| 引用本文: |
吴宇,武维屏.武维屏教授应用桑苏桂苓汤治疗支饮经验[J].湖南中医药大学学报,2019,39(6):725-728[点击复制] |
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| 武维屏教授应用桑苏桂苓汤治疗支饮经验 |
| 吴宇,武维屏 |
| (北京市延庆区医院/北京大学第三医院延庆医院, 北京 102100;北京中医药大学附属东直门医院, 北京 100700) |
| 摘要: |
| 支饮是中医临床常见病种，涵盖了现代医学的多种疾病。武维屏教授擅用桑苏桂苓汤加减治疗支饮。临床中，先抓主症而定支饮之病，治宜桑苏桂苓汤加减。强调认识疾病之轻重缓急，先咳喘而后肿胀为"肿喘"一候。桑苏桂苓汤三焦分治祛水饮，五脏同调和为上。在此方证基础上，若为外感，驱邪最重要，若无外感，须调气并通阳。支饮之实证，病由肺及肾，虚证则由肾及肺，观疾病之整体，当始终实脾脏，久病还须化瘀。 |
| 关键词: 桑苏桂苓汤 支饮 慢性肺源性心脏病 右心衰 武维屏 |
| DOI：10.3969/j.issn.1674-070X.2019.06.011 |
| 投稿时间：2018-07-15 |
| 基金项目:国家中医药管理局"武维屏全国老中医药专家传承工作室"建设项目资助；北京中医药薪火传承"3+3"工程武维屏名医传承工作站建设项目资助。 |
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| Experience of Professor WU Weiping in the Treatment of Thoracic Fluid Retention by Sangsu Guiling Decoction |
| WU Yu,WU Weiping |
| (Beijing Yanqing District Hospital/Yanqing Hospital, The Third Hospital of Peking University, Beijing 102100, China;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China) |
| Abstract: |
| Thoracic fluid retention is a common clinical disease of traditional Chinese medicine, covering a variety of diseases in modern medicine. Professor WU Weiping is good at using modified Sangsu Guiling Decoction to treat thoracic fluid retention. Clinically, thoracic fluid retention is diagnosed by grasping the main symptoms first, and the treatment is applying the modified Sangsu Guiling Decoction. The order of severity of the disease is highlighted:cough and wheezing followed by swelling is considered as the primary symptom-"swelling and wheezing". Sangsu Guiling Decoction can dispel fluid retention by respectively treating triple energizer and simultaneously regulating five zang-organs to harmonization. On the basis of this decoction and syndrome, if there is external contraction, dispelling pathogen is the most important; if there is no external contraction, regulating Qi and activating Yang need to be done. The excess syndrome of thoracic fluid retention is from lung to kidney, and the deficiency syndrome is from kidney to lung. From the overall view of the disease, firming spleen is always needed; and dissolving stasis is also needed in long-term illness. |
| Key words: Sangsu Guiling Decoction thoracic fluid retention chronic pulmonary heart disease right heart failure WU Weiping |
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