摘要
从理、法、方、药4方面详细介绍张锡纯先生运用升陷汤治疗"大气下陷"证的临床经验。张氏业医几十载,治学严谨,医术精湛,善用"补中益气、升阳举陷"法治疗"大气下陷"证,临证遣方用药重视辨证,衷中参西,选药精准,君臣佐使配伍严谨;不仅可以治疗大气下陷之症状,而且还可以增强正气,真正达到标本兼治的目的。文中以大气下陷证的治疗为例,深入剖析张锡纯先生的中医临床治疗思路与方法。
Mr Zhang Xichun's clinical experience of treating "sunken Qi" with sinking-lifting decoction was introduced from principles, method, recipe and medicines thoroughly. He has devoted himself to medicine for decades with rigorous scholarship and excellent medical skills, he made the best of treating the pattern "sunken Qi" with the method of "tonifying middle-Jiao and Qi, invigorating Qi and lifting sinking", he emphasized syndrome differentiation when he used the recipe and herbs in clinic, combined TCM with Western medicine, chose the herbs accurately and valued the compatibility, he could not only treat the symptoms of "sunken Qi", but also enhance healthy Qi, which could reach the goals of addressing both the symptoms and root causes. In the paper, Mr Zhang Xichun's clinical therapeutic thinking and method are further analyzed by taking the treatment for "sunken Qi" pattern as the example.
引文
[1]张锡纯.医学衷中参西录[M].石家庄:河北科学技术出版社,1985:13.
[2]刘宁,李文刚.张锡纯《医学衷中参西录》学术思想探微[J].新中医,2006,38(11):10-12.
[3]石志敏,李雪青.《医学衷中参西录》大气下陷论探讨[J].新中医,2013,45(4):173-174.
[4]杨承芝,朱爱华.浅谈张锡纯大气下陷论与升陷汤[J].中国中医药,2012,7(14):116-118.
[5]刘乐,高嘉莹.李东垣益气升阳论治脾胃病[J].河南中医,2015,35(12):2915-2916.
[6]张锡纯.医学衷中参西录[M].石家庄:河北人民出版社,1974:31-54.
[7]刘宝虎,郑嘉太,郭永明.郑魁山教授针灸治疗痹症临床心识[J].中国针灸,2015,35(6):600-602.
[8]郑明文.试论中药临床配伍规律[J].中国针灸,1993,16(4):28-29.
[9]秦伟,程金平.黄芪药效与开发[J].时珍国医国药,2000,11(11):1037-1038.
[10]张锡纯.中药亲试记[M].北京:学苑出版社,2007,31-32.
[11]万昌俭,王芙蓉.张锡纯大气下陷论浅析[J].陕西中医,1997,13(6):4-6.
[12]涂莉华.张锡纯“大气下陷”论阐析[J].江西中医药,2002,33(5):7-9.
[13]庄丽丹,岳妍.再议“大气下陷”[J].吉林中医药,2012,32(1):20-21.
[14]张锡纯.医学衷中参西录[M].石家庄:河北科学技术出版社,2001:108-109.
[15]李海松.张锡纯“大气下陷”学说初探[J].内蒙古中医药,2017,36(15):140-141.
[16]白明贵.论张锡纯“大气下陷”证及其在肿瘤内科的应用[J].中医药导报,2017,23(17):19-20.
[17]赵菁,杨月艳,林琳,等.从升陷汤探析大气下陷的证治[J].中国中医急症,2017,26(2):258-260.
[18]陶方泽,周小敏,方跃坤,等.顾维超治疗大气下陷证遣方用药经验撷要[J].浙江中医药大学学报,2017,41(3):211-214.
[19]陶方泽,周小敏,顾润环,等.顾维超从大气下陷论治慢性病验案拾萃[J].中国中医药信息杂志,2017,24(2):98-100.