首页|张炳厚运用经方治疗疾病验案三则

张炳厚运用经方治疗疾病验案三则

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全国名老中医张炳厚教授从业 50 余年,临床经验丰富,在中医界有"医林怪杰"之美誉.张老临床喜用经方,尤其擅长以经方治疗各类疑难杂病,效果奇佳.笔者有幸跟随老师侍诊学习,受益良多.以下整理了老师临床运用经方治疗"面风病""不寐病""咳嗽病"三则医案,总结其诊治经验与用药特点."面风病",西医称为"三叉神经痛",其发病机制复杂,发作时患者极度痛苦,西医多采用药物止痛或手术阻滞神经分支而取效.张老总结该病病因多为肝血不足或肝肾阴虚、肝风上扰,流窜阳明所致,且常兼夹瘀、痰、风等邪气,致经络不通,临床运用经方"滋生青阳汤"为基础方加减治疗该病,取得良效."不寐病",俗称"失眠",为临床常见病,但很多时候治疗效果差.张老认为其病机关键在于体内气血、脏腑功能失调,导致阴阳失衡、心神失养,临床自拟了"二仁安神汤",本方以炒酸枣仁、柏子仁、珍珠母、紫贝齿为基方,合入经方"黄连阿胶汤",补益心脾、滋补肾阴,使心肾交通,安神定志,改善了不寐之症.临床上,张老将"咳嗽病"分为风寒咳嗽、热性咳嗽、肺燥咳嗽及肺肾阴虚咳嗽,辨证施治,收效甚佳.
Three successful cases of ZHANG Binghou of treating diseases with classic prescriptions
Professor ZHANG Binghou,a famous TCM doctor in China,has been engaged in TCM practice for more than 50 years and accu-mulated rich clinical experience.The Professor is known as the"Monster Sacre"in the TCM field.Master ZHANG is good at using classical pre-scriptions in clinic,especially in treating various kinds of complicated and miscellaneous diseases,which achieves excellent effects.The author has the honor to learn from him and benefits a lot.The following is a summary of the Master ZHANG's clinical application of classical prescriptions in the treatment of"facial wind disease","insomnia disease"and"cough",and the diagnosis and treatment experience and drug characteristics are summarized.Facial wind disease is called trigeminal neuralgia in Western medicine.Its pathogenesis is complex and the patients are in extreme pain when the attack occurs.Western medicine mostly uses drugs to relieve pain or surgery to block nerve branches.Master ZHANG concludes that the disease is mostly caused by insufficient liver blood,liver-kidney Yin(阴)deficiency,liver-wind disturbance on Yangming(阳明)channel,and it is often accompanied by pathogenic factors such as blood stasis,phlegm,wind and other evil spirits,resulting in meridian obstruction.Clinical application of classic prescrip-tion of Modified Zisheng Qingyang decoction(滋生青阳汤)as the treatment basis has achieved a good effect.Insomnia disease,commonly known as insomnia is a clinical common disease,but the treatment effect is often dissatisfactory.Master ZHANG believes that the key to its pathogenesis lies in the dysfunction of Qi(气)and blood in the body and the viscera,which leads to the imbalance of Yin and Yang(阳)and the disorder of the mind.The clin-ical formulation is Erren Anshen decoction(二仁安神汤),which is based on the Chaozaoren(Fried jujube kernel),Baiziren(Baizi kernel),Zhenzhumu(Concha Margaritifera)and Zibeichi(Concha Mauritiae),and combined with the classic prescription of Huanglian Ejiao decoction(黄连阿胶汤)to tonify the heart and spleen,nourish the kidney Yin,make the heart and kidney interact,and calm and resolve the mind,which can better relieve the insom-nia.Clinically,Master ZHANG divides cough into wind cold cough,heat cough,lung dryness cough and lung-kidney Yin deficiency cough,and treats them indivicually bassed on TCM syndrome differentiation,which achieves a good effect.

Facial wind diseaseInsomniaCoughClassic prescriptions

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宁夏回族自治区中医医院暨中医研究院,宁夏 银川,750021

面风病 不寐病 咳嗽病 经方

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(3)
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