| 引用本文: |
王慧颖,胡不群,姚军,蔡磊,杨曼芩,张群峰,谢雪姣.胡不群例谈扶正驱邪治急危重症[J].湖南中医药大学学报,2022,42(8):1351-1355[点击复制] |
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| 胡不群例谈扶正驱邪治急危重症 |
| 王慧颖,胡不群,姚军,蔡磊,杨曼芩,张群峰,谢雪姣 |
| (湖南中医药大学中医学院, 湖南 长沙 410208;长沙天马医院, 湖南 长沙 410006;湖南中医药大学附属第二医院, 湖南 长沙 410005;湖南中医药大学附属第一医院, 湖南 长沙 410007;南华大学附属第二医院, 湖南 衡阳 430400) |
| 摘要: |
| 胡不群教授认为急危重症往往虚实错杂，辨析病情虚实、权衡攻补关系是处理急危重症的关键，其临证擅于以虚实为纲、以扶正驱邪为法诊疗急危重症。通过列举胡教授运用桃核承气汤治疗邪实甚急、神昏抽搐案，托里透脓散合千金苇茎汤治疗虚实并重、痰热壅肺案，独参汤合大承气汤治疗邪实正衰、热深厥甚案，将其诊疗经验总结如下：（1）邪实并存，以邪气实为急中之急者，当先驱其邪，邪去而后再议扶正；（2）邪实并存，虚实并重者，当扶正驱邪兼顾，至于其扶几分正，驱几分邪则又当据临床具体情况而定，无定法可依；（3）虚实错杂，正气欲脱，而又邪甚，必须攻伐者，则又当先托住正气，而后再议攻邪。 |
| 关键词: 急危重症 扶正驱邪 医案 辨证论治 名医经验 胡不群 |
| DOI：10.3969/j.issn.1674-070X.2022.08.019 |
| 投稿时间：2022-01-18 |
| 基金项目:国家自然科学基金项目（81603600）；全国教育科学规划单位资助教育部重点课题（DIAI30289）；全国教育科学十二五规划课题（DIA130289）；湖南省教育厅创新平台开放基金项目（19K069）；湖南省研究生优质课程立项项目（2019-181）。 |
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| HU Buqun talks about promoting the healthy Qi and expelling the pathogenic factor to treat acute and critical illnesses |
| WANG Huiying,HU Buqun,YAO Jun,CAI Lei,YANG Manqin,ZHANG Qunfeng,XIE Xuejiao |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Changsha Tianma Hospital, Changsha, Hunan 410006, China;The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;The Second Hospital of Nanhua University, Hengyang, Hunan 430400, China) |
| Abstract: |
| Professor HU Buqun believes that the acute and critical illnesses are often mixed with the deficiency and the excess. Discriminating the deficiency and the excess of the condition and weighing the relationship between attack and complement are the key to deal with the acute and critical illnesses, he specializes in the treatment of acute and critical illnesses based on the outline of deficiency and excess and the method of promoting the healthy Qi and expelling the pathogenic factor. By citing professor HU's use of Taohe Chengqi Decoction in the treatment of urgent pathogenic factor and excess, and convulsion of mentality and dizziness, the case of Tuoli Tounong San combined with Qianjin Weijing Decoction in the treatment of deficiency and excess, phlegm-heat in the lung, and the case of Dushen Decoction combined with Dachengqi Decoction in the treatment of healthy Qi decline and pathogenic factor increase, heat causes confusion disease, the diagnosis and treatment experiences are summarized as follows:(1) If pathogenic factor and reality coexist, and pathogenic factor and reality are the urgency of urgency, we should first eliminate its pathogenic factor, and then discuss supporting healthy Qi; (2) If pathogenic factor and reality coexist, the deficiency and the excess are both important, then promoting the healthy Qi and expelling the pathogenic factor are taken into account. How to helping a bit of healthy Qi or removing a bit of pathogenic factor is also according to the specific clinical situation, there is no definite method to follow; (3) In cases of mixed deficiency and excess, where the healthy Qi is about to be released and the pathogenic factor is so strong that it must be attacked, the healthy Qi must be supported first, and then the attack on the pathogenic factor should be discussed. |
| Key words: acute and critical illnesses promoting the healthy Qi and expelling the pathogenic factor medical records syndrome differentiation and treatment experience of famous doctors HU Buqun |
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