张伯礼运用乳香-没药对药治疗顽痹经验  

Professor ZHANG Boli's Experience in Treating Stubborn Bi(痹)with Ruxiang(Olibanum)-Moyao(Myrrha)Pair

作　　者：季宏昌 黄湘龙 刘耀远 肖璐[1] 李霄[2] 王昭琦 闫景贤 于亚君 江丰[2] JI Hongchang;HUANG Xianglong;LIU Yaoyuan;XIAO Lu;LI Xiao;WANG Zhaoqi;YAN Jingxian;YU Yajun;JIANG Feng(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese MedicineAcupunctureandMoxibustion,Tianjin,300381;Tianjin University of Traditional Chinese Medicine)

机构地区：[1]天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津市300381 [2]天津中医药大学

出　　处：《中医杂志》2023年第19期1961-1963,1987,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国医大师传承工作室建设项目;中国中医科学院科技创新工程(CI2022E025XB)。

摘　　要：总结张伯礼教授运用乳香-没药对药治疗顽痹的临证经验。认为顽痹以脉络瘀滞、痹阻不通为基本病机,乳香、没药相须为用可理气宣痹、活血定痛,除瘀滞之气血,通痹阻之经络,尤适用于顽痹之脉络痹阻。临证用乳香-没药对药配伍行气活血药物治疗胸痹,以逐瘀宣滞、散寒通脉;配伍益气活血、通经达络药物治疗中风病后期偏枯痿废日久,以疏利脉络、燮理气血;配伍四妙勇安汤治疗脉痹以行气化瘀,另对于迁延日久之脉痹可内外合治,在外洗中药中加乳香-没药对药以芳香透痹。同时强调乳香-没药对药的应用适应病症及注意事项。This paper summarized professor ZHANG Boli's experience in treating stubborn bi(痹)with the herbal pair of Ruxiang(Olibanum)-Moyao(Myrrha).The basic pathogenesis of stubborn bi is channel and collateral stasis and obstruction.Ruxiang and Moyao are thus used in mutual reinforcement to rectify qi and diffuse bi,activate blood and relieve pain,thereby removing static and obstructed qi and blood,unblocking the obstructed channels and colla-terals,which is especially suitable for stubborn bi caused by channel and collateral obstruction.In clinical practice,the herbal pair of Ruxiang-Moyao is used together with qi-moving and blood-activating medicinals to treat chest bi by expelling stasis and diffusing stagnation,dissipating cold and unblocking vessels.To treat long-term wither and weakness in late stage of stroke,the medicinals of boosting qi and invigorating blood,unblocking channels and venting collaterals can be added to the herbal pair so as to soothe and drain vessels and collaterals,harmonize and regulate qi and blood.Simiao Yongan Decoction(四妙勇安汤)can be integrated in the treatment of vessel bi by moving qi and dissolving stasis,and for the long-term stubborn vessel bi,integrated internal and external treatment is suggested by external use of Ruxiang-Moyao to vent bi with aromatics.Moreover,it is emphasized to use the herbal pair of Ruxiang-Moyao in accordance with indications and cautions.

关 键 词：顽痹 乳香 没药 名医经验 张伯礼 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]