范冠杰以活血化瘀药串治疗肥胖经验  

FAN Guan-Jie’s Experience in Treating Patients with Obesity Using Medicinal Cluster for Activating Blood and Removing Stasis

作　　者：曾慧妍 余丹[2] 朱胜伶 张锦明 谢雯雯 范冠杰(指导) ZENG Hui-Yan;YU Dan;ZHU Sheng-Ling;ZHANG Jin-Ming;XIE Wen-Wen;FAN Guan-Jie(Advisor)(Dept.of Endocrinology,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510105 Guangdong,China;The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第二附属医院/广东省中医院内分泌科,广东广州510105 [2]广州中医药大学第二临床医学院,广东广州510405

出　　处：《广州中医药大学学报》2024年第8期2184-2188,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(编号:82374233);广东省自然科学基金资助项目(编号:2414050003181);国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);广东省中医院张发荣学术经验传承工作室(中医二院(2020)161号)。

摘　　要：范冠杰教授基于“动-定序贯八法”理论,认为肥胖除气虚、痰湿之外,还同时存在血瘀的病理因素;治疗肥胖时配伍活血化瘀药物为顺应疾病发展之需要。临证时可运用活血化瘀之山楂药串,该药串以山楂为君,配伍丹参-红花药对及牡丹皮-赤芍药对。山楂药串气血并治,以祛瘀为核心,辅以养血、行气血、健脾胃,散收兼施,动静相宜,适用于血脉瘀阻之肥胖患者。Based on the views of FAN’s Eight Dynamic-Static Sequential Methods,Professor FAN Guan-Jie believes that the obesity has the pathological factor of blood stasis in addition to qi deficiency and phlegm-damp.The compatibility of blood-activating and stasis-removing drugs for the treatment of obesity is accorded to the progression of the disease.In the clinic,Crataegi Fructus associated medicinal cluster of activating blood and removing stasis is usually recommended.The medicinal cluster is with Crataegi Fructus as the chief medicinal,and is compatible with drug pairs of Salviae Miltiorrhizae Radix et Rhizoma-Carthami Flos and Moutan Cortex-Paeoniae Radix Rubra.Crataegi Fructus associated medicinal cluster is able to treat qi and blood simultaneously,mainly aimed at removing blood stasis,supplemented by nourishing blood,promoting qi and blood movement,and invigorating spleen and stomach,which has the features of simultaneous dispersing and astringency,and proper combination of static therapy and dynamic therapy,and is suitable for obese patients with blood stasis obstruction in the vessels.

关 键 词：肥胖 动-定序贯八法 血瘀 山楂药串 丹参 红花 牡丹皮 赤芍 活血化瘀 范冠杰 

分 类 号：R259.892[医药卫生—中西医结合]