摘要
严世芸教授根据《黄帝内经》五脏病传理论,认为慢性心衰具有病本在心、五脏病传的病机特点,明确心与四脏之间的生理基础及心肺同病、心肾不交、心脾不合、心肝不顺的心衰五脏病理关系,以圆机活法、法无常法为治则,包括协调阴阳、和于术数,扶正祛邪、通补兼施以及症情复杂、方不嫌杂三个方面。以心衰调治兼顾五脏为治法,具体体现为心衰调治兼顾补中、益肾、理肺、调肝,并以心肾阳衰为临床常见证型而创制以温补心肾之阳为主、兼顾利水消肿的严氏强心饮作为心衰调治的基本方和经验方,又承丁氏内科善用丸药相配合使用的优良传统,同时注重调节睡眠,其理法方药兼备,特色鲜明,临床上效如桴鼓,这是在继承经典基础上的不断创新,值得总结与推广。
According to the theory of spread of the five internal organs disease of Neijing,Professor YAN Shi-yun thinks that chronic heart failure has the pathogenesis characteristics that the disease is in the heart and it spreads of the five internal organs.First of all,he clarifies the physiological basis and pathological relationship between the heart and the other four organs which often appears as the relationship between heart and lung disease,heart and kidney disease,heart and spleen disease,heart and liver disease.Then he treats chronic heart failure with flexible approach and uncertain law as a therapeutic.It includes the harmonization of yin and yang,and the harmonization of the techniques,the support of the righteous and the elimination of evil,and the application of both general and complementary methods,as well as the complexity of the symptoms and the fact that the prescriptions are not too complicated.The method is expounded from four aspects:treat of heart failure with reinforcing the spleen and stomach,benefiting the kidney,caring for the lung,and strengthens the liver.Therefore,he creates Yanshi Qiangxin decoction that warm the heart and kidney Yang mainly and give consideration to induce diuresis for removing edema as the basic prescription to treat heart and kidney Yang deficiency syndrome clinically which is a basic and empirical prescriptions.And he inherited the fine tradition of Ding's internal medicine of making good use of pills and medicines in conjunction with each other,while focusing on the regulation of sleep,with his distinctive features of both theory and prescriptions,which are clinically effective.This is a continuous innovation based on the inheritance of classics,which is worth summarizing and promoting.
作者
朱思行
秦嫣
严世芸
陈丽云
ZHU Si-xing;QIN Yan;YAN Shi-yun;CHEN Li-yun(Institute of Science,Technology and Humanities,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,shanghai 200071,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2021年第10期1657-1660,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
国家重点研发计划课题(2019YFC1709203)-面向临床需求的四种重大疾病专题文献研究
国家社科基金重大项目(19ZDA301)-中医药基本名词术语挖掘、整理及翻译标准化研究
上海市卫计委项目[ZY(2018-2020)-CCCX-3002]-进一步加快中医药事业发展三年行动计划
上海中医药大学名师工作室建设项目。
关键词
五脏病传
慢性心衰
严氏强心饮
学术思想
严世芸
Spread of the five internal organs disease
Chronic heart failure
Yanshi Qiangxin decoction
Academic thought
YAN Shi-yun
