如何修改开机密码桥牌游戏 世界中西医结合杂志2020年第15卷第6期 WorldJournalofIntegratedTraditionalandWesternMedicine 2020,Vol 15,No 6
·国医传承·
DOI:10.13935/j.cnki.sjzx.200615
不习惯基金项目:中央本级重大增减支项目(2060302);北京市科技新星计
划(Z181100006218035)
作者单位:作者单位:1.中国中医科学院广安门医院,北京100053;2.
记忆单词北京中医药大学,北京100029;3.河南中医药大学第一附属医院,河
南郑州450000
通信作者:张辉,Email:persistencehui@foxmail.com何庆勇运用甘草干姜汤治疗疑难病的经验
郭建波1,2 张辉3
【摘要】 甘草干姜汤为经典名方,出自《金匮要略》与《伤寒论》。何庆勇老师长年研习仲景之法,擅用经方
治疗疑难病,认为甘草干姜汤用于治疗肺中冷之虚寒证,临床与肺痿的治疗应有所区别。其中对甘草干姜汤的运用常立起沉疴。何庆勇老师运用甘草干姜汤的经验有以下方面:一是方证辨证,擅抓主证,甘草干姜汤方证为涎沫多,色多清稀,小便频或失禁,不喜饮水,小腿挛急,偏怕冷,舌淡,苔滑,脉浮或弦。其中主证为涎沫多,色多清
稀,小腿挛急,偏怕冷。二是遵循原方剂量,甘草与干姜的用量比例为2
∶1,生甘草常用12~24g,干姜常用6~12g。三是注重经方中药物的炮制法,古方药物的炮制与现今多有区别,现今甘草干姜汤应用生甘草与干姜。四是临床适时的叠用经方,在观察患者伴有其他临床症状的基础上,可将甘草干姜汤与其他经方合用以提高疗效。同时,临床运用甘草干姜汤治疗肺中冷的患者,何庆勇老师认为其应在生活作息及饮食上进行调护,生活作息中应注意避风寒,饮食方面应忌食生冷,以求达到更好治疗效果。
【关键词】 甘草干姜汤;肺中冷;方证辨证;相对剂量;叠用经方
九儿电视剧
【中图分类号】R289.5 【文献标识码】A刘备死在哪里
HeQingyong′sexperienceintreatingdifficultdiseaseswithGancaoGanjiangDecoc tion
GUOJian-bo1,2,ZHANGHui
3(1.BeijingUniversityofChineseMedicine,Beijing100029;2.GuanganmenHospital,ChinaAcademyofChineseMedical
Sciences
,Beijing100053;3.TheFirstAffiliatedHospitalofHenanUniversityofTraditionalChineseMedicine,ZhengzhouHenan450000)
【
Abstract】 LicoriceandDriedGingerDecoction,as
也许不完美aclassicprescription,comesfromSynopsisofthe“GoldenChamber
”and“TreatiseonTyphoidFever”.HeQingyonghasstudiedZhongjing′smethodformanyyears,andisgoodatu singclassicalprescriptionstotreatdifficultdiseases.Mr.HebelievesthatLiquoriceandDriedGingerDecoctionisusedto
treatdeficiencyandcoldsyndromeofcoldinthelung.Amongthem
蜀道之难
,theuseofliquoriceanddriedgingersoupoftenrisesandsinks.Mr.HeQingyong′sexperienceinusingGancaoGanjiangDecoctionhasthefollowingaspects:Firstisgoodatsyndromedifferentiation,graspingthemainsyndromes,liquoriceanddriedgingersoupincludessalivaryfoam,clearandsparsecolor,fr
equenturinationorincontinence,dislikedrinkingwater,crampsofcalves,fearofcold,paletongue,mossslippery,floatingpulseorstring.Amongthem,themainsymptomsincludesalivaryfoam,clearcolor,acutelegcontractureandcoldfear;Thesecondistofollowtheoriginaldosage,theproportionoflicoriceanddriedgingeris2∶1,rawlicoriceiscommonlyused12to24grams,driedgingeriscommonlyused6to12grams;ThethirdistopayattentiontotheprocessingmethodsoftraditionalChinesemedicine.Theprocessingofancientprescriptionsisdifferentfromtoday′s.Today′sliquoriceanddriedgingersoupshouldbemedicatedwithrawlicoriceanddriedginger;Thefourthistouseclinicalprescriptionsinatimelymanner.Onthebasisofobservingpatientswithotherclinicalsymptoms.LicoriceandGingerDecoctioncanbecombinedwithotherprescriptionstoi
mprovetheefficacy.Atthesametime,clinicaluseoflicoriceandgingerdecoctionforthetreatmentofpatientswithcoldlung.Mr.Hebelievesthatpeopleshouldtakecareoftheirdailyroutineanddiet.Peopleshouldavoidwindandcoldduringhisdailyroutine.Alsopeopleshouldavoideatingcoldandcoldinordertoachieveabetterhealingeffect.
【Keywords】 LicoriceandDriedGingerDecoction;LungCold;SyndromeDifferentiation;RelativeDose;Overlap
pingClassicPrescription
甘草干姜汤出自于汉代张仲景的《金匮要略·
肺痿肺痈咳嗽上气病脉证治第七》与《伤寒论·辨太阳病脉证并治中第五》,为肺中冷之虚寒证而设,临床多用于咳嗽、眩晕、胃痛、遗尿、肺纤维化、肺癌等疾病的治疗[1-3]。何庆勇主任医师长年致力于仲景伤寒学说,临证常用汉唐古方而治今病,其运用·6401·