国家级名老中医石冠卿辨治痰核经验举隅  

Examples of national famous Chinese physician Shi Guanqing’s experience in differential treatment of phylegm nodule

作　　者：张奎明 崔应麟[2] 葛鸾蝶 侯露阳 马瑞红 ZHANG Kuiming;CUI Yinglin;GE Luandie;HOU Luyang;MA Ruihong(The Second Clinical Medical College,Henan University of Chinese Medicine,Henan Province,Zhengzhou450002,China;Famous Medical Hall,Henan Hospital of Traditional Chinese Medicine,Henan Province,Zhengzhou450002,China)

机构地区：[1]河南中医药大学第二临床医学院,河南郑州450002 [2]河南省中医院名医堂,河南郑州450002

出　　处：《中国医药导报》2021年第35期138-141,162,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81573919);河南省中医药科学研究专题课题(2015ZY01006、2017ZY1020、2019ZY2003);河南省科技攻关项目(212102311123)。

摘　　要：石冠卿教授是国家首批名老中医,术精岐黄,工于医理,谴方用药,效如桴鼓,治疗内外痰核经验颇丰。痰核是临床常见疾病之一,常发于各年龄段,病程旷日持久,病势缠绵,易复难愈。中医学注重整体观念,理法方药相统一,对于该病的治疗,效果显著,相较于西医学的对症治疗,具有极低复发率的优势,故广泛应用于临床治疗。依据该病的疾病特点,石教授指出该病的基本病机为痰浊凝滞,贯穿于疾病整个病程,病位主要责之脾、肺、肾,肾失所主,脾失运化,肺失宣降,而“肝为五脏之贼”,肝失疏泄与三焦通道的功能密切相关,病机总属虚实夹杂且相互影响。在治疗上从三焦着手,采用温阳、理气、软坚、化痰、散结等治法,于临证时灵活化裁,主张通调三焦郁滞,畅通三焦气化的道路,须用轻清之剂调气机,化痰结,起沉疴,愈痼疾,收效甚佳。现臻选医案二则,加以阐述,以飨同道。Professor Shi Guanqing is one of the first batch of famous Chinese physician in the country.He is skilled in medicine,works in medicine,treats the prescription,and has a lot of experience in the treatment of internal and external phlegm nodule.Phlegm nodule is one of the common clinical diseases,often occurring in all age groups,the course of the disease is prolonged,the disease is lingering,easy to recover.Traditional Chinese medicine pays attention to the overall concept,the combination of prescription and medicine,and has a remarkable effect in the treatment of the disease.Compared with the symptomatic treatment of western medicine,it has the advantage of very low recurrence rate,so it is widely used in clinical treatment.According to the characteristics of the disease,Professor Shi points out that the basic pathogenesis of the disease is turbid phlegm stagnation,which runs through the whole course of the disease,the spleen,lung and kidney are mainly responsible for the disease,the charge of kidney is lost,the transportation and transformation of spleen is lost,and the purification and descending of lung is lost,while“the liver is the thief of the five internal organs”.The loss and leakage of the liver is closely related to the function of the sanjiao channel,and the pathogenesis is always a mixture of deficiency and reality and influencing each other.In the treatment,we should start with sanjiao,adopt the treatment methods of warming yang,regulating qi,soft ening firmness,resolving phlegm,dispelling phlegm,and so on,flexibly in clinical treatment,advocating the adjustment of sanjiao stagnation and smooth gasification of sanjiao,we should use the agent of light clearing to adjust the air machine,resolve phlegm,and get serious disease,the more chronic illness,the better the effect.Now we select two medical records to elaborate,in order to provide dinner for the same way.

关 键 词：国家级名中医 石冠卿 痰核 验案 

分 类 号：R268[医药卫生—中医外科学]