浅析柴胡桂枝汤治疗痿病经验
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摘要
痿病是指肢体筋脉弛缓,软弱无力,日久不用,引起肌肉萎缩或瘫痪的一种病证。历代医家对其发病机制阐述较多,其治则中以《素问·痿论篇》提出"治痿独取阳明"较为广泛,恩师重点从"营卫不和"角度阐述痿病的病因病机,从经典入手全新分析柴胡桂枝汤,充分利用其调和营卫,和解枢机的原则治疗痿病,并且提出柴胡桂枝汤为和法的典型方剂,提倡以"和法"和而治之,并且从和解发汗角度阐述调和营卫之效,在治疗痿病方面取得显著疗效。
Wei syndrome( 痿病) was one of disease and syndrome showed muscular atrophy or palsy caused by limb veins flaccid and weak. More doctors in past dynasties discussed its pathogenesis, and the therapeutic principle is that Wei syndrome was treated through Yangming(阳明). The teacher elaborated the etiology and pathogenesis by Yingwei Buhe(营卫不和), dissected that treating Wei syndrome with the Chaihu Guizhi decoction( 柴胡桂枝汤) by the principle of adjusting Yingwei( 营卫) and Shuji( 枢机). The Chaihu Guizhidecoction is the typical example formula of the theraphy of He( 和法). The teacher advocated for treating Wei syndrome by the theraphy of He, elaborating the effectsof adjusting Yingwei by Hejie Fahan.
Wei syndrome( 痿病) was one of disease and syndrome showed muscular atrophy or palsy caused by limb veins flaccid and weak. More doctors in past dynasties discussed its pathogenesis, and the therapeutic principle is that Wei syndrome was treated through Yangming(阳明). The teacher elaborated the etiology and pathogenesis by Yingwei Buhe(营卫不和), dissected that treating Wei syndrome with the Chaihu Guizhi decoction( 柴胡桂枝汤) by the principle of adjusting Yingwei( 营卫) and Shuji( 枢机). The Chaihu Guizhidecoction is the typical example formula of the theraphy of He( 和法). The teacher advocated for treating Wei syndrome by the theraphy of He, elaborating the effectsof adjusting Yingwei by Hejie Fahan.
引文
[1]刘惠杰.《黄帝内经》痿病研究[D].北京:中国中医科学院,2008.
[2]周欢,张军平.从“疏肝气,调营卫”角度探讨柴胡桂枝汤治疗冠心病的用义与内涵[J].中华中医药学刊,2017,35(5):1171-1172.
[3]人民卫生出版社.黄帝内经·素问[M].北京:人民卫生出版社,1963:198-199,244-245.
[4]曹颖甫.经方实验录[M].福州:福建科学技术出版社,2004:4142.
[5]王波,关庆增.柴胡桂枝汤的药理作用及其临证应用[J].中医药学刊,2002,20(2):190-191.
[6]李治淮,等.柴胡桂枝汤对反复呼吸道感染患儿免疫球蛋白及IgG亚类的影响[J].中国中西医结合杂志,1997,17(11):653.
[7]袭桂婷,等.柴胡桂枝汤对反复呼吸道感染儿童淋巴细胞转化率及T细胞亚群的影响[J].中国中医药科技,1997,4(5):305.
[8]李虹,等.柴胡桂枝汤抑癌效果研究[J].中医药学报,1998,26(1):39.
[9]船越显博.柴胡桂枝汤对大鼠胰腺细胞的影响[J].临床之研究,1994,71(1):258.
[10]吴美娟,等.柴胡桂枝汤对D-半乳糖亚急性中毒小鼠抗衰老的实验研究[J].南京中医药大学学报,2000,16(3):164.
[11]温敏勇.从气化学说谈对柴胡桂枝汤的认识[J].湖南中医药导报,2003,9(9):4.
[12]任应秋.中医各家学说[M].上海:上海科技出版社,1980:232.
[13]陈瑞春.论伤寒(增订本)[M].长沙:湖南科学技术出版社,2002:167-178,183-184.
[14]耿爱春.《伤寒杂病论》汗法及汗法方剂研究[D].哈尔滨:黑龙江中医药大学,2015.
[15]陈青扬,陈新宇.陈新宇教授对仲景方证对应与合方思想的临证应用[J].湖南中医药大学学报,2015,35(7):18.
[2]周欢,张军平.从“疏肝气,调营卫”角度探讨柴胡桂枝汤治疗冠心病的用义与内涵[J].中华中医药学刊,2017,35(5):1171-1172.
[3]人民卫生出版社.黄帝内经·素问[M].北京:人民卫生出版社,1963:198-199,244-245.
[4]曹颖甫.经方实验录[M].福州:福建科学技术出版社,2004:4142.
[5]王波,关庆增.柴胡桂枝汤的药理作用及其临证应用[J].中医药学刊,2002,20(2):190-191.
[6]李治淮,等.柴胡桂枝汤对反复呼吸道感染患儿免疫球蛋白及IgG亚类的影响[J].中国中西医结合杂志,1997,17(11):653.
[7]袭桂婷,等.柴胡桂枝汤对反复呼吸道感染儿童淋巴细胞转化率及T细胞亚群的影响[J].中国中医药科技,1997,4(5):305.
[8]李虹,等.柴胡桂枝汤抑癌效果研究[J].中医药学报,1998,26(1):39.
[9]船越显博.柴胡桂枝汤对大鼠胰腺细胞的影响[J].临床之研究,1994,71(1):258.
[10]吴美娟,等.柴胡桂枝汤对D-半乳糖亚急性中毒小鼠抗衰老的实验研究[J].南京中医药大学学报,2000,16(3):164.
[11]温敏勇.从气化学说谈对柴胡桂枝汤的认识[J].湖南中医药导报,2003,9(9):4.
[12]任应秋.中医各家学说[M].上海:上海科技出版社,1980:232.
[13]陈瑞春.论伤寒(增订本)[M].长沙:湖南科学技术出版社,2002:167-178,183-184.
[14]耿爱春.《伤寒杂病论》汗法及汗法方剂研究[D].哈尔滨:黑龙江中医药大学,2015.
[15]陈青扬,陈新宇.陈新宇教授对仲景方证对应与合方思想的临证应用[J].湖南中医药大学学报,2015,35(7):18.