杜怀棠应用秦伯未调气法论治寒痹验案1则

One case of DU Huaitang’s application of QIN Bowei’s method of regulating qi to treat bi syndrome aggravated by cold

关键词:  调气  寒痹  杜怀棠  秦伯未  验案

Key words:  qi regulating  bi syndrome aggravated by cold  DU Huaitang  QIN Bowei  experienced case

摘要:

杜怀棠教授师承著名中医学家秦伯未先生，临证灵活运用秦伯未先生所言“补、疏、升、降”4法治疗外感、内伤之气病。杜教授认为，痹证发病除与外感风、寒、湿等邪气密切相关外，亦需重视外邪痹阻经络而伤及气血，尤其针对痹证日久者，更强调条达气机、温通气血的重要性。杜教授临床治疗1例久病寒痹者，先予柴胡桂枝汤、越鞠丸加减条达气机解阳郁，又用奔豚汤、七气汤化裁疏肝补肾平冲气，再以逍遥散、肾着汤、真武汤等方柔肝健脾温肾气，并佐温阳活血之品以调和气血，具有临床启发意义，可资同道借鉴参考。

Abstract:

Professor DU Huaitang inherited from QIN Bowei，a famous master of traditional Chinese medicine. He flexibly used the four methods of “tonifying，dispersing，ascending and descending” mentioned by QIN Bowei to treat qi diseases caused by exogenous and internal injuries. DU Huaitang considers that the occurrence of bi syndrome is closely related to exogenous pathogenic factors such as wind，cold and dampness. In addition，it is also necessary to pay attention to external pathogenic factors blocking meridians and damaging qi and blood. Especially for those with bi syndrome for a long time，the importance of regulating qi and warming qi and blood is emphasized. In the clinical treatment of a patient with bi syndrome aggravated by cold for a long time，DU Huaitang first gave Chaihu Guizhi Decoction and Yueju Pill to dredge qi and relieve yang depression，then used Bentun Decoction and Qiqi Decoction to soothe the liver，tonify the kidney and smooth the chong qi，and then used Xiaoyao Powder，Shenzhuo Decoction and Zhenwu Decoction to soften the liver，strengthen the spleen and warm the kidney qi，and supplemented with medicine of warming yang and activating blood to regulate qi and blood，which has clinical enlightenment and can be used for reference.