1.天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津市西青区昌凌路88号,300381
2.天津中医药大学
wecm@sina.com,(022) 59596183
收稿:2023-03-26,
修回:2023-05-17,
纸质出版:2023-10-02
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季宏昌,黄湘龙,刘耀远等.张伯礼运用乳香-没药对药治疗顽痹经验[J].中医杂志,2023,64(19):1961-1963.
JI Hongchang,HUANG Xianglong,LIU Yaoyuan,et al.Professor ZHANG Boli's Experience in Treating Stubborn Bi (痹) with Ruxiang (Olibanum)-Moyao (Myrrha) Pair[J].Journal of Traditional Chinese Medicine,2023,64(19):1961-1963.
季宏昌,黄湘龙,刘耀远等.张伯礼运用乳香-没药对药治疗顽痹经验[J].中医杂志,2023,64(19):1961-1963. DOI: 10.13288/j.11-2166/r.2023.19.004.
JI Hongchang,HUANG Xianglong,LIU Yaoyuan,et al.Professor ZHANG Boli's Experience in Treating Stubborn Bi (痹) with Ruxiang (Olibanum)-Moyao (Myrrha) Pair[J].Journal of Traditional Chinese Medicine,2023,64(19):1961-1963. DOI: 10.13288/j.11-2166/r.2023.19.004.
总结张伯礼教授运用乳香-没药对药治疗顽痹的临证经验。认为顽痹以脉络瘀滞、痹阻不通为基本病机,乳香、没药相须为用可理气宣痹、活血定痛,除瘀滞之气血,通痹阻之经络,尤适用于顽痹之脉络痹阻。临证用乳香-没药对药配伍行气活血药物治疗胸痹,以逐瘀宣滞、散寒通脉;配伍益气活血、通经达络药物治疗中风病后期偏枯痿废日久,以疏利脉络、燮理气血;配伍四妙勇安汤治疗脉痹以行气化瘀,另对于迁延日久之脉痹可内外合治,在外洗中药中加乳香-没药对药以芳香透痹。同时强调乳香-没药对药的应用适应病症及注意事项。
This paper summarized professor ZHANG Boli's experience in treating stubborn
bi
(痹) with the herbal pair of Ruxiang (
Olibanum
)- Moyao (
Myrrha
). The basic pathogenesis of stubborn
bi
is channel and collateral stasis and obstruction. Ruxiang and Moyao are thus used in mutual reinforcement to rectify
qi
and diffuse
bi
, activate blood and relieve pain, thereby removing static and obstructed
qi
and blood, unblocking the obstructed channels and colla-terals, which is especially suitable for stubborn
bi
caused by channel and collateral obstruction. In clinical practice, the herbal pair of Ruxiang-Moyao
is used together with
qi
-moving and blood-activating medicinals to treat chest
bi
by expelling stasis and diffusing stagnation, dissipating cold and unblocking vessels. To treat long-term wither and weakness in late stage of stroke, the medicinals of boosting
qi
and invigorating blood, unblocking channels and venting collaterals can be added to the herbal pair so as to soothe and drain vessels and collaterals, harmonize and regulate
qi
and blood.
Simiao Yongan Decoction
(四妙勇安汤) can be integrated in the treatment of vessel
bi
by moving
qi
and dissolving stasis, and for the long-term stubborn vessel
bi
, integrated internal and external treatment is suggested by external use of Ruxiang-Moyao to vent
bi
with aromatics. Moreover, it is emphasized to use the herbal pair of Ruxiang-Moyao
in accordance with indications and cautions.
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