当代新安医家李艳论治肌痹之思路与方法  

Exploration on contemporary Xin’an medical doctor Li Yan’s thoughts and methods on treating Jibi

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》2020年第19期103-105,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。肌痹为五体痹之一,西医学多发性肌炎、皮肌炎等疾患属“肌痹”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,认为肌痹发病内因在于脾胃虚弱,外因在于风寒湿热毒。初期多实,以风寒湿热毒为主,治当祛邪;后期多虚,以脾肾亏虚为主,治当固本。临证时予以祛湿散寒、解肌通络治疗寒湿证,清热化湿、疏肌通络治疗湿热证,清热解毒、化瘀通络治疗热毒证,温补脾肾,养血生肌治疗脾肾两虚证。Bi Zheng(痹证)is a clinical stubborn disease,especially harmful.Jibi(肌痹)is one of Wuti Bi(五体痹).In Western medicine,polymyositis,dermatomyositis and other diseases belong to the category of“muscle paralysis”.TCM has a unique advantage in this regard.Professor Li Yan inherited the thoughts of Li Jiren,a master of TCM medicine,that the internal cause of muscle paralysis is due to Piwei Xuruo(脾胃虚弱),and the external cause is due to Fenghan Shire Du(风寒湿热毒).In the early period,it is more shi(实),mainly with Fenghan Shire Du,and it should be used to cure Quxie(祛邪).In the clinical application,we should Queshi Sanhan(祛湿散寒),Jieji Tongluo(解肌通络)for cure Hanshi Zheng(寒湿证),and Qingre Huashi(清热化湿),Shuji Tongluo(疏肌通络)for Shire Zheng(湿热证).Cure Redu Zheng(热毒证)for Qingre Jiedu(清热解毒),Huayu Tongluo(化瘀通络).And Wenbu Pishen(温补脾肾),Yangxue Shengji(养血生肌)for Shenpi Liangxu Zheng(脾肾两虚证).

关 键 词：新安医家 李济仁 肌痹 传承 

分 类 号：R322.74[医药卫生—人体解剖和组织胚胎学]