肾气丸加味配合中药外敷治疗复发性口腔溃疡的的临床疗效。方法：将复发性口腔溃疡患者90例随机分为治疗组和对照组各45例,对照组采用常规西药治疗,治疗组采用金匮肾气丸加味配合中药外敷治疗,2个月后观察2组疗效。结果：与对照组比较,治疗组口腔溃疡愈合时间短,复发次数少,复发间隔时间长;总有效率治疗组为88.89%,对照组为66.67%,2组比较差异有统计学意义（P〈0.05）。结论：金匮肾气丸加味配合中药外敷治疗复发性口腔溃疡能够缩短口腔溃疡愈合时间,减少复发率,疗效确切。
Objective:To observe curative effects of modified JinGui ShenQi pill and herbs for external use in treating recurrent oral ulcer. Methods: Ninety patients were randomized into the treatment group and the control group, the control group received routine treatment of western medicine, the treatment group were treated by modified JinGui ShenQi pill and herbs for external use, curative effects of both groups were observed in two months. Results:Compared with the control group, the healing time of oral ulcer in the treatment group was short, relapse times were reduced, and the interval of relapse was long. Total effective rate of the treatment group was 88.89%, higher than 66.67%of the control group, the difference showed statistical meaning (P<0.05). Conclusion:Modified JinGui ShenQi pill and herbs for external use in treating recurrent oral ulcer could shorten the healing time of oral ul-cer, reduce relapse rate with definite effects.

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痹病是一种临床常见病，现代医学中的自身免疫性疾病、骨关节疾病均属于痹病，其发病率高、病程长、致残率高，属于疑难性疾病。本文从《金匮要略》中的“治未病”思想入手，结合痹病的病因病机，探讨《金匮要略》“治未病”思想在痹病康复治疗中的运用，为发挥中医优势，降低痹病的发病率、致残率，提高患者生活质量提供理论指导。
Bi-syndrome is a common disease in clinic, autoimmune diseases and bone joint diseases in modern medicine are part of Bi-syndrome. It''s a difficult disease which has high morbidity, high disability and long course of disease. From the spirit of“prevention of diseases”in“Synopsis of Golden Chamber”, this article would discuss the application of“prevention of diseases”in treatment of Bi-syndrome, to develop the advantages of TCM nursing, thereby reduce the incidence and recurrence of Bi-syndrome, and improve the quality of life of patients.

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对目前治疗突发性耳聋的临床报道做出综述分析，并探讨《金匮》泽泻汤用于治疗突发性耳聋的可能性。
The review and analysis of the progress of treatment of sudden deafness, and the discussion of the possibility of curing sudden deafness with Zexie Tang.

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目的观察金匮肾气丸治疗正常高值血压临床疗效及对颈动脉内膜中层厚度（intima-media thickness,IMT）的影响。方法将正常高值血压患者60例随机分为两组,治疗组30例在生活方式干预的基础上再给予金匮肾气丸口服,观察组30例仅进行生活方式干预,疗程均为15周,治疗前后检测颈动脉IMT的变化。结果治疗组总有效率73.3%,观察组总有效率53.3%,两组疗效比较差异有统计学意义（P〈0.05）;治疗后两组颈动脉IMT均有所下降,仅治疗组前、后比较和两组治疗后比较差异有统计学意义（P〈0.05）。结论金匮肾气丸能有效治疗正常高值血压,并改善颈动脉IMT。
Objective To investigate the therapeutic effect of Jingui Shenqi Wan on high-normal blood pressure and the intima-media thickness(IMT)of carotid arteries effect.Methods 60 patients with high-normal blood pressure were randomly divided into two groups . Patients in treatment group was given lifestyle intervention and Jingui Shenqi Wan , while patients in control group was given lifestyle intervention only .The treatment course is 15 weeks for both groups .IMT of carotid arteries were detected before and after treatment . Results The total effective rate in treatment group was 73.3%, in control group was 53.3%, There was significant difference between two groups(P<0.05).IMT of carotid arteries in both groups was obviously decreased after treatment .There was significant difference before and after treatment in treatment group (P <0.05).Also, there was significant difference between two groups after treatment (P <0.05). Conclusion Jingui Shenqi Wan can reduce high-normal blood p

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目的研究以金匮肾气汤为基础方加活血化淤法治疗早期糖尿病肾病的临床疗效。方法选取2011年1月至2013年7月我中心就诊治疗的早期糖尿病肾病患者100例,随机分为研究组和对照组,每组50例,两组均应用常规治疗方法,对照组在常规治疗的基础上应用血管紧张素Ⅱ进行治疗,研究组在常规治疗的基础上应用金匮肾气汤加活血化淤的方法进行治疗,比较两组的临床疗效。结果经过治疗,研究组总有效率84%明显高于对照组总有效率54%,两组比较具有统计学差异(P0.05)。结论早期糖尿病肾病应用金匮肾气汤加活血化淤法进行治疗具有较好的临床疗效,值得在临床上推广应用。
Objective?To study Jinkuishenqitang Tang based side plus blood stasis treatment of early diabetic nephropathy clinical efficacy. Methods January 2011 to July 2013 the center for treatment of early diabetic nephropathy treated 100 patients were randomly divided into study group and control group 50 cases, application of conventional treatment in both groups, the control group in the conventional therapy based on the use of angiotensinⅡtreatment, the study group on the basis of conventional therapy applications Jinkuishenqitang Tonga blood stasis treatment methods were compared for clinical efficacy. Results After treatment, the study group was significantly higher than 84%of the total efficiency 54%, the two groups had significant difference (P<0.05). Conclusion Early diabetic nephropathy application Jinkuishenqitang Tonga blood stasis method of treatment has better clinical efficacy, worthy of clinical application.

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