陆为民教授以厥阴病论治胆系疾病经验  

Professor LU Weimin’s Experience in Treating Cholecyst System Disease from Jueyin Disease

作　　者：赵俊 许波 朱丹[1] 陆为民[1] 宋昌娟 赵旦娅 卢海霞 ZHAO Jun;XU Bo;ZHU Dan(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing(210029),China)

机构地区：[1]南京中医药大学附属医院,南京210029 [2]南京中医药大学第一临床医学院

出　　处：《浙江中医药大学学报》2021年第3期256-259,共4页Journal of Zhejiang Chinese Medical University

基　　金：南京中医药大学附属医院创新发展基金专项课题(Y2018CX79);国家自然科学基金项目(81703994);国家中医药管理局建设项目(国中医药人教发[2010]59号)。

摘　　要：[目的]阐述和总结陆为民教授运用厥阴病辨证论治胆系相关疾病的学术思想、临床思路和经验,拓展乌梅丸的临床应用领域。[方法]通过跟师临诊,总结病案资料,从病因病机、遣方用药等角度阐述陆为民教授运用厥阴病理论和乌梅丸论治胆系相关疾病的经验,并佐以临床验案。[结果]陆为民教授结合前人经验,强调病机和辨证,从厥阴病论治胆系相关疾病。在以乌梅丸治疗过程中,强调应遵循"应人、应证、应时"的原则,随证加减,兼顾各脏腑之气,平调寒热,尤护肝脾,以保中正。文中验案包括胆系相关疾病的发热、泄泻、嗳气等,分别辨为寒热错杂证和脾虚寒湿、肝胃郁热之证,从厥阴病论治,酌情选施乌梅丸,取得良好的临床疗效。[结论]陆为民教授运用厥阴病辨证胆系相关疾病,选用乌梅丸治疗,中医理论依据充分,临床效果显著,值得借鉴。[Objective] To expound and summarize Professor LU Weimin’s academic thoughts, clinical thinking and experience of syndrome differentiation and treatment of cholecyst system disease from Jueyin disease, so as to expand the clinical application field of Wumei Pill.[Methods] Through following the teacher’s clinical work, and sorting out medical records, Professor LU Weimin’s experience in the treatment of cholecyst system disease from Jueyin disease and Wumei Pill were discussed from the aspects of pathogenesis and medication, and clinical cases were presented as proof. [Results] Professor LU Weimin uses Wumei Pill to treat cholecyst system disease from Jueyin disease, combining with the experience of predecessors, and emphasizes pathogenesis and syndrome differentiation. During the course of treatment with Wumei Pill, it is emphasized the accordance with the principle of"corresponding to the person, syndrome and time", to modify with the syndromes, and take into account the Qi of all viscera, regulate the cold and heat mildly, protect the liver and spleen especially, so as to keep the balance of the body, which is of great significance for the clinical use of Wumei Pill.The cases included fever, diarrhea, belching, etc., the syndrome differentiations were cold heat complicated syndrome and cold and dampness due to spleen deficiency, stagnation of heat in the liver and stomach separately. The patients were treated from Jueyin disease, and Wumei Pill was adopted,finally obtained good clinical effects. [Conclusion] Professor LU Weimin treats cholecyst system disease with Wumei Pill based on theory of Jueyin disease, traditional Chinese medicine theoretical basis is sufficient, clinical results are significant, which is worth promoting.

关 键 词：厥阴病 乌梅丸 胆系疾病 发热 寒热错杂证 医案 陆为民 名医经验 

分 类 号：R575[医药卫生—消化系统]