彭建明应用枸橘汤治疗子痈医案举隅

Medical Cases that PENG Jianming Uses Goujutang in Curing Epididymitis and Orchitis

[目的]总结彭建明临床应用枸橘汤治疗子痈经验。[方法]通过学习和跟随彭师临诊,记录3则彭师应用枸橘汤治愈子痈的验案,并加以分析,以期从中总结出彭师子痈临证应用枸橘汤的经验,阐述其谴方用药特点。[结果]彭师认为,子痈起病多因肝经湿热下注,致局部气血凝滞所致,治疗以疏肝理气、化湿清热为主,方以枸橘汤为基础,随证施治;案一患者热重于湿则重用清热解毒之品,案二患者湿重于热则酌加利水渗湿之品,案三患者迁延难愈而转为慢性则加软坚散结、祛瘀止痛之品,并随症治之。所举3例患者,均获显效。[结论]彭师应用枸橘汤治疗子痈,用药灵活,疗效显著,经验可取,对指导临床具有实用价值,值得临床推广。

[Objective]The article summarizes the essentials of clinical dialectical experience by PENG Jianming on using Goujutang in curing epididymits and orchitis.[Methods]From following teacher PENG＇s clinical studies, recording teacher PENG ＇s three medical cases and making analysis,we can summarize the thoughts and experience on using Goujutang in treating epididymits and orchitis.[Results]Teacher Peng considers that epididymits and orchitis have disease much due to the liver channel downward flow of damp-heat, causing local blood stagnation, so treatment Goujutang as basic party to smooth liver regulating qi,resolve dampness and clear away heat;and then plus the herbal medicine which can clear away heat and toxic materials,clearing damp and promoting diuresis,softening hardness to dissipate stagnation,removing stasis to ease pain.So we use Goujutang to treat epididymitis and orchitis, which can obtain good effect.[Conclusion]Teacher PENG＇s experience on using Goujutang in treating epididymits and orchitis has positive effect and is worthy of further study.