胡镜清研究员运用下法治疗痰瘀互结病证的理论与临床经验  

Experience of Professor Hu Jingqing in Treating Pathogenesis of Intermingled Phlegm and Blood Stasis by using Purgative Method

作　　者：汪锦城 周聪慧 杨燕 胡镜清[1,3] Wang Jincheng;Zhou Conghui;Yang yan;Hu Jingqing(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medicine Science,Beijing 100700,China;The Third School of Clinical Medicine,Nanjing University of Chinese Medicine,Nanjing 210000,China;China Science and Technology Development Center for Chinese Medicine,Beijing 100700,China)

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700 [2]南京中医药大学第三临床医学院,南京210000 [3]中国中医药科技发展中心,北京100700

出　　处：《世界科学技术-中医药现代化》2023年第9期2924-2928,共5页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家科学技术部国家重点研发计划中医药现代化研究重点专项(2019YFC1708501):冠心病痰瘀互结病因病机与诊治方案创新研究,负责人:胡镜清;广东省科学技术厅岭南中医药现代化专项(2020B1111120004):中医健康状态辨识与干预装备研究,负责人:杨志敏。

摘　　要：总结胡镜清研究员基于痰瘀互结病机证候的下法运用经验。痰瘀互结是当代临床各科许多疑难疾病的重要病机与证候,下法在理论层面可逐顽痰湿饮,行血通瘀,还可散中下部难解之癥结,故而适用于痰瘀互结证相关疾病之治疗。在临床下法应用过程中,胡镜清研究员强调诊断时将痰瘀互结病机具体分析,根据“湿热”“虚寒”不同分型运用下法,处方中灵活选择各类下法药物,同时注意下法宜与它法合用。Summarize the professor Hu Jingqing's experience in treating pathogenesis of intermingled phlegm and blood stasis by using purgative method.Intermingled phlegm and blood stasis is one of the most important pathogenesis of many difficult diseases in the contemporary era.From the perspective of TCM theory,the purgative method can dissipate phlegm,eliminate blood stasis and resolve masses,which is a suitable method for the treatment in pathogenesis of intermingled phlegm and blood stasis.In clinical practice,the professor Hu Jingqing emphasizes the specific classification of pathogenesis of phlegm and blood stasis in diagnosis,using the purgative methods according to different classifications of"excess heat"and"deficiency cold".And make flexible selections of various purgative drugs in prescription.Last but not least,it is suggested that the purgative method also should not be used as the only treating method.

关 键 词：痰瘀互结 病机 经验总结 下法 

分 类 号：R249.2[医药卫生—中医临床基础] R249.7[医药卫生—中医学]