李佃贵基于浊毒理论运用王氏连朴饮临证思路探析  

Analysis of Li Diangui's clinical thinking on the use of Wangshi Lianpu Yin based on the theory of turbid toxicity

作　　者：刘伟 王兰 霍云翔 范志新 李晓蕾 冯梦 杨丽萍 杨洁 张素钊 LIU Wei;WANG Lan;HUO Yunxiang;FAN Zhixin;LI Xiaolei;FENG Meng;YANG Liping;YANG Jie;ZHANG Suzhao(Hebei University of Traditional Chinese Medicine,Shijiazhuang,Hebei 050200,China;The First Affiliated Hospital of Hebei University of Traditional Chinese Medicine,Shijiazhuang,Hebei 050011,China)

机构地区：[1]河北中医药大学,河北石家庄050200 [2]河北中医药大学第一附属医院,河北石家庄050011

出　　处：《上海中医药杂志》2023年第9期1-5,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第三届国医大师传承工作室及全国名老中医药专家传承工作室建设项目(国中医药办人教函〔2018〕119号);河北省科学技术厅中医药创新专项项目(223777152D);河北省中医药管理局科研计划项目(2020034);河北中医学院研究生创新资助项目(XCXZZSS2023045)。

摘　　要：连朴饮出自温病医家王孟英《霍乱论》一书,为治疗气机逆乱、清浊相干、脾胃损伤的常用方剂。立论于此,介绍国医大师李佃贵教授基于浊毒理论提出的“气不化则浊难行,浊不去则热难清”的医治法则,分享其临床诊治“湿热浊毒”“气之浊毒”合而致病时要兼而治之的经验。同时从浊毒理论视域解读连朴饮组方思路,体会李教授用方初衷,以期为临床审证求因、遣方用药提供参考。并附验案2则。Lianpu Yin,recorded in the Treatise on Huoluan by Wang Mengying-a doctor of the school of warm diseases,is a common formula for the treatment of qi movement disorder,disturbance between the clear and the turbid,and spleen and stomach injuries.In this article,we introduce National Chinese Medical Science Master Prof.Li Diangui's treatment principle developed based on the theory of turbid toxicity,that is,“it is hard to move turbidity without qi transformation,and it is hard to clear heat without removing turbidity”.We also share his experience of simultaneous treatment in clinical diagnosis and treatment of disorders caused by combination of“damp-heat turbid toxicity”and“turbid toxicity of qi”.Meanwhile,we explain the formulation of Lianpu Yin from the perspective of turbid toxicity theory,and appreciate Prof.Li's original intention of using this formula,hoping to provide reference for determination of etiologic factors based on differentiation and herbal prescription and medication in the clinic.Two proven cases are also included.

关 键 词：连朴饮 浊毒理论 肠易激综合征 萎缩性胃炎 名医经验 中医药疗法 

分 类 号：R249[医药卫生—中医临床基础] R289.5[医药卫生—中医学]