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国医大师李济仁治疗痹病药对举隅

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国医大师李济仁善于治疗痹病,提出寒热辨治、气血并举、痹痿同治的学术观点.临床治疗痹病时重视药对的使用.温经活血喜用桂枝、片姜黄,尤其治疗上肢痹痛时多用之;利湿活络多用木瓜、五加皮,适用于湿邪久困、瘀血阻络之痹病;养血活血善用鸡血藤、活血藤,临床多用于痹病有血虚血瘀之征者;健脾舒筋共用生薏苡仁、炒薏苡仁,临床多用于脾虚湿痹显著者;破瘀散结常用穿山龙、鬼箭羽,临证多用于久痹正虚、瘀热滞络之痹病;清热解毒活用土茯苓、土牛膝,临床常用于痹病属于湿热痹阻之证者.
Enumerate of Bi disease by clinical couplet medicines of TCM master LI Jiren
TCM master LI Jiren is skilled in treating Bi disease,proposing academic viewpoints such as differentiation of cold and heat,simultaneous use of qi and blood,and simultaneous treatment of Bi and Wei.In the treatment of Bi disease,attention should be paid to the use of couplet medicines,such as using Cinnamomi Ramulus and Wenyujin Rhizoma Concisum to warm the meridians and promote blood circulation,especially in the treatment of upper limb pain;using Chaenonelis Fructus and Acanthopanacis Cortex to promote dampness and collaterals,suitable for Bi disease by dampness and blood stasis;using Spatholobi Caulis and Sargentodoxae Caulis for nourishing blood and promoting blood circulation,suitable for Bi disease by blood deficiency and blood stasis;using raw and stir fried Coix Semen for strengthening spleen and relaxing tendons,suitable for Bi disease by spleen deficiency and dampness impediment;using Dioscoreae Nipponicae Rhizoma and Ramulus Euonymi for breaking blood stasis,suitable for Bi disease by Zheng deficiency,blood stasis and heat;and using Smilacis Glabrae Rhizoma and Achyranthes Aspera for clearing heat and detoxifying,suitable for Bi disease by damp-heat syndrome.

TCM masterLI JirenBi diseaseCouplet medicinesExperience

王传博、李艳

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安徽中医药大学,合肥 230031

安徽医科大学第二附属医院,合肥 230601

皖南医学院弋矶山医院,芜湖 241001

国医大师 李济仁 痹病 药对 经验

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(12)