国医大师路志正临证运用半夏经验

The experience of Chinese medicine master LU Zhizheng in clinical application of pinellia ternata

关键词:  半夏  路志正  名医经验

Key words:  Pinellia ternata  LU Zhizheng  experience of famous physicians

摘要:

国医大师路志正教授继承并创新性运用仲景经方中半夏的配伍理论与辨证思路。文章指出，半夏炮制后入药，常与姜配伍以降逆止呕、化水饮，但其与生姜、生姜汁、干姜的配伍功效各有侧重。路志正教授强调半夏虽具辛开苦降、开痞散结之效，尤善治疗三焦水饮与热结之证，但其性辛燥，故阴虚口渴者慎用。路志正教授在运用半夏方面具有3个特色：一是重视炮制以减其燥性，推崇陈士铎之法；二是灵活配伍以发挥其降逆止呕、开痞散结、通利二便等多重效用；三是结合具体病案，展示了其在治疗胃神经官能症等复杂病证中的精妙应用。

Abstract:

This paper focuses on the inheritance and innovative application of Professor LU Zhizheng，a Chinese medicine master，in the theoretical and diagnostic principles of Pinellia ternata（Banxia）from the classical prescriptions of ZHANG Zhongjing. It notes that after processing，Pinellia ternata is often combined with ginger to descend rebellious qi，stop vomiting，and resolve fluid retention，but its synergistic effects with fresh ginger，ginger juice，and dried ginger each have distinct emphases. Professor LU Zhizheng emphasized that while Pinellia ternata excels in dispersing stagnation，resolving nodules，and treating conditions of fluid retention and heat accumulation in the three burners，its pungent and drying nature necessitates cautious use in cases of yin deficiency with thirst. The paper elaborates on three distinctive aspects of Professor Lu’s application of Pinellia ternata：first，prioritizing processing to mitigate its drying nature，advocating the method of CHEN Shiduo；second，flexibly combining it to harness its multifaceted effects such as descending rebellious qi，stopping vomiting，resolving nodules，and promoting smooth excretion of urine and stool；and third， demonstrating its ingenious application in treating complex conditions like neurotic gastritis through specific medical cases.