王邦才诊治痿痱验案举隅  

Proved cases on diagnosis and treatment of flaccidity and hemiplegia from WANG Bangcai

作　　者：王培劼 王邦才(指导)[1] WANG Peijie;WANG Bangcai(Advisor)(Ningbo Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicial University,Ningbo 315010,China)

机构地区：[1]浙江中医药大学附属宁波市中医院,宁波315010

出　　处：《中华中医药杂志》2024年第11期5921-5923,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：浙江省王邦才名老中医专家传承工作室(No.GZS2017018)。

摘　　要：王邦才临床擅治疑难杂病,辨证准确,用药精准。文章所举急性痿证案,先用温经通脉,散寒祛湿,调畅气机法;继以温经通脉,疏肝养血而取效;风痱案,辨为肝肾亏虚,督脉不通,肝风夹痰热上扰;治疗以滋补肝肾,平肝息风,通络化痰,标本兼治缓图收功。文章通过两则验案,分享王邦才临床诊治痿痱经验,体现其治疗急性病辨证准确,用药稳、准、狠,胆大心细。WANG Bangcai is good at treating difficult and miscellaneous diseases,with accurate syndrome differentiation and accurate medication.In the case of acute flaccidity in the article,the method of warming meridians and unblocking the pulse,dispersing cold and removing dampness,and regulating qi mechanism should be used first;After that,it takes effect by warming meridians and unblocking meridians,soothing liver and nourishing blood;The case of wind hemiplegia was identified as liver and kidney deficiency,governor vessel obstruction,liver wind with phlegm and heat disturbance;The treatment is to nourish the liver and kidney,calm the liver and calm the wind,dredge the collaterals and dissipate phlegm,and treat both symptoms and signs to slow down the symptoms.Through two proven cases,the article shares WANG Bangcai’s clinical experience in the diagnosis and treatment of flaccidity and hemiplegia,reflecting his accurate syndrome differentiation in the treatment of acute diseases,stable,accurate,ruthless and bold.

关 键 词：急性痿证 风痱 王邦才 名医经验 医案 颤证 疑难杂病 

分 类 号：R249[医药卫生—中医临床基础] R255.6[医药卫生—中医学]