基于专病专药思维探析姜德友临证用药经验  

Analysis of Professor JIANG Deyou’s Clinical Experience in Medication Under Guidance of Thought of Specialized Medicines for Specific Diseases

作　　者：王虎[1] 王婷萱 姜德友(指导) WANG Hu;WANG Tingxuan;JIANG Deyou(Heilongjiang University of Chinese Medicine,Harbin 150040,China;不详)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]不详

出　　处：《山东中医杂志》2024年第10期1150-1153,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局龙江医学流派传承工作室建设项目(编号:LPGZS2012-14)。

摘　　要：姜德友教授认为专药是对某病、某症有特殊针对性疗效且可用以解决疾病主要矛盾的药物,临证处方中,姜教授在辨证定方后,常以专病专药思维为指导,对病或对症加用某一专药,以求捷效。其对专病专药思维的运用以象思维为引(如以蜈蚣治疗颈椎病、以百合治疗不寐、以地龙治疗血络瘀阻等)、以奇药为基(如以鬼针草治疗高血压、以卷柏治疗糖尿病、以预知子治疗肝气郁结等),往往能直中病所,疗效较好。附验案1则。Professor JIANG Deyou believes that specialized medicines are those with targeted therapeutic effects for specific diseases or symptoms,which can address the main contradictions of the disease.In clinical prescriptions,Professor JIANG follows the principle of formulating prescriptions based on syndrome differentiation and then using specialized medicines for specific diseases.He often adds a specialized medicine targeted at the disease or the symptom to achieve quick and effective results.He applies the thought of specialized medicines for specific diseases with analogy thinking as a guide[For example,Wugong(Scolopendra)is used to treat cervical spondylosis,Baihe(Lilii Bulbus)is used to treat insomnia,Dilong(Pheretima)is used to treat blood stasis and obstruction of meridians,etc.]and wonder medicines as the foundation[For example,Guizhencao(Bidens pilosa)is used to treat hypertension,Juanbai(Selaginellae Herba)is used to treat diabetes,and Yuzhizi(Akebiae Fructus)is used to treat liver qi stagnation,etc.],which can directly target the root cause of the illness,resulting in better curative efficacy.One proved case is attached.

关 键 词：专病专药 用药经验 象思维 奇药 龙江医学流派 姜德友 

分 类 号：R249[医药卫生—中医临床基础] R243[医药卫生—中医学]