论文部分内容阅读
一、绪言结核性渗出性胸膜炎,是内科常见之疾病,祖国医学对于本病远在公元2-3世纪时已经有比较详细之描述,并有悬饮,胸痹等名称.如我国汉代医学家张仲景氏所著之金匮要略中胸痹心痛短气病篇“胸部痞塞满闷喘息咳唾,胸背痛”.隋巢源诸病源候论中胸痹候云“胸痹之候、胸中幅幅如满,噎塞不利,习习如痒,喉里涩,唾燥甚,有心里强否急痛,肌肉若痹,绞急如刺不得俯仰,胸前肉皆痛,手不能犯,胸满短气,咳唾引痛,烦闷,白汗出,或彻背膂,其脉浮而微者是也”.这些症状之描述与现代医学对胸膜炎之症状颇为相符.而且祖国医学早已发现有胸水之存在.如金匮要略中“饮后水流在胁下,咳唾引痛,谓之悬饮”.并指出“病悬饮者、十枣汤主之”欬家其脉弦为有水者十枣汤主之“.根据文献记载十枣汤治疗渗出性胸膜炎,具有良好之疗效,且主要使胸水消退,我科在党的伟大号召
1. Introduction Tuberculous exudative pleurisy is a common disease in internal medicine. The Chinese medicine for the disease has been described in more detail in the 2-3th century AD, and has names such as hanging drink, chest, etc. Zhang Zhongjing’s masterpiece of the Golden Chamber, the heart of the chest pain, shortness of breath disease, ”thorax congestion full of breath and breath cough spit saliva, chest and back pain“. ”Cang Chaoyuan source of various diseases on the chest in the waiting time cloud “ chest When the chest is full, the width is full, the congestion is unfavorable, the ritual is itchy, the throat is astringent, and the diarrhea is very severe. If there is a strong sensation in the heart, if the muscles are squatting, the squeezing rush will be like a stab, and the chest meat will be painful. Can not be guilty, chest full of shortness, cough, pain, irritability, white sweat out, or thoroughly recite, the pulse floating and slightly is also ”. The description of these symptoms and modern medicine is quite consistent with the symptoms of pleurisy. Moreover, the motherland medicine has long found the existence of pleural effusion. For example, in the case of the golden phlegm, the water flow is under threat, and the cough leads to pain. “Cough the pulse string is the main ten of the water, the tenth of the soup ”. According to literature records ten date soup treatment of exudative pleurisy, has a good effect, and mainly to make pleural effusion subside, our department in the party’s great call