国医大师韩明向教授运用蝉蜕临证经验总结  

Summary of clinical experience in using cicada slough by Professor HAN Mingxiang,a master of traditional Chinese medicine

作　　者：梁雪 李泽庚 韩明向[3,4] 王卉 刘桐[1] 吴迪[1] 张璐 LIANG Xue;LI Zegeng;HAN Mingxiang;WANG Hui;LIU Tong;WU Di;ZHANG Lu(Anhui University of Traditional Chinese Medicine,Hefei 230031,China;Anhui Key Laboratory of Application and Transformation of Traditional Chinese Medicine in Prevention and Treatment of Major Lung Diseases,Hefei 230031,China;Xin’an Key Laboratory of Medicine,Ministry of Education,Hefei 230031,China;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230038,China;Anhui Academy of Chinese Medical Sciences,Institute of Respiratory Disease Prevention and Treatment,Hefei 230031,China)

机构地区：[1]安徽中医药大学,合肥230031 [2]中医药防治肺系重大疾病应用转化安徽省重点实验室,合肥230031 [3]教育部新安医学重点实验室,合肥230031 [4]安徽中医药大学第一附属医院,合肥230038 [5]安徽省中医药科学院中医呼吸病防治研究所,合肥230031

出　　处：《天津中医药》2024年第12期1500-1503,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：2022年安徽省临床医学研究转化专项(202204295107020045);国家自然科学基金联合重点项目(U20A20398);国家自然科学基金项目(82374399)。

摘　　要：总结韩明向教授临证运用蝉蜕经验。韩明向教授将蝉蜕归属于虫类风药,因风药具有“祛风、搜络、胜湿、透窍、开玄”等特性,故韩明向教授临证常用蝉蜕随证配伍,用于治疗各种内伤杂病,屡获验效。针对久咳,韩明向教授认为当首责于“风”,常蝉蜕、僵蚕相须为用,取其祛外风,搜伏风之意;对于肺结节“微型癥瘕”,善用蝉蜕配伍麻黄,开通玄府,化痰活血散结以标本同治;蝉蜕、磁石二者合用,一升一降,透窍与补益并举,以疗耳鸣;对于泄泻,治疗常用蝉蜕、防风,以奏胜湿止泻之功。This paper summarizes the clinical experience in using cicada slough by Professor HAN Mingxiang.Professor Han Mingxiang attributes cicada slough to insect wind medicine,because wind medicine has the characteristics of“removing wind,solving collaterals,winning moisture,penetrating pores,opening mysteries”,so Professor HAN Mingxiang often uses cicada slough in clinical practice with syndrome compatibility,for the treatment of various internal injuries and miscellaneous diseases,and has been effective.For stubborn coughs,Professor HAN Mingxiang believes that the first responsibility is“wind”,often cicada slough and stiff silkworm phase are used,taking its meaning of removing external wind and searching for wind;for pulmonary nodules“micro syndrome”,professor HAN Mingxiang believes that the use of cicada slough with ephedra,opening xuanfu,eliminating phlegm and cieculating blood to treat the same disease;Cicada slough and magnetite are combined together to promote and reduce,and to lighten,clear and penetrate the orifices,as well as to treat the tinnitus by using the end of the fall and tonic benefits in the same way;For diarrhea,the treatment is usually combined with cicada slough and wind prevention to play the role of fighting dampness and stopping diarrhea.

关 键 词：蝉蜕 药对 久咳 泄泻 耳鸣 肺结节 韩明向 

分 类 号：R249[医药卫生—中医临床基础]