国医大师周仲瑛基于复法制方思想辨治肝炎后肝硬化临床经验  

Clinical Experience on Treatment of Hepatocirrhosis Based on Academic Thought of Multiple Method for Making Prescriptions of ZHOU Zhongying

作　　者：皇金萍[1,2] 叶放 HUANG Jinping;YE Fang(Nanjing University of Chinese Medicine/Key Laboratory of TCM Stasis and Heat Pathogenesis,State Administration of Traditional Chinese Medicine,Nanjing 210023,Jiangsu,China;Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221003,Jiangsu,China)

机构地区：[1]南京中医药大学/国家中医药管理局国医大师周仲瑛传承工作室,江苏南京210023 [2]徐州市中医院,江苏徐州221003

出　　处：《辽宁中医杂志》2022年第6期37-40,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：江苏省社会发展重点研发计划(BE2019723);国家自然科学基金(81873207);江苏高校优势学科建设工程资助项目(PAPD);国家中医药管理局“国医大师周仲瑛传承工作室”建设项目(国中医药人教发[2010]59号)

摘　　要：复法制方是中医辨治急难病证的特色制方思路,在梳理古今医家对复法制方经验源流的基础上,文章介绍了国医大师周仲瑛基于复合病机理论临床常用辨治疑难杂病的学术经验。以肝炎后肝硬化为例,结合“湿热瘀毒郁结,肝脾肾亏虚”的基本病机及在病情进展中出现本虚标实,虚实兼夹转化的病机特点,临床采用复合立法,通过对升降结合、寒热并用、表里相合、敛散相伍、多脏同治复法等思路的具体运用,总结了名老中医复法治疗肝硬化的辨证思路及治法方略。展现出复法制方具有邪正兼顾、气血并调、阴阳并治等“杂合以治,各得其所宜”的疗效优势,善用复方大法体现了名医“机圆法活,知常达变”的辨治思路及对中药性味熟稔于心,丰富缜密的用药经验。The multiple method for making prescriptions is the characteristic thought of differentiating and treating critical patients in traditional Chinese medicine,this paper summarized the legal origin clinic experience of multiple method for making prescriptions and discussed the academic thought of compound pathogenesis commonly-used for treating critical patients by professor ZHOU Zhongying.Take hepatocirrhosis for example,combined with the basic pathogenesis of“dampness,heat,blood stasis and toxin stagnation,deficiency of liver,spleen and kidney”and the pathogenesis characteristics of deficiency and excess,transformation of deficiency and excess in the progress of the disease,the multiple method for making prescriptions is adopted in clinic.Through the specific application of the ideas of combination of descending and ascending,combination of cold and heat,combination of the exterior and the interior,combination of convergence and dispersion,simultaneous treatment and recovery of multiple Zang-Fu organs,this paper summarized the syndrome differentiation ideas and treatment strategies of famous and old traditional Chinese medicine physicians in the treatment of hepatocirrhosis.It shows that the multiple method for making prescriptions has the curative effect advantages of“heterozygous treatment,appropriate for each”such as giving consideration to both evil and vital Qi,regulating Qi and blood,and treating Yin and Yang together.The good use of multiple method for making prescriptions reflects the famous doctor’s syndrome differentiation and treatment idea of“flexible treatment,gasping the changes of the disease”,as well as being familiar with the nature and tastes of traditional Chinese medicine and rich and meticulous medication experience.

关 键 词：肝硬化 复法制方 学术经验 周仲瑛 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]