王宏坤运用芍药甘草汤经验

Wang Hongkun's Experience of Applying and Peony Licorice Decoction

芍药甘草汤出自《伤寒论》,为误汗伤阴,筋脉挛急而设。王宏坤老师从肝血不足、筋失所养,久行伤筋、筋挛不伸,外伤瘀滞、血阻筋绌,肝肾不足、骨萎筋弱等方面辨证治疗,以芍药甘草汤作为主方加减治疗腓肠肌痉挛症、胫骨结节骨骺炎、骨质疏松症。对于肝脾不和者,王老师多借柴胡辛寒,加强疏肝作用;以干姜辛热,温脾土助生化;对外伤瘀滞者,根据伤情轻重,损伤久暂,早期配核桃仁、红花破淤,中、后期配当归养血活血;劳则加重,可加黄芪,腰膝酸软,每加牛膝。

Peony and Licorice Decoction is originated from Treatise on Cold Damage and used for yin impairment due to misuse of sweating method and spasm of tendons and vessels. Professor Wang treats this disease by syndrome differentiation from the aspects of insufficiency of liver blood, malnutrition of tendons,impairment of the tendons due to Long walk, spasm of the tendons, blood stasis due to trauma ,obstructed blood flow and rigid tendons, deficiency of the liver and kidney, withered bone and weak tendons. Peony and Licorice Decoction is used as tbe main formula with modification to treat systremma,epiphysis of the tubercle of tibia and osteoporosis. For disharmony of the liver and spleen, Professor Wang usually use Chaihu （ Radix Bupleuri ） with pungent flavor and cold nature to strengthen the function of dispersing the liver, Ganjiang （ Rhizoma Zingiberis） with pungent flavor and hot nature to warm the spleen for generation and transformation. For blood stasis due to trauma, Hetaoren （ Semen Persicae） and Honghua （ Stigma Croci） are used at the early stage according to the severity of the condition and the time of injury. At the medium and late stage, Danggui （ Radix Angelicae Sinensis ） is combined to nourish blood and activate blood. For aggravation by overwork, Huangqi （Radix Astragali） can be added. For sour and soft waist and knees,Niuxi （Radix Achyranthis Bidentatae） can be added.