范炳华教授治疗椎源性脏腑病经验举隅

Professor FAN Binghua's Experience in Treating Zangfu Vertebrogenic Viscera Diseases

[目的]探讨范炳华教授治疗椎源性脏腑病的临床经验。[方法]围绕范炳华教授的临床指导和病案学习,对范炳华教授临床辨证论治椎源性脏腑病的理论、学术思想及具体方法进行整理与分析,并举隅三个案例予以佐证,观察实际治疗效果。[结果]范炳华教授在诊疗脊柱相关疾病过程中,提出"症因相关"理论,推崇"有症必有因,症因须相关,治因宜为先"的学术思想。初诊时,注重从体征表现及临床症状着手治疗椎源性脏腑病,采用触诊之法寻出体征及症状与内在病因的相关性,经过综合性辨证,排除需要鉴别的类似病症,针对实际内因给予准确论治。所列举三例病案精准治疗后,具有明显临床效果。[结论]范炳华教授总结的"审证三原则"学术思想具有很高的现实指导意义,针对椎源性脏腑病的临床诊治,有很强的可操作性和实用性,值得实际临证借鉴和推广。

[Objective]To explore the clinical experience of Professor FAN Binghua in the treatment of vertebrogenic Zang-fu disease.[Methods]Based on the clinical guidance and case study of Professor FAN Binghua, the theories, academic thoughts and specific methods of Professor FAN Binghua’s clinical syndrome differentiation for the treatment of vertebral origin Zang-fu disease were sorted out and analyzed, and three cases were cited to prove the results,so as to observe the actual therapeutic effect.[Results]In the process of diagnosis and treatment of spine related diseases, Professor FAN Binghua proposes the theory of "correlation between symptoms and causes" and advocates the academic thought of "there must be causes for diseases, correlation between symptoms and causes, and treatment of causes should be the first". In the first diagnosis, we should pay attention to the treatment of vertebrogenic Zangfu disease from the aspect of physical signs and clinical symptoms, and find out the correlation between physical signs and symptoms and internal causes by palpation. After comprehensive syndrome differentiation, we should exclude similar diseases that need to be identified, and give accurate treatment according to the actual internal causes. After the precise treatment of the three cases mentioned above, it has obvious clinical effects.[Conclusion]The academic thought of "three principles of examination and verification" summarized by Professor FAN Binghua is of great practical guiding significance. It is highly operable and practical for the clinical diagnosis and treatment of vertebrogenic Zang-fu disease, and it is worth referring to and popularizing in clinical practice.