潘澄濓敛肺止血膏探讨

An Investigation into Pan Chenglian's Astringing Lung Hemostatic Paste

[目的]探讨名医潘澄濂敛肺止血膏的用药、制作及临床应用。[方法]从潘澄濂敛肺止血膏的用药组成,阐发理论基础、基础处方、基本用药和主要功效,分析在燥热犯肺、肺脾气虚、肺阴虚亏、肺肾虚亏等不同证型中的应用,陈述膏制优点、制作方法及服用事宜,结合病例进行临床使用研讨。[结果]敛肺具有止血膏受张景岳咳嗽咯唾,其病标在肺,病本在肾的理论影响,结合"散者收之,损者益之"的治则,着眼于肺、脾、肾的调养,组方上融合了百合固金汤、补肺阿胶汤、丹溪咳血方等,具有化痰敛肺,止血益肾的作用,支气管扩张症咯血各种证型都可配合采用。制法上将原先的10d用药,熬制成1料膏剂,供1个月服食。[结论]其方化痰敛肺,止血益肾,治疗支气管扩张咯血疗效有保障,且节约药材,便于服用。

Objective] To explore compatibility of medicines, producing and clinical application of Astringing Lung Hemostatic Paste. [Methods] Expound theoretical basis, basic prescription,basic medication and main efficacy based on its pharmaceuticals, analyze its application on syndrome heat invading the lung, lung and spleen qi deficiency,lung yin deficiency,lung and kidney deficiency,state advantage, manufacturing methods and directions, explore clincal application combined with cases.[Result] Influenced by Zhang＇s theory and combined with rules of treatment, restrain the dispersing and nourish the deficiency, Astringing Lung Hemostatic Paste derived from Baihe Gujin decoction, Bufei Ejiao decoction and Danxi Kexue decoction, lays emphasis on recuperation of lung, spleen, and kidney and effects on eliminating phlegm and astringing the lung and stanching bleeding and tonifying kidney. Decocting the primary medicinal herbs of 10 days into paste which meets one month-taking.[Conclusion] The paste,eliminating phlegm and astringing the lung and stanching bleeding and tonifying kidney, well effects bronchiectasia and hemoptysis, which saves medicinal materials and is convenient to take.