李冀“医之悟”与“方之变”学术思想与临床应用  

LI Ji′s Academic Thought of “Comprehension of TCM and Flexibility of Formula” and Its Clinical Application

作　　者：刘仕琦 王烨燃[1] LIU Shiqi;WANG Yeran(Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,Heilongjiang,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《辽宁中医杂志》2020年第11期50-52,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局李冀名老中医药专家传承工作室项目(2014)。

摘　　要："医之成,悟也;方之精,变也"由李冀教授在上世纪九十年代初提出。他将"大医之道"的最高境界聚焦于"悟""变"二字。"方之精"在于"变","变"赋予了方剂鲜活的生命,"方之变"的依据,乃医者临证之悟。"悟乃医之至,变乃方之至",力倡"方无至方,方以效论"之说。该论文结合李冀教授临床医案,论述了其辨证施治时运用"悟变"理念的思维特点。"Achievements in traditional Chinese medicine lies in good comprehension,and the core of formula lies in its flexibility." This thought was first proposed by Professor LI Ji in the 1990 s. He expressed the two critical factors in becoming an esteemed doctor as "comprehension" and "flexibility." "The core of formula lies in its flexibility." Flexibility gives vitality to formula,and the flexibility should be based on one′s comprehension of his medical knowledge and clinical experience. "Good comprehension leads to the highest level of traditional Chinese medicine practicing,and ingenious flexibility leads to the highest level of formula." Professor LI advanced that "there is no best formula,and only the therapeutic effect would identify good formula" at the beginning of this century.

关 键 词：中医 方 悟 辨证论治 香砂六君子汤 

分 类 号：R249[医药卫生—中医临床基础]