白长川诊疗特色总结初探

Discussion on Characteristics of Diagnosis and Treatment of BAI Changchuan

白长川教授从事中医临床工作50余载,全国名中医,全国中医药杰出贡献奖获得者,全国第三、四、六批老中医药专家学术经验继承指导老师。白师具有丰富的临床经验,在辨证论治方面独具特色,在临床诊疗中根据脏腑经络、气血寒温、药物归经、药物属性巧取药物,尤其重视古方新用、并挖掘新药在临床的功用及配伍运用,在毒性应用中斟酌剂量及功效。且在学术思想上逐渐形成滞伤脾胃、寒温统一,三焦脏腑定位、两化气血定性、四期虚实定势等学术观点,建立中医经典临床路径,对于常见病及复杂性疾病的诊治均获良效。现对白师临证选方用药特色、理论特色及诊疗特色进行总结,以运脾七法、三焦治咳、四法治热、"三方""三证"辨证体系、解剖分区引经方体系为例,以期为临床实践、为名老中医学术继传承、为中医理论及应用的继承和创新提供新思路。

Professor BAI Changchuan has been engaged in TCM clinical work for more than 50 years.He is a national famous TCM doctor,the winner of the National Outstanding Contribution Award for TCM,and the instructor of inheriting the academic experience of the third,fourth and sixth groups of TCM experts.Professor BAI has rich clinical experience and unique characteristics in syndrome differentiation and treatment.In clinical diagnosis and treatment,he takes drugs according to Zang-Fu organs and channels,Qi and blood,cold and warm,meridians and drug properties.In particular,he attaches great importance to the new use ofancient prescriptions,explores the clinical function and compatibility of new drugs,and considers the dose and efficacy in toxicityapplication.In addition,academic ideas such as the unification of spleen and stomach caused by stagnation,cold and warm,the lo-calization of triple energizer and Zang-Fu organs,the qualitative analysis of Qi and blood,and the four-stage deficiency and real-ity set have been gradually formed in academic thoughts,and the classical clinical pathway of TCM has been established,whichhas achieved good results in the diagnosis and treatment of common diseases and complex diseases.This paper summarized thecharacteristics of Professor BAI′s clinical prescription selection,taking the seven methods of strengthening spleen,three Jiao fortreating cough,four rules of treating fever,the syndrome differentiation system of“three parties”and“three syndromes”,and thesystem of quoting scriptures in anatomical regions as examples,in order to provide new ideas for clinical practice,academic inher-itance of famous traditional Chinese medicine,inheritance and innovation of TCM theory and application.