古方牡蛎泽泻散治疗水肿刍议--兼谈付滨教授水肿治疗经验  被引量:2

Discussion on Ancient Prescription Muli Zexie Powder in the Treatment of Edema--Discussion on the Experience of Professor Fu Bin in the Treatment of Edema

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作  者:程嘉雯 高常柏[2] 付滨[2] CHENG Jiawen;GAO Changbai;FU Bin(Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 300050,China;Department of Nephropathy and Rheumatology,the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)

机构地区:[1]天津中医药大学研究生院,天津300050 [2]天津中医药大学第二附属医院肾病风湿科,天津300150

出  处:《中国中医药现代远程教育》2021年第1期102-104,共3页Chinese Medicine Modern Distance Education of China

基  金:天津中医药大学校级教改课题一般项目【No.2019JXMZ03】。

摘  要:牡蛎泽泻散为仲景治疗水肿代表方之一,现梳理古代医家运用牡蛎泽泻散治疗水肿经验,总结牡蛎泽泻散所治水肿特点,由文献可知仲景牡蛎泽泻散原方为治疗脾虚无以制水之水肿初期者,后世医家在使用本方时多用于水肿后期治疗,且临床应用时往往去除攻逐之品如商陆、蜀漆等,另多用于有湿热之水肿。付滨教授擅用中医中药治疗各种疑难病证,其在难治性肾性水肿中多使用牡蛎泽泻散加减,然其效仿先贤叶天士,只取牡蛎、泽泻2味药,意在以“消法”治疗水肿,临床多获良效。Muli Zexie powder is one of the representative prescriptions of Zhongjing in the treatment of edema.This paper reviews the ancient doctors’experience in using this prescription in the treatment of edema and summarizes the characteristics of the edema treated by it.It can be seen from the literature that Muli Zexie powder was originally used in the treatment of spleen deficiency without water system in the early stage of edema.Later doctors used this prescription in the later stage of edema treatment and often removed with Shanglu and Shuqi in clinical applicationare,Moreover it mainly used for the edema with the syndrome of damp-heat.Professor Fu Bin is good at using traditional Chinese medicine to treat many kinds of difficult diseases and syndromes.He often uses Muli Zexie powder in the treatment of refractory renal edema.However,he only takes Muli and Zexie as his predecessor Tianshi Ye.He intends to treat edema with elimination method and always has good clinical effects.

关 键 词:牡蛎泽泻散 水肿 消法 付滨 临证经验 经方 

分 类 号:R249[医药卫生—中医临床基础] R256.51[医药卫生—中医学]

 

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