首页|以新安医学指导下探析名中医刘健"除痹"思想

以新安医学指导下探析名中医刘健"除痹"思想

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痹证主要是指由外感风、寒、湿、热等之邪气而闭阻于经络,引起全身肢体、经络、关节、肌腱等酸痛、重着、酸楚、麻木的一类病症。新安医藉中关于痹证的立论较众,论著甚丰。名中医刘健在新安医学基础上提出"除痹"思想。刘健认为痹证当以"健脾"除痹,提"脾虚致痹"、奉"健脾化湿"、循"补脾养血"、倡"从脾治痹"理论。在"通络"除痹方面,遵"祛邪通络"而除痹、从"益气通络"而除痹、推"祛瘀通络"而除痹。"扶正"除痹时应益气养血、调经达脉,调肝补肾、滋阴舒经,固本扶正、通筋活络。"祛邪"除痹体现解表散邪、尤重寒湿,祛风除湿、独善清热,治痹祛痰、巧于化裁,活血通络、妙用药对的特点。临床上收效颇丰。本研究是在以新安医学为指导,分析刘健"治痹"思想,以期指导临床应用中医药防治风湿病。
Analysis of the idea of"removing paralysis"by the famous Chinese medicine doctor Liu jian under the guidance of Xin'an medicine
Paralysis is a disease caused by external wind,cold,dampness,heat and other evils that block the meridians and cause soreness,heaviness,pain and numbness in the limbs,meridians,joints and tendons of the body.In the Xin'an medical journal,there are many treatises on paralysis,and there are abundant treatises.Liu jian,a famous Chinese medicine doctor,proposed the idea of"removing paralysis"on the basis of Xin'an medicine.Liu jian believed that paralysis should be eliminated by"strengthening the spleen",mentioning the theory of"spleen deficiency causes paralysis""strengthening the spleen to transform dampness""nourishing the spleen to nourish blood"and"treating paralysis from the spleen".In the area of removing paralysis by"clearing the ligaments",we follow the theory of"removing evil and clearing the ligaments"to remove paralysis,"benefiting Qi and clearing the ligaments"to remove paralysis,and"removing blood stasis and clearing the ligaments"to remove paralysis.When removing paralysis by"supporting the righteous",we should benefit the Qi and nourish the blood,regulate the meridians and veins,regulate the liver and kidney,nourish the Yin and soothe the meridians,consolidate the root and support the righteousness,and open the tendons and activate the collaterals."Expelling evil"removing paralysis reflects the characteristics of relieving exterior and dispelling evil,especially emphasizing cold and dampness,dispelling wind and dampness,good at clearing heat,treating paralysis and dispelling phlegm,skillful in modification,promoting blood circulation and dredging collaterals,and wonderful medication.The clinical results have been very fruitful.This study is to analyze Liu jian's thought of"treating paralysis"under the guidance of Xin'an medicine,in order to guide the application of traditional Chinese medicine to prevent and treat rheumatism in clinic.

treating paralysisXin'an medicineacademic inheritance

万磊、刘健

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安徽中医药大学第一附属医院,安徽 合肥,230031

新安医学与中医药现代化研究所,安徽 合肥,230012

新安医学教育部重点实验室,安徽 合肥,230012

治痹思想 新安医学 学术传承

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)