文章摘要
虞泰来,范永升,谢冠群.基于“水饮”理论探讨范永升教授运用苓桂术甘汤治疗风湿免疫病经验[J].浙江中医药大学学报,2021,(5):489-492, 496.
基于“水饮”理论探讨范永升教授运用苓桂术甘汤治疗风湿免疫病经验
Discussion on Professor FAN Yongsheng's Experience in Treating Rheumatic Immunopathy with Linggui Zhugan Decoction Based on “Retained Fluid” Theory
投稿时间:2020-12-28  
DOI:10.16466/j.issn1005-5509.2021.05.008
中文关键词: 苓桂术甘汤  水饮  范永升  强直性脊柱炎  白塞病  系统性红斑狼疮  干燥综合征  临证经验
英文关键词: Linggui Zhugan Decoction  retained fluid  FAN Yongsheng  ankylosing spondylitis  Behcet's disease  systemic lupus erythematosus  Sjogren's syndrome  clinical experience
基金项目:
作者单位E-mail
虞泰来 浙江中医药大学第一临床医学院 杭州 310053  
范永升 浙江中医药大学第一临床医学院 杭州 310053 fyszjtcm@163.com 
谢冠群 浙江中医药大学基础医学院  
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中文摘要:
      [目的]总结风湿免疫病“水饮”的发病特点及范永升教授运用苓桂术甘汤的治疗经验。[方法]通过跟师面授及查阅文献,总结风湿病“水饮”临床表现特点。选取典型医案,并结合历代医家的相关论述,从病因病机、选方用药特点等方面阐述范永升教授应用苓桂术甘汤的学术观点及临床经验。[结果]风湿免疫病中“水饮”致病变化多端,多累及肺、脾、肾三脏。范永升教授针对风湿病中“水饮”致病产生的各种水肿、水气、湿邪等病理产物,运用苓桂术甘汤为主方,以温阳化饮、健脾利水,配合芳香化湿、利水消肿、化痰散结、宣肺平喘等治法治疗强直性脊柱炎、白塞病、系统性红斑狼疮、干燥综合征等风湿免疫疾病,均获得良好效果。[结论]范永升教授从“水饮”的分型出发,运用苓桂术甘汤辨证施治各类风湿免疫病,临床疗效肯定,值得学习与推广应用。
英文摘要:
      [Objective] To summarize the characteristics of “retained fluid” in rheumatic immunopathy and the experience of Professor FAN Yongsheng in application of Linggui Zhugan Decoction. [Methods]By following Professor FAN in clinical work and consulting literature, the clinical features of “retained fluid” syndrome in rheumatic immunopathy were summarized. By selecting typical medical cases and combining with the related exposition of doctors of past dynasties, Professor FAN's academic views and clinical experience in application of Linggui Zhugan Decoction were expounded. [Results]“Retained fluid” in the rheumatic immunopathy is most changeful, and it mostly involves the lung, spleen, kidney, leading to different pathogenesis such as edema, damp evil, phlegm turbidity. For above pathogenesis, Professor FAN chooses Linggui Zhugan Decoction to warm Yang, promote fluid and invigorate the spleen for diuresis to treat rheumatic immunopathy such as ankylosing spondylitis, Behcet's disease, systemic lupus erythematosus and Sjogren's syndrome which shows a good curative effect, combined with several therapy principles including removing dampness with aromatics, inducing diuresis to remove edema, reducing phlegm and resolving masses, promoting the dispersing function of the lung and relieving asthma, and good results were obtained. [Conclusion]Professor FAN Yongsheng treats rheumatic immunopathy with Linggui Zhugan Decoction based on the classification of “retained fluid”,and the clinical curative effect is positive. It is worthy of learning and application.
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