李士懋临证应用桂枝汤经验探析  

Analysis on LI Shimao′s Experience of Applying Guizhi Decoction (桂枝汤) in Clinical Practice

作　　者：马凯 王四平 李雅歌 康素刚 周雨慧 刘宇 师旭亮 MA Kai;WANG Siping;LI Yage;KANG Sugang;ZHOU Yuhui;LIU Yu;SHI Xuliang(Basic Medical School of Hebei University of Chinese Medicine,Shijiazhuang,050200)

机构地区：[1]河北中医学院基础医学院,河北省石家庄市050200

出　　处：《中医杂志》2020年第8期669-671,共3页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第二届国医大师传承工作室建设项目;河北中医学院博士基金(BSZ2014001);河北省中医药管理局项目(2016018)。

摘　　要：总结李士懋教授临床应用桂枝汤的经验。从理、法、方、药多个角度,阐释桂枝汤的内涵、桂枝汤方证与其衍生方变化发展的关系。认为桂枝汤注重方根搭配,桂枝汤不仅是汗剂,亦是补剂,为轻补阴阳之剂,且其衍生多方,在临床过程中无论内伤外感皆可使用。并在桂枝汤"将息法"基础上总结出"辅汗三法"(连续服药、啜粥、温覆)以协助发汗、顾护正气。Professor LI Shimao′s experience of applying Guizhi Decoction(桂枝汤) in clinical practice is summarized. Guizhi Decoction′s connotation, indications and correlation on change and development of its modified formulas are interpreted from the angles of principle, method, recipe and medicines. It is believed that the application of Guizhi Decoction emphasizes on basic matching. It is not only a sweating formula, but also a supplementing one. It is called a light supplementing formula for yin and yang, and it can be derived into many formulas, which can be used for both endogenous and exogenous diseases in clinical practice. On the basis of "proceeding and ceasing method" of Guizhi Decoction, "three auxiliary methods for sweating"(taking medicine continuously, having porridge and covering up to keep warm) are summarized to help sweating and protecting vital qi.

关 键 词：桂枝汤 名医经验 李士懋 

分 类 号：R249[医药卫生—中医临床基础] R289.5[医药卫生—中医学]