国医大师熊继柏基于“火郁发之”运用普济消毒饮经验  

Experience of Xiong Jibai in the application of Puji Xiaodu Decoction based on the theory of"release of fire stagnation"

作　　者：张宇 杨岚 曹宇翔 曾光[1] ZHANG Yu;YANG Lan;CAO Yuxiang;ZENG Guang(School of Integrated Chinese and Western Medicine,Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学中西医结合学院,长沙410208

出　　处：《吉林中医药》2025年第1期46-50,共5页Jilin Journal of Chinese Medicine

基　　金：湖南省教育厅科学研究项目(22A0281);湖南省中医药科研重点课题(2023-24)。

摘　　要：熊继柏认为,“五郁”既能反映天地之间五气的郁积,又能体现人体脏腑气机的郁滞。五运之气太过或不及导致自然气候变化,脏腑气机异常则导致人体疾病发生。气机升降失常,郁结不达,可导致气血运行受阻,郁而化火,形成火郁。火郁是临床上诸多疾病的始动病机,郁久产生热毒,可引起机体有形肿块、无名肿毒、多发肿瘤等疾病。普济消毒饮具有清热解毒,疏风散邪之功效,寓“火郁发之”之意。熊继柏认为,凡病机属“火郁”者,不拘表里内外、上中下焦,皆可应用普济消毒饮加减灵活治疗,助邪发散,气机调畅,阴阳平衡,则邪去正安。The theory of"release of fire stagnation"originates from the Huangdi Neijing,and Professor Xiong Jibai believes that"five stagnations"can reflect both abnormal changes in the weather and abnormal qi movements of the organs in human body,which may lead to the occurrence of diseases.Abnormal ascending and descending of qi can lead to its stagnation,which in turn results in obstruction of qi flow and blood circulation,causing stagnation and turning into fire,resulting in fire stagnation ultimately.Fire stagnation constitutes the initial pathogenic factor of many diseases in clinic,and over time it can further give rise to heat toxicity,inducing visible swellings,unnamed tumors,multiple tumors,and other diseases in the body.Puji Xiaodu Decoction has the effects of clearing heat and toxicity,dispersing wind and eliminating pathogenic factors,bearing the implication of"release of fire stagnation".Professor Xiong Jibai believes that any disease with a pathogenesis of"fire stagnation"can be treated with Puji Xiaodu Decoction,modified when necessary according to specific conditions,and significant efficacy can be achieved.

关 键 词：普济消毒饮 火郁发之 痄腮 瘿瘤 神经纤维瘤 名医经验 熊继柏 

分 类 号：R249[医药卫生—中医临床基础]