史欣德教授运用桂枝类方经验撷菁

Essence of professor SHI Xin-de's experience in application of Persicae Ramulus-associated prescriptions

桂枝汤系《伤寒论》开篇第一方,被历代医家推崇,是调和营卫、阴阳、气血的总方,虽药仅5味,而应用范围之广,演变类方之多,实非他方所能及。桂枝汤虽为治疗太阳中风证所设,但其功能不仅仅限于治疗外感病,该方及类方在治疗内、外、妇、儿等多种疾病中效如桴鼓。柯韵伯誉之为"仲景群方之冠,乃滋阴和阳,调和营卫,解肌发汗之总方也"。史欣德教授临证擅长运用桂枝类方治疗疑难疾病,如小建中汤合保和丸治疗小儿慢性湿疹,桂枝加葛根汤合玉屏风散治疗慢性肾炎,桂枝加龙骨牡蛎汤治疗失眠,临证时不拘泥于中西病名诊断,有是证用是方,取得较好疗效。

Persicae Ramulus decoction, as the first prescription in Treatise on febrile Diseases, has been recommended by physi- cians of successive generations. It is also the general prescription for harmonizing yingfen and weifen, yin and yang, qi and blood. Al- though it only consists of five herbal medicines, it has a wider range of application and more categorized formulas than other prescriptions. Though Persicae Ramulus decoction was originally formulated to treat taiyang apoplexy, it has functions beyond the treatment of exopathic diseases. This formula is also effective in treating internal diseases, sttrgical diseases, gynecologic diseases, paediatric diseases, etc. KE Yun-bo praised it as the No. 1 formula among ZHANG Zhong-jin＇s formulas as well as the general prescription for harmonizing Yin and Yang, yingfen and weifen, resolving fleshy exterior and inducing perspiration. Professor SHI Xin-de has been expert at treating intractable diseases by using Persicae Ramulus-associated prescriptions, such as Xiaojianzhong decoction and Baohe pill for children＇s chronic ecze- ma, Persicae Ramulus and Puerariae Lobatae Radix decoction and Ynpingfeng powder for chronic nephritis, and Persicae Ramulus and Longgu Muli decoction for insomnia. Instead of being restricted to Chinese or Western disease names, he prescribed appropriate formnlas according to syndromes, thereby achieving a good efficacy.