略论石氏伤科兼邪理论之热邪说  

Discussion on the heat pathogen theory developed from the theory of concurrent pathogens in Shi’s traumatology theoretical system

作　　者：陈东煜[1] 詹红生[1] 石瑛[1] 赵咏芳[1] 王翔[1] 石印玉[1] CHEN Dongyu;ZHAN Hongsheng;SHI Ying;ZHAO Yongfang;WANG Xiang;SHI Yinyu(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《上海中医药杂志》2023年第3期6-8,29,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市科委科技创新行动计划及重点攻关项目(11DZ1973402,13401903500);上海市卫健委海派中医流派“石氏伤科”传承研究基地项目(ZYSNXD-CC-HPGC-JD-001);上海市卫健委中医药事业发展三年行动计划(重大研究)资助项目(ZYSNXD-CC-ZDYJ047)。

摘　　要：石氏伤科理论体系之兼邪理论认为,“痰湿”兼邪流注脉络可致疼痛等骨伤科常见症状迁延难愈,故提出化痰除湿通络治法,并应用牛蒡子汤治疗,获得良效。石氏伤科第四代传人石印玉教授认为,当代之兼邪,已非昔日之“痰湿”兼邪,而是逐渐演变为阴虚内热或湿热之邪,提出兼邪之热邪说,并认为治疗原则应相应增加清热、解毒、凉血等方法。附验案1则。According to the theory of concurrent pathogens in Shi’s traumatology theoretical system,the pain commonly seen in orthopedics and traumatology is prolonged and difficult to heal as a result of the concurrent“phlegm-dampness”pathogens flowing into the vessels and collaterals.Therefore,the treatment method of resolving phlegm-dampness and dredging collaterals is proposed and Niubangzi Decoction is applied to the treatment with good effects.Professor Shi Yinyu,the fourth-generation successor of Shi’s traumatology,believes that the contemporary concurrent pathogens have gradually changed from“phlegm-dampness”to internal heat due to yin deficiency or damp-heat,and has developed the heat pathogen theory based on the theory of concurrent pathogens,proposing that the methods of clearing heat,removing toxicity and cooling blood should be added to the treatment principles accordingly.One proven case is provided.

关 键 词：骨伤科疾病 疼痛 石氏伤科 兼邪理论 痰湿 热邪 

分 类 号：R274[医药卫生—中医骨伤科学]