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薛伯寿临证运用防风经验

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总结薛伯寿教授临证运用防风的经验,认为防风一则疏风解表、发散透达,可治疗表气郁闭而里热较重之外感热病早期,常用消毒犀角饮(《太平惠民和剂局方》)合银翘散、升降散、栀子豉汤加减;二则祛风胜湿、止痒消疮,可治疗风邪袭表之过敏性皮肤病,常用自拟薛氏过敏煎加减;三则散肝舒脾、升阳止泻,可治疗肝郁脾虚之泄泻,常用痛泻要方(《丹溪心法》)加减;四则能行周身、通利五脏,可治疗气虚血瘀之恶性肿瘤放化疗后、斑秃甚或普秃、慢性鼻病等疾病,常用黄芪赤风汤(《医林改错》)加减.
Experience of XUE Boshou in Using Fangfeng(Radix Saposhnikoviae)in Clinical Practice
This paper summarized professor XUE Boshou's clinical experience of using Fangfeng(Radix Saposh-nikoviae).Firstly,Fangfeng is used to scatter wind and release the exterior,disseminate and penetrate the patho-gens,and can treat the early-staged externally contracted heat diseases with exterior qi constraint and blocking,and serious internal heat through Xiaodu Xijiao Beverage(消毒犀角饮)from Beneficial Formulas from the Taiping Imperial Pharmacy(《太平惠民和剂局方》)combined with Yinqiao Powder(银翘散),Shengjiang Powder(升降散)and Zhizichi Decoction(栀子豉汤)in their modifications.Secondly,it eliminates wind and dispels dampness,relieves itching,and heals sores,with self-made Xue's Guomin Decoction(薛氏过敏煎)in modification being formulated to treat aller-gic skin diseases caused by pathogenic wind attacking the exterior.Thirdly,it disperses liver qi and soothes the spleen,lifts yang and stops diarrhea,and can be used in modified Tong Xie Yao Formula(痛泻要方)from Teachings of ZHU Danxi(《丹溪心法》)when treating diarrhea caused by liver constraint and spleen deficiency.Fourthly,it can disperse stagnated qi throughout the body and unblock the meridians of the five zang(脏)organs,commonly in formu-lation of modified Huangqi Chifeng Decoction(黄芪赤风汤)from Correction of Errors in Medical Works(《医林改错》)to treat patients with qi deficiency and blood stasis after radiotherapy and chemotherapy of tumors,as well as alopecia areata or even alopecia universalis,chronic rhinitis and others.

Fangfeng(Radix Saposhnikoviae)experience of famous doctorsXUE Boshou

单士喆、张海宇、邵文博、薛燕星、薛伯寿

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中国中医科学院广安门医院,北京市西城区北线阁5号,100053

防风 名医经验 薛伯寿

北京市中医药"薪火传承3+3工程"工程室站建设项目中国中医科学院科技创新工程项目中央高水平中医医院临床研究和成果转化能力提升项目中央高水平中医医院临床研究和成果转化能力提升项目

CI2022E046XBHLCMHPP2023054HLCMHPP2023006

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(16)
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