从“一剂知二剂已”探讨中医急诊辨治

Discussion of treatment determination in TCM emergency,from effects of medications will be detected after the first decoction and the disease can be cured after the second decoction

目的介绍颜德馨教授中医急诊诊治经验。方法采用中医疗法治疗急性重症。用血府逐瘀汤治顽固性头痛、肺炎方治急性肺炎、净胰汤治急性胰腺炎、附子半夏配伍以治厥逆、麻黄附子细辛汤治哮喘、抵当汤合葶苈大枣泻肺汤治肺原性心脏病、降气清肝法治鼻衄、中西医结合治疗非典型性肺炎等急性重症。结果一剂知二剂已,其中治愈5例,好转3例。结论中医急诊诊疗和辨治是中医学的重要内涵,中医在急、危、重、难病的预防治疗中能发挥相当大的作用,只要医者胆大心细、辨证准确、用药精当、攻补得宜,中医中药亦可治疗急重症,且收效甚捷。

Objective To introduce Prof. Yandexin＇ s experience of TCM emergency treatment with an emphasisi on that ＂effects of medications will be detected after the first decoction and the disease can be cured after the second decoction＂. Methods The TCM therapies in severe acute diseases, for example, the stubborn headache treatment of Xuefu zhuyu decoction, the acute pneumonia treatment of Feiyanfang, the acute pancreatitis treated by Jingyi decoction, the Jue-ni treatment of Fuzi and Banxia compatibility, the asthma treatment of Mahuang fuzi xixin decoction, the pulmonary heart disease treatment of Didang decoction and Tinglidazaoxiefei decoction, the epistaxis treatment by Jiangqiqinggan, the SARS treatment by combination of TCM with western medicine etc introduced by Prof. Yan were presented. Results Effects of medications will be detected after the first decoction and the disease can be cured after the second decoction. Five cases were cured and 3 improved. Conclusion The diagnosis and therapeutics, treatment determination based on syndrome differentiation of TCM emergency are very important contents of TCM. Traditional Chinese medicine therapies have great effective in severe acute and refractory diseases treating. TCM and herbs can cure severe acute diseases and have good effects in case TCM doctorsare hardihood and careful, masting syndrome differentiation, accurate herbs usuage, exact including eliminating and reinforcing.