经方新用辨机论治风湿病  

New Application of Classic Prescriptions for Rheumatism Based on Pathogenesis Differentiation

作　　者：周学平[1] ZHOU Xueping

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《新中医》2022年第6期22-26,共5页New Chinese Medicine

基　　金：国家中医药管理局国医大师周仲瑛传承工作室建设项目(201059)。

摘　　要：《伤寒杂病论》所载方剂是久经临床重复验证的效方,经方的变通应用,当以准确把握病机为前提,不能执方不变。抵当汤者,瘀热互结之病机为其应用的依据;半夏厚朴汤者,其病机在气滞痰凝;而桂枝加龙骨牡蛎汤,凡阴阳失调、营卫不和者,皆可辨证灵活运用。故抵当汤治抗磷脂综合征、半夏厚朴汤治干燥综合征、桂枝加龙骨牡蛎汤治产后风湿,均为“谨守病机,辨机论治”而用经方之明证。古方今用,活法在人,或用其方,或师其法,或取其意,辨机施治,加减有度,不拘古今之病名,开辟新用途,可提高复杂难治病的疗效。The effective prescriptions contained in Shanghan Zabing Lun have been repeatedly verified in clinic. The flexible application of classical prescriptions should be based on accurately grasping the pathogenesis,and the prescriptions cannot remain unchanged. The application of Didang tang is based on the pathogenesis of binding of stasis and heat;Banxia Houpo tang on qi stagnation and phlegm coagulation. Guizhi and Longgu Muli tang can be used flexibly according to syndrome differentiation for those with yin-yang disharmony and disharmony between ying and wei qi. Therefore, Didang tang for antiphospholipid syndrome, Banxia Houpo tang for sjogren syndrome and Guizhi and Longgu Muli tang for postpartum rheumatism are classic prescriptions which verify the principle of "observing and distinguishing the pathogenesis and treating the disease". The application of classic prescriptions nowadays is flexibly performed,by using the prescriptions,or learning the methods,or taking the meaning. By distinguishing pathogenesis for treatment and properly modifying the prescriptions,regardless of the disease names in ancient or modern times,the innovation of new applications can improve the curative effect of complex or refractory diseases.

关 键 词：经方 抵当汤 半夏厚朴汤 桂枝加龙骨牡蛎汤 辨机论治 

分 类 号：R255[医药卫生—中医内科学] R289[医药卫生—中医学]