姜春华运用桂枝龙骨牡蛎汤验案赏析  

Analysis of Jiang Chunhua's Application of Guizhi Longgu Muli Decoction in Proven Cases

作　　者：杨枝青[1] 徐立思[1] 

机构地区：[1]上海市中医文献馆,上海200020

出　　处：《河南中医》2017年第12期2068-2070,共3页Henan Traditional Chinese Medicine

基　　金：上海市卫生和计划生育委员会科研课题(编号:20154Y0164)

摘　　要：选取姜春华教授发表于《山东中医学院学报》1986年第3期的《教余随笔三则·我用桂枝龙骨牡蛎汤》一文中的四则关于桂枝龙骨牡蛎汤的医案,从经义、注疏、方解、按语四个角度对医案进行赏析,发现桂枝龙骨牡蛎汤及其系列方剂所治皆系精气血等精微物质外泄,而此方具有内收精气之功。可见桂枝龙骨牡蛎汤系列方剂在应用上有几个关键点:(1)虚劳精亏血少;(2)汗出明显;(3)惊悸下利。而姜春华先生对该方的临床应用也遵循了张仲景"但见一证便是,不必悉具"的原则。Four proven cases about Guizhi Longgu Muli Decoction in the article of ＂Three Essaies ： My Application of Guizhi Long- gu Muli Decoction＂ published on the Journal of Shandong College of Chinese Medicine （ 1986, Vol 3 ） were selected to analyze from the four aspects of classics argumentation, commentaries, prescription analysis and notes. It is discovered that Guizhi Longgu Muli Decoction and its related formulas treat the leakage of such essential substances as essence, qi and blood, so this formula has the function of astringing essence qi. It is concluded that there are several key points in the application of Guizhi Longgu Muli De- coction：essence and blood deficiency in consumptive disease,obvious sweating, palpitation and diuresis. In the application of this formula, Doctor Jiang follows the principle of ＂the occurrence of only one syndrome is enough for the application of this formula＂.

关 键 词：桂枝龙骨牡蛎汤 《伤寒论》 《金匮要略》 张仲景 姜春华 

分 类 号：R249.2[医药卫生—中医临床基础]