李冀教授运用木瓜与白芍配伍治疗转筋验案举隅  

Examples of Professor LI Ji′s Proven Cases of Using Fructus Chaenomelis and Radix Paeoniae for Cramp

作　　者：庞宇航 李在斯 管伟[1] 周轩 赵泽世 李冀[1] PANG Yuhang;LI Zaisi;GUAN Wei;ZHOU Xuan;ZHAO Zeshi;LI Ji(Heilongjiang University of Chinese Medicine,Harbin 150040,China;Zhuhai College of Beijing Institute of Technology,Zhuhai 519088,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]北京理工大学珠海学院,珠海519088

出　　处：《世界中医药》2021年第6期977-980,共4页World Chinese Medicine

基　　金：国家自然科学基金面上项目(81874426);2014年国家中医药管理局全国名老中医药专家传承工作室建设项目--李冀全国名老中医药专家传承工作室(2014);陕西省科技厅社会发展项目(2018SF-333)。

摘　　要：转筋是以肢体筋脉牵掣拘挛,痛如扭转为主要症状的病症,临床中常以主证或兼证出现。李冀教授认为其病机与胆热痰扰、肝经实火、脾气虚弱、阴津不足、湿热淫筋、营卫不和等有关,病位多在肝、脾两脏。李冀教授在以法遣方治疗转筋的基础上,常配伍木瓜、白芍药对,屡试屡效。现将近5年随诊临五则医案整理分析,以期为临床治疗转筋提供参考。The main symptoms of the cramp are limb blood impeding spasm and pain such as torsion.It often manifests as the main symptom or concurrent symptom in clinical practice.Professor LI thought that the pathogenesis of cramp,which sited in liver and spleen,was in connection with bile heat phlegm disturbance,excess-fire of the liver,spleen qi deficiency,yin-fluid deficiency,and disharmony between nutritive qi and defensive qi.On the basis of prescription classified by therapeutic methods,Professor LI treated the disease with Fructus Chaenomelis and Radix Paeoniae by law with high curative effect.Five year-clinical case reports were collected in this research as clinical references for clinical treatment.

关 键 词：转筋 腓肠肌痉挛 木瓜 白芍 经验 辨证论治 病因 病机 

分 类 号：R249.2[医药卫生—中医临床基础] R255.6[医药卫生—中医学]