蔡钢教授辨治痹病的临证经验浅析  

An analysis of experience of professor Cai Gang in treating the Bi disease by syndrome differentiation and treatment

作　　者：杨军用 甘霞 张志刚 邹楠[1] 蔡钢[1] Yang Junyong

机构地区：[1]石河子大学医学院附属第一附属医院,新疆石河子832000

出　　处：《中医临床研究》2020年第20期115-117,共3页Clinical Journal Of Chinese Medicine

基　　金：国家中医药管理局全国名中医传承工作室建设项目(国中医药办人教函[2018]119);中医药骨干人才传承教育培养项目(2019GK007)。

摘　　要：蔡钢教授在治疗痹病方面经验丰富.认为正气不足、卫阳不固为痹病发病的内在因素,风寒湿为重要条件,三气杂合而至皮肤、口鼻为主要感邪途径;主要病机为正气不足,气血不通,经络痹阻,瘀血痰浊内生,多为本虚标实.治疗方面扶正祛邪并重,急则治标,重用止痛药物,缓则标本兼治,灵活选药,疗效确切.疾病后期,注重调摄,防止复发.Professor Cai Gang has rich experience in treating the Bi disease(痹病).It is considered that the internal factors of the Bi disease are Zhengqi Buzu(正气不足),Weiyang Bugu(卫阳不固).Feng(风),Han(寒)and Shi(湿)are important conditions,and Sanqi(三气)can invade skin,mouth and nose.The main pathogenesis are Zhengqi Buzu,Qixue Butong(气血不通),Jingluo Bizu(经络痹阻)and Yuxue Tanzuo Neisheng(瘀血痰浊内生),most of which is Benxu Biaoshi(本虚标实).In terms of treatment,we should pay equal attention to equally important of Fuzheng(扶正)and Quxie(祛邪).When the condition is urgent,Biao(标)should be treated,and painkillers are used emphatically.When the condition is stable,both Biao and Ben(本)should be treated,and choose medicines flexibly.In the later stage of the disease,attention should be paid to Tiaoshe(调摄)and prevention from recurrence.

关 键 词：蔡钢 痹病 临证经验 

分 类 号：R25[医药卫生—中医内科学]