郑恺运用小柴胡汤经验介绍  

Experience Introduction of ZHENG Kai in Using Xiaochaihu Tang

作　　者：陈海萍 CHEN Haiping

机构地区：[1]绍兴第二医院医共体总院,浙江绍兴312000

出　　处：《新中医》2022年第8期37-40,共4页New Chinese Medicine

摘　　要：介绍郑恺副主任医师运用小柴胡汤治疗内科疾病的临床经验。郑恺副主任医师喜用小柴胡汤于邪在半表半里之少阳病证,该类疾病病位在半表半里,病机为枢机不利,治疗重在邪正兼顾;临证看重“胸胁苦满”一症,因其为选择小柴胡汤和柴胡类方的最有力证据;运用小柴胡汤常根据不同的并发症和多变的临床症状适当加减。临床运用小柴胡汤治疗感冒、胆囊炎、腮腺炎、中耳炎,均收良效。This paper introduces Associate Chief Physician ZHENG Kai’s clinical experience in treating internal diseases with Xiaochaihu tang. ZHENG Kai prefers to use Xiaochaihu tang to treat the disease syndrome of shaoyang whose pathogens lie in the half-exterior and the half-interior. According to ZHENG,this kind of disease is located in the half-exterior and the half-interior,and its pathogenesis is the dysfunction of acting as a pivot. In the treatment of it,ZHENG focuses on both pathogenic qi and healthy qi. In his clinical practice,he pays special attention to the symptoms of fullness and discomfort in the chest and rib-side, because it is the most powerful evidence for selecting Xiaochaihu tang. In his clinical treatment,Xiaochaihu tang is often modified according to different and varying clinical symptoms. The clinical application of Xiaochaihu tang has a great therapeutic effect on the treatment of cold,cholecystitis,mumps and otitis media.

关 键 词：小柴胡汤 邪正兼顾 胸胁苦满 感冒 胆囊炎 腮腺炎 中耳炎 郑恺 

分 类 号：R249[医药卫生—中医临床基础]