柳国斌教授从“寒凝血瘀”论治血栓闭塞性脉管炎的经验

Professor Liu Guobin’s experience in treating thromboangiitis obliterans based on the treatment of“cold congelation and blood stasis”

本文对柳国斌教授治疗血栓闭塞性脉管炎的学术思想进行总结。柳教授提出阳虚寒凝是血栓闭塞性脉管炎的始动病机,而后形成瘀血、脉络闭阻等病理环节,故将本病的病机概括为“寒凝经脉,瘀血阻络”,其提出以“温经散寒,活血通络”为治疗法则,遣方用药注重扶阳,认为机体的阳气充足后,气血得以运行顺畅,瘀血等病理因素随之消散。柳教授强调只有抓住病机才能抓住治疗的关键,在复杂的疾病中找出矛盾所在,才能取得良效。现将柳教授临证经验总结如下,并附验案1则,为治疗血栓闭塞性脉管炎提供思路。

This article summarizes Professor Liu Guobin’s academic thoughts on the treatment of thromboangiitis obliterans.Professor Liu proposed that yang deficiency cold coagulation is the initial pathogenesis of thromboangiitis obliterans,and then the formation of blood stasis,vein blocking,and other pathological links,so the pathogenesis of this disease is summarized as“cold coagulation meridians,blood stasis blocking collaterals”.He proposed to“warming the meridian to dispel cold,activating blood and clearing collaterals”as the treatment principle,and pay attention to fuyang medication,thinking that after the body’s yang is sufficient,qi and blood can run smoothly,blood stasis and other pathological factors dissipate.Professor Liu stressed that only by grasping the pathogenesis can grasp the key to treatment,and find out the contradictions in complex diseases in order to achieve good results.The clinical experience of Professor Liu is summarized as follows,and one case is attached to provide ideas for the treatment of thromboangiitis obliterans.