顾植山教授应用柴胡桂枝干姜汤治疗妇科疾病验案浅析

Analysis on Proved Cases of Professor Gu Zhishan in the Treatment of Gynecological Disease with Chaihu Guizhi Ganjing Decoction

顾植山教授用六经三阴三阳开阖枢理论指导经方的临床应用,是龙砂医学流派三大特色之一。本文以顾植山教授用开阖枢理论指导柴胡桂枝干姜汤治疗妇科疾病验案3则,阐述当疾病由少阳刚入太阴时通过调理少阳枢机,可枢转回少阳而解,当病在厥阴亦可通过调理少阳枢机使病出表至少阳而愈。只要抓住这两种病机,不必"诸证悉具",就能取得很好的疗效,临证时应遵循古法煎服,注意煎服时间,并要确保柴胡为北柴胡。

The clinical application of Professor Gu Zhishan with the opening, closing and pivot theory of three yin and three yang on using six meridians of classical prescriptions of is one of the three major characteristics of Longsha medical schools. Based on 3proven cases, Professor Gu used the opening, closing and pivot theory to guide the application of Chaihu Guizhi Ganjing decoction to treat gynaecological disease, and this article explained how it works. When the disease passed from Shaoyang Meridian to Taiyin Meridian, it can be treated in Shaoyang meridian by regulating the Shaoyang pivot. When in Jueyin Meridians, it can also be treated in Shaoyang meridian by regulating the Shaoyang pivot. If you grasp two points of the pathogenesis instead of all, you can obtain goodclinical results. You should follow the ancient decocting method, pay attention to the decocting time, and use honewort.