摘要
[目的]总结探讨汪悦教授运用风药治疗痹证的临床经验。[方法]从痹证病因病机、风药功效、选药思路、配伍原则等方面介绍汪师经验,并附验案一则佐证。[结果]针对风邪、湿邪在痹证产生过程中的重要作用,汪师临证常根据邪气偏盛、病位证候等不同,并结合现代药理研究选用不同的风药进行治疗,以达到散风邪、燥湿邪、行气血、止痹痛的效果。遣方用药时常将风药与祛湿药、化瘀药、补血药、养阴药、温阳药等配伍使用,每获良效。所举验案患者患有脊柱关节炎,属于中医"骨痹"范畴,辨证属正虚邪实、肾阳不足、风湿痹阻,治拟温阳益肾、祛风胜湿、通络止痛,以阳和汤加减治疗,其中包括麻黄、独活等多味风药,收效甚佳。[结论]汪师灵活运用风药配伍组方以治疗痹证,疗效显著,值得进一步研究和探讨。
[Objective] To summarize and discuss Professor WANG Yue’s clinical experience of using wind medicine to treat arthralgia. [Methods]Professor WANG Yue’s experience was introduced through the etiology and pathogenesis of arthralgia, efficacy of wind medicine, drug selection ideas,compatibility principles,etc.A proved case was presented. [Results]In view of the important role of wind evil and damp evil in the production process of arthralgia,Professor WANG often chooses different wind medicines to treat arthralgia according to the difference of evil spirit and disease location,combined with modern pharmacological research,so as to achieve the effect of dispersing wind evil,drying damp evil,activating Qi and blood,and relieving pain. Professor WANG often mixes wind medicine with damp dispersing drugs,blood-activating and stasis-removing drugs,blood tonic drugs,Yin-tonifying and Yang-tonifying drugs,and achieved good results. In the certified case,the patient had spondy loarthritis,which belonged to the "bone plasy" category of the Chinese medicine,and differentiated as deficiency of genuine Qi and excess of pathogenic factor,deficiency of kidney Yang,impediment and obstruction of wind-dampness,and achieved notable results after treated with modified Yanghe decoction including Ephedra sinica,Radix Angelicae Pubescentis and other wind medicine according to the therapeutic principles of warming kidney Yang,expelling wind and eliminating dampness,dredging collaterals and relieving pain. [Conclusion]Professor WANG flexibly uses the combination of wind medicine to treat arthralgia,the effect is significant and worthy of further research and discussion.
作者
潘一
汪悦
PAN Yi;WANG Yue(The First Clinical Medical College,Nanjing University of Chinese Mediciney,Nanjing 210046 China)
出处
《浙江中医药大学学报》
CAS
2020年第5期442-446,共5页
Journal of Zhejiang Chinese Medical University
基金
国家自然科学基金项目(81774274)。
关键词
痹证
风药
名医经验
汪悦
医案
arthralgia
wind medicine
experience of famous doctor
WANG Yue
medical records
