国医大师卢芳运用攻下法治疗邪气积聚型痹病经验  

Experience of Traditional Chinese Medicine Master LU Fang in Treating Impediment Disease of Pathogenic Factors Accumulation Syndrome with Purgative Method

作　　者：朴勇洙[1] 潘国雄 李倜 卢天蛟 PIAO Yongzhu;PAN Guoxiong;LI Ti;LU Tianjiao(Department of Rheumatology,The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China;Harbin Hospital of Traditional Chinese Medicine,Harbin 150010,China)

机构地区：[1]黑龙江中医药大学附属第一医院风湿科,黑龙江哈尔滨150040 [2]黑龙江中医药大学,黑龙江哈尔滨150040 [3]哈尔滨市中医医院,黑龙江哈尔滨150010

出　　处：《山东中医杂志》2020年第2期161-163,共3页Shandong Journal of Traditional Chinese Medicine

摘　　要：卢芳教授认为痹病多由外感风、寒、湿等邪气与内生之湿、痰、瘀邪相合痹阻经脉而致,治疗须以攻邪为要。在痹病诊治中,对于寒邪兼夹痰浊、血瘀等有形之邪形成的邪气积聚证,卢教授运用攻下法治疗,通过逐邪通络,引积聚从下而解。受《伤寒杂病论》启发,卢教授选用大黄、芒硝作为攻邪主药,常以多方合方,或以大黄、芒硝为主药自拟处方。Professor LU Fang regards the obstruction of meridians by exogenous pathogenic wind,cold,dampness and endogenous dampness,phlegm and blood stasis as the main cause of impediment disease.Therefore,Professor LU selects purgative method as the major treatment method for the disease.In the diagnosis and treatment of impediment disease,for the accumulation of pathogenic factors syndrome caused by pathogenic cold combined with tangible pathogenic factors such as phlegm turbidity and blood stasis,Professor LU treats it with purgative method to expel pathogenic factors and free the obstructed meridians,making the accumulated pathogenic factors being removed from the stool.Inspired by Treatise on Cold Damage and Miscellaneous Diseases,Professor LU chooses Dahuang(Rhei Radix Et Rhizoma)and Mangxiao(Natrii Sulfas)as the major herbs to expel pathogen.He often combines several prescriptions to treat the disease or creates prescriptions with Dahuang and Mangxiao as the major drugs.

关 键 词：国医大师 卢芳 痹病 邪气积聚 攻下法 大黄 芒硝 《伤寒杂病论》 

分 类 号：R249.2[医药卫生—中医临床基础] R255.6[医药卫生—中医学]