文章摘要
吴媛媛,葛林璞,姚新苗.姚新苗“温阳祛瘀”法治疗足痹经验探析[J].浙江中医药大学学报,2020,44(6):542-545.
姚新苗“温阳祛瘀”法治疗足痹经验探析
Experience of Professor YAO Xinmiao in the Treatment of Leg Arthralgia by Warming Yang and Eliminating Blood Stasis
投稿时间:2020-04-20  
DOI:10.16466/j.issn1005-5509.2020.06.009
中文关键词: 温阳祛瘀  足痹  久病多虚  久病多瘀  医案  经方  姚新苗  名中医经验
英文关键词: warming Yang and eliminating blood stasis  leg arthralgia  long illness inducing deficiency  long illness inducing blood stasis  medical cases  classical formulae  YAO Xinmiao  famous TCM doctor's experience
基金项目:全国名老中医药专家传承工作室建设项目(国中医药人教发[2014]20号)
作者单位E-mail
吴媛媛 浙江中医药大学第三临床医学院 杭州 310053  
葛林璞 浙江中医药大学第三临床医学院 杭州 310053  
姚新苗 浙江中医药大学第三临床医学院 杭州 310053 yxmtcm@aliyun.com.cn 
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中文摘要:
      [目的]分析和总结姚新苗教授采取“温阳祛瘀”法治疗足痹的临床经验和学术思想。[方法]通过跟师临诊,收集整理姚师治疗足痹的病案,对其病机病因、治疗原则及遣方用药之独特之处加以归纳总结,并列举验案两则予以佐证。[结果]足痹多由痹邪侵袭日久,迁延不愈,致阳气虚衰,阳虚则寒凝脉络,四肢末端气血瘀滞,脉道失于贯注温养,发为该病。姚师从“久病多虚”和“久病多瘀”的角度,选择温阳祛瘀的经方桂枝茯苓汤加减治疗,疗效显著。所举医案分别为久病及外伤术后,外邪侵踞,或虚瘀夹杂,以致阳气虚衰,或内生血瘀,虚、邪、瘀胶着不去,深入肌肤、骨节而致足痹,以桂枝茯苓汤合四味健步汤加减以温阳祛瘀通络,治疗后随访1年未见复发。[结论]姚师治疗足痹,以“温阳祛瘀”为治疗原则,首重扶正而兼顾祛邪,温阳祛瘀通络,为临床诊疗提供了新思路,值得推广。
英文摘要:
      [Objective] To summarize the academic thoughts and therapeutic ideas of Professor YAO Xinmiao in treating leg arthralgia.[Methods] By learning from Professor YAO Xinmiao in the clinic, studying the medical records of leg arthralgia, the etiology and pathology, therapeutic principles, and the uniqueness of prescription were summarized, and two cases were presented as proof.[Results] Leg arthralgia is mainly caused by the long-time invasion of arthralgia pathogen, which induces Yang deficiency, cold coagulation and failure to warm and nourish the legs. From the point of view of "long illness inducing deficiency" and "long illness inducing blood stasis", Professor YAO Xinmiao chooses to treat it by warming Yang and removing blood stasis, and modificating the formula according to symptoms. Two cases were illustrated to explain the method, and the curative effect was significant. The invasion of exogenous pathogens or mixture of deficiency and excess led to Yang deficiency and internal blood stasis, deficiency, pathogen and blood stasis were stalemated in the skin, muscle and bone, which finally led to leg arthralgia. The patients both achieved good results after treated with modified Guizhi Fuling decoction combined with Siwei Jianbu decoction to warm Yang, eliminate blood stasis and dredge collaterals and no recurrence was found after one year follow-up.[Conclusion] Professor YAO proposes that "warming Yang and eliminating blood stasis" should be used to treat the leg arthralgia. Firstly strengthening the body and secondly removing pathogenic factors, this provides an idea for clinical diagnosis and treatment of leg arthralgia and is worth popularizing.
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