李东海运用脏腑风湿理论论治硬皮病经验介绍  

Experience of LI Donghai Applying the Method of Wind-Damp in Viscera and Bowels for the Treatment of Scleroderma

作　　者：董建 魏纯莉 李东海(指导)[2] DONG Jian;WEI Chunli;LI Donghai(Instructor)(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《新中医》2023年第23期223-227,共5页New Chinese Medicine

摘　　要：介绍李东海教授运用脏腑风湿理论治疗硬皮病的临床经验。李东海教授认为硬皮病的病机关键是寒湿内伏、脏腑虚损、痰瘀胶着互结,治疗宜透散伏邪、补益虚损、消除痹阻。临证有升散、发汗、散寒、透表、清上、逐风等诸法透散伏邪,补肺、健脾、益肾、固精诸法补益虚损,行气、活血、祛瘀、通络诸法消除痹阻。透散伏邪常用葛根升散,麻黄发汗,附子散寒,香薷透表,升麻清上,荆芥逐风等时时透邪为要,补益虚损早期注重补肺健脾,后期注重益肾固精,酌加行气活血、祛瘀通络之品,起到协同增效的作用。This paper introduces the clinical experience of Professor LI Donghai applying the theory of wind-damp in viscera and bowels to the treatment of scleroderma.Professor LI Donghai holds that the key pathogenesis of scleroderma is the latent cold-damp in the interior,the deficiency and impairment of viscera and bowels,and phlegm blended with stasis;the treatment should vent and dissipate latent pathogens,resolve deficiency and impairment by supplementing and boosting,and eliminate obstruction.In clinical practice,there are various methods to vent and dissipate latent pathogens,such as ascending and dispersing,inducing sweating,dissipating cold,venting the exterior,clearing the upper,and expelling wind;methods for resolving deficiency and impairment by supplementing and boosting includes supplementing the lung,tonifying the spleen,supplementing the kidney,and consolidating essence;methods of moving qi,activating blood,dispelling stasis,and unblocking collaterals can be used to eliminate obstruction.To vent and dissipate latent pathogens,Puerariae Lobatae Radix is usually used for ascending and dispersing,Ephedrae Herba for promoting sweating,Aconiti Lateralis Radix Praeparata for dissipating cold,Moslae Herba for venting the exterior,Cimicifugae Rhizoma for clearing the upper,and Schizonepetae Herba for expelling wind,and it is essential to constantly venting pathogens.As for resolving deficiency and impairment by supplement and boosting,attention should be paid to supplementing the lung and tonifying the spleen in the early stage and supplementing the kidney and consolidating essence in the later stage.Chinese medicinals of moving qi,activating blood,dispelling stasis,and unblocking collaterals can be added as appropriate to achieve a synergistic effect.

关 键 词：硬皮病 脏腑风湿 伏邪致病 痹证 李东海 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]