戴丽三临证特色与经验撷英

Clinical Characteristic and Experiences of DAI Lisan

戴丽三是云南四大名医之一。他毕生潜心攻研歧黄之道,致力于中医药临床及教育事业的发展。49年的行医生涯中,屡起疑难重症,药简效专、医德高尚,在云南中医界享有极高声誉。戴氏临证颇具特色,善用"转阳法":认为阳证易治、阴证难疗,对于阴寒内盛的急危重症,先使用大剂温药,直至阳热症状外显后再用清解之剂顺势而解;以及"开门法":重视太阳气机的调达,通过宣畅太阳之气,达到表通里和的目的。此外,戴氏重视阳气,善用、喜用、重用附姜桂等温热药物;重视体功,尤重扶助正气及阳气。用药上尊崇经方,源于伤寒而又广于伤寒;善用食疗方药,取其不伤正气。他还创制了小白附子天麻汤、姜桂苓半汤、桑叶连贝散等多首新方,临证用之多验,时人争相传抄。对戴丽三的临证特色和经验进行总结研究,对于提高临床水平具有推动作用。

DAI Lisan was one of the four famous traditional Chinese medicine(TCM)doctors in Yunnan Province.He dedicated his entire life to study and practice TCM,also the development of clinical and educational career.During his 49 years′career,DAI Lisan has saved many seriously ill patients′lives,gaining him great reputation in Yunnan.He has unique and valuable experiences.He believes that Yang syndrome is easy to cure.On the contrary,Yin syndrome is hard.Therefore,he was good at the method of“turning to Yang syndrome”,namely,he would use high-dose of heat and warm drugs to turn Yin syndrome to Yang syndrome,then use clearing-heat drugs to treat Yang syndrome.He is good at“Opening door”method which is applied to smooth Qi of Taiyang in order to expel pathogen Qi.Additionally,he canonizes Yang Qi and is good at using warm drugs with high dose,such as Fuzi(Aconm Lateralis Radix Praeparaia),Ganjiang(Zingiberis Rhizoma),Rougui(Cinnamomi Cortex),etc.He values the healthy energy.Additionally,he inheritances classic prescriptions and uses them flexibly according to patients′syndromes.He likes food therapy besides medicines.Furthermore,he creates many new and effective prescriptions,such as Xiaobai Fuzi Tianma Decoction(小白附子天麻汤),Linggui Jiangban Decoration(姜桂苓半汤),Sangye Lianbei Powder(桑叶连贝散),etc.Overall,summarizing and studying the relevant contents has a positive effect on the improvement of clinical effects.