薛伯寿临证运用防风经验  

Experience of XUE Boshou in Using Fangfeng(Radix Saposhnikoviae)in Clinical Practice

作　　者：单士喆 张海宇 邵文博 薛燕星[1] 薛伯寿(指导)[1] SHAN Shizhe;ZHANG Haiyu;SHAO Wenbo;XUE Yanxing(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053)

机构地区：[1]中国中医科学院广安门医院,北京市西城区100053

出　　处：《中医杂志》2024年第16期1646-1649,共4页Journal of Traditional Chinese Medicine

基　　金：北京中医药薪火传承“新3+3”工程室站建设项目;中国中医科学院科技创新工程(CI2022E046XB);中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023054,HLCMHPP2023006)。

摘　　要：总结薛伯寿教授临证运用防风的经验,认为防风一则疏风解表、发散透达,可治疗表气郁闭而里热较重之外感热病早期,常用消毒犀角饮(《太平惠民和剂局方》)合银翘散、升降散、栀子豉汤加减;二则祛风胜湿、止痒消疮,可治疗风邪袭表之过敏性皮肤病,常用自拟薛氏过敏煎加减;三则散肝舒脾、升阳止泻,可治疗肝郁脾虚之泄泻,常用痛泻要方(《丹溪心法》)加减;四则能行周身、通利五脏,可治疗气虚血瘀之恶性肿瘤放化疗后、斑秃甚或普秃、慢性鼻病等疾病,常用黄芪赤风汤(《医林改错》)加减。This paper summarized professor XUE Boshou's clinical experience of using Fangfeng(Radix Saposhnikoviae).Firstly,Fangfeng is used to scatter wind and release the exterior,disseminate and penetrate the pathogens,and can treat the early-staged externally contracted heat diseases with exterior qi constraint and blocking,and serious internal heat through Xiaodu Xijiao Beverage(消毒犀角饮)from Beneficial Formulas from the Taiping Imperial Pharmacy(《太平惠民和剂局方》)combined with Yinqiao Powder(银翘散),Shengjiang Powder(升降散)and Zhizichi Decoction(栀子豉汤)in their modifications.Secondly,it eliminates wind and dispels dampness,relieves itching,and heals sores,with self-made Xue's Guomin Decoction(薛氏过敏煎)in modification being formulated to treat allergic skin diseases caused by pathogenic wind attacking the exterior.Thirdly,it disperses liver qi and soothes the spleen,lifts yang and stops diarrhea,and can be used in modified Tong Xie Yao Formula(痛泻要方)from Teachings of ZHU Danxi(《丹溪心法》)when treating diarrhea caused by liver constraint and spleen deficiency.Fourthly,it can disperse stagnated qi throughout the body and unblock the meridians of the five zang(脏)organs,commonly in formulation of modified Huangqi Chifeng Decoction(黄芪赤风汤)from Correction of Errors in Medical Works(《医林改错》)to treat patients with qi deficiency and blood stasis after radiotherapy and chemotherapy of tumors,as well as alopecia areata or even alopecia universalis,chronic rhinitis and others.

关 键 词：防风 名医经验 薛伯寿 

分 类 号：R249[医药卫生—中医临床基础]