张琪应用桂枝加芍药汤治疗筋痹经验

Experience of ZHANG Qi on Treating Sinew Bi with Guizhi Jia Shaoyao Decoction

筋痹多是筋脉失养、闭阻不通导致疼痛的一类疾病,其病因不外乎风、寒、湿等邪气闭阻于脉络,从而导致机体失于平和致痹病。张琪教授认为营卫失和是该病发生的重要因素,故权衡邪正、调营和卫成为筋痹的重要治疗手段。临证中张老师擅用经方,又师古而不泥,在筋痹的治疗上结合病机,以桂枝加芍药汤加减施治,获效良好。

Sinew bi is a disease of sinew malnutrition with blockage and pain,and usually caused by wind,cold and dampness blocking the meridians and collaterals and disharmony of the body. Professor ZHANG Qi proposed that disharmony of nutrient qi and defensive qi were the major factor for the disease occurrence,and therefore determining the evil qi and healthy qi,regulating nutrient qi and defensive qi are the major therapeutic methods. In clinic,Professor ZHANG is good at using classical formulas,follows the ancient principle and further develop it. In the treatment of sinew bi,combine the pathogenesis with Guizhi Jia Shaoyao Decoction has a good curative effect.