颜德馨教授对历代名医学术经验的感悟与临证发挥

Impression and clinical application of Prof. YAN De-xin about the academic idea and experience of the famous doctors in past generations

颜德馨教授从医临证近70年,诊余除研读医经外,尤喜钻研历代名医的学术思想、临床经验及用药特色,在此基础上参以个人的临床感受,加以发挥运用。文章着重介绍颜老对历代名医张仲景、李东垣、张景岳、叶天士、王清任学术经验的感悟与发挥:1)颜老在临床实践中体会张仲景《伤寒杂病论》其法和方,不仅适宜于外感热病,而且可触类旁通,更广泛地应用于多种内伤杂病。2)颜老临床服膺李东垣学说,常用健脾益气、升提中气、温补脾肾、补益心脾、健脾化痰、消食导滞等法,从脾胃论治,灵活化裁,确具疗效。3)颜老根据张景岳"阳非有余"之观点,临床常用温补肾阳之味,振奋功能以消阴霾,治疗多种疑难杂症,多有验者。4)颜老颇为赞同叶天士所创治胃"宜凉、宜润、宜降、宜通"之"养胃阴"说。5)颜老在王清任治则的基础上提出"衡法",其独立性在于直接作用于气血,流通血脉,改善机体功能与新陈代谢,防病治病。

Practicing medicine for about 70 years Prof. YAN De-xin especially liked to explore the academic idea and clinical experience of the famous doctors in the past generations in the amateur time. On the basis of his own clinical experience, He elucidated these ideas and experience and put them in- to the clinical practice further. This article emphatically introduced the clinical comprehension of Prof. YAN De-xin on the academic ideas of ZHANG Zhong-jing, LI Dong-yuan, YE Tian-shi and WANG Qing-ren. He had a understanding of the method and prescription of ZHANG Zhong-jing and may applied them to treat fever diseases caused by exogenous pathogenic factors and many kinds of miseella- neous diseases with internal damage. Prof.YAN obeyed the theory ot LI Dong-yuan and obtained some satisfactory effects in treating the disease of spleen and stomach. The method included invigorating spleen and tonifying qi, raising spleen qi, warming and invigorating spleen and kidney, tonifying the heart and spleen, invigorating spleen to remove phlegm and promoting digestion method, etc. YAN also obtained some obvious clinical effect in treating many kinds of refractory and complicated disease by applying warming and invigorating the kidney yang method of ZHANG Jing-yue. YAN was good at ap- plying the theory of supporting Yin in stomach and pathogen usually intruding into collateral in protracted disease. Prof. YAN proposed the Heng method based on the theory of WANG Qing-ren. The Heng method could improve the organism function and metabolism, prevent and treat the disease by regulating qi and blood. Prof. YAN prepared a dry-eleetuary powder for apoplexy prevention based on the theory of WANG Qing-ren.