毛以林教授运用经络辨证治疗项痹经验  

MAO Yilin's experience in treating cervical spondylosis based on pattern differentiation of meridians

作　　者：谭雄[1] 郭睿 董朝阳 宾晓芳[1] 毛以林[1] TAN Xiong;GUO Rui;DONG Zhaoyang;BIN Xiaofang;MAO Yilin(The Second Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410000,China;Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410000 [2]湖南中医药大学,湖南长沙410208

出　　处：《湖南中医药大学学报》2024年第4期664-668,共5页Journal of Hunan University of Chinese Medicine

基　　金：全国名老中医药专家学术经验继承工作项目(国中医药人教函〔202276号);湖南省自然科学基金项目(2020JJ4473);湖南省中医药管理局重点科研项目(C2022004);湖南中医药大学研究生创新课题立项项目(2023CX50)。

摘　　要：经络辨证是中医学辨证理论体系中重要的辨证方法。毛以林教授临床善于运用经络辨证治疗各种复杂病证,认为项痹的经络辨证多与足太阳膀胱经、手太阳小肠经、足少阳胆经、手少阳三焦经、足少阴肾经及督脉密切相关。基本病机主要有寒侵太阳、营卫凝遏;少阳气郁、气血失和;肾虚失养、髓减骨空;督阳不振,筋懈骨惰。治疗上以祛风散寒、温经止痛;和解气郁、疏利经气;补肾壮骨、填精益髓;温振督阳、益肾补督。随证治之,疗效颇佳。Pattern differentiation of meridians is an important part of the TCM theoretical system of pattern identification.Professor MAO Yilin,who is adept in dealing with all kinds of complicated diseases and patterns by pattern differentiation of meridians,holds that cervical spondylosis is closely related to the bladder meridian of foot-Taiyang,the small intestine meridian of hand-Taiyang,the gallbladder meridian of foot-Shaoyang,the Sanjiao meridian of hand-Shaoyang,the kidney meridian of foot-Shaoyin,and the Du meridian.Its basic pathogenesis mainly involves obstruction of Wei-defensive qi and Ying-nutrient blood caused by the pathogenic cold attacking the Taiyang meridians,disharmony of qi and blood due to qi stagnation in the Shaoyang meridians,reduced marrow and unfilled bones resulting from the deficient kidney failing to nourish them,and inactivity of sinews and bones owing to yang deficiency of the Du meridian.The treatment methods include dissipating wind and cold,and warming the meridians to relieve pain;harmonizing and relieving stagnant qi,and smoothing the meridian qi;tonifying the kidney to strengthen the bones,as well as supplementing essence to replenish the marrow;warming and invigorating yang of the Du meridian,as well as tonifying the kidney,which possess good efficacy when they are selected based on pattern differentiation.

关 键 词：项痹 经络辨证 祛风散寒 和解气郁 填精益髓 温振督阳 毛以林 

分 类 号：R255.6[医药卫生—中医内科学]