摘要
全国名中医范永升教授在治疗痹病方面具有很高造诣,临床常辨病与辨证结合,药性与病证相应,用药灵活多变,疗效显著,特别是在运用虫类药方面积累了丰富的临床经验。范教授常根据中医痹病主要证候、病变部位,并结合辨识体质,适当选择全蝎、蜈蚣、地龙、蜂房、僵蚕、穿山甲、白花蛇、乌梢蛇、蕲蛇、蝉衣、九香虫、土鳖虫、蚕砂等虫类药,同时注重虫类药之间及其与祛风湿药、活血药、补益药的相互配伍,在安全、有效应用的前提下在痹病的治疗中发挥虫类药搜剔通利、活络止痛之功效。
National-level famous traditional Chinese medicine( TCM) doctor Professor Fan Yong-sheng has high-level accomplishments in the treatment of arthralgia. According to clinical diagnosis and dialectic,TCM with appropriate medicinal properties were flexibly applied,with a remarkable efficacy. Especially in the application of insect drugs,he has accumulated abundant clinical experience.According to the main syndromes of arthralgia and pathogenic site,patient' s constitution,Scorpio,Scolopendra,Pheretima,Vespae Nidus,Bombyx Batryticatus,Manis Squama,Bungarus Parvus,Zaocys,Agkistrodon,Cicadae Periostracum,Aspongopus,Eupolyphaga Steleophaga,Silkworm Sand were properly selected. Attention was also paid to the compatibility between insect drugs and antirheumatic drugs,blood-activating drugs and tonifying drugs. In the premise of safe and effective application in the treatment of arthralgia,insect drugs show such efficacies as antipyretic,activating collaterals and relieving pain.
引文
[1]孟庆良,周子朋,谷慧敏,等.朱良春国医大师治痹经验临床运用体会[J].辽宁中医杂志,2012,39(5):791.
[2]吴文澜,李钟杰,李军波,等.蝎毒素药用价值研究进展[J].中国中药杂志,2017,42(17):3294.
[3]刘端勇,赵海梅,左志琴,等.全蝎蜈蚣对胶原免疫性关节炎大鼠的关节损伤改善作用[J].中药药理与临床,2012,28(4):73.
[4]徐冲,商思阳,刘梅,等.僵蚕化学成分和药理活性的研究进展[J].中国药房,2014,25(39):3732.
[5]张驰,杨届.蝉蜕的药理作用及临床应用研究进展[J].湖南中医杂志,2014,30(11):194.
[6]刘文雅,王曙东.地龙药理作用研究进展[J].中国中西医结合杂志,2013,33(2):282.
[7]郭晓庆,孙佳明,张辉.水蛭的化学成分与药理作用[J].吉林中医药,2015,35(1):47.
[8]荆文光,符江,刘玉梅,等.水蛭的化学成分[J].中国实验方剂学杂志,2014,20(19):120.
[9]吴晶魁,杨乔.中药水蛭对高脂血症大鼠脂质代谢及肝脏的影响[J].中国中药杂志,2018,43(4):794.
[10]马培志,邵凤民.蚯蚓提取物对原发性肾病综合征患者凝血系统的影响[J].中国中西医结合肾病杂志,2002,3(9):528.
[11]王琦.中医体质学[M].北京:人民卫生出版社,2009.
[12]陈雷鸣,包洁,谢志军,等.运用虫类药治疗类风湿关节炎的用药规律研究[J].中华中医药学刊,2014,32(3):593.