李艳传承国医大师李济仁论治脉痹之思路与方法  

Li Yan’s thoughts and methods on the treatment of Maibi from the TCM master Li Jiren

作　　者：王传博[1] 李艳[2] 舒春 李济仁(指导)[2] Wang Chuanbo

机构地区：[1]安徽医科大学第二附属医院,安徽合肥230601 [2]皖南医学院弋矶山医院,安徽芜湖241001 [3]铜陵市中医院,安徽铜陵244000

出　　处：《中医临床研究》2019年第32期111-113,共3页Clinical Journal Of Chinese Medicine

基　　金：第六批全国老中医药专家学术经验继承工作项目（国中医药人教发[2017]29号）;国家中医药管理局国医大师李济仁工作室（国中医药人教发[2010]59号）

摘　　要：痹证是临床顽病,害人尤甚。脉痹为五体痹之一,西医学静脉炎、大动脉炎及雷诺病等疾患属"脉痹"范畴,中医药对此具有独特优势。李艳教授传承国医大师李济仁治痹思想,认为脉痹发病内有气血不足,外受风寒湿热之邪,基本病理改变为虚、痰、瘀。初期偏于祛邪,后期多予扶正。临证时予以温经散寒、活血化瘀治疗阳虚血瘀证,除湿化痰、活血通络治疗痰湿阻络证,益气养血、活血通络治疗气血两虚证,清热解毒、凉血化瘀通络治疗热毒血瘀证。The Bi syndrome(痹证) is a clinical stubborn disease, and very harmful to human health. Maibi(脉痹) is one of the Wutibi(五体痹). Phlebitis, arteritis and Raynaud disease are belong to Maibi(脉痹). TCM medicine has a unique advantage in treaimg Maibi. After studying the thoughts of treating the Bi syndrome fiom TCM master Li Jiren, Professor Li Yan consider the cause of Maibi are Qixue Buzu(气血不足) and touch Xie(邪) of Fenghan Shire(风寒湿热) in vitro. Pathological changes in Maibi are Xu(虚), Tan(痰), Yu(瘀). Maibi was treated by Quxie(祛邪) in early stage and Fuzheng(扶正) in late stage. The Yangxu Xue syndrome(阳虚血瘀证) was treated by Wenjing Sanhan(温经散寒) and Huoxue Huayu(活血化瘀). The Tanshi Zuluo syndrome(痰湿阻络证) was treated by Chushi Huatan(除湿化痰) and Huoxue Tongluo(活血通络). The Qixue Liangxu syndrome(气血两虚证) was treated by Yiqi Yangxue(益气养血) and Huoxue Tongluo. The Redu Xueyu syndrome(热毒血瘀证) was treated by Qingre Jiedu(清热解毒) and Liangxue Huayu(凉血化瘀).

关 键 词：国医大师 李济仁 脉痹 传承 

分 类 号：R241.1[医药卫生—中医诊断学]