何庆勇主任医师运用桂枝加龙骨牡蛎汤的经验

He Qingyong′s Experiences in the Application of Guizhi Longgu Muli Decoction

经方者,制方之意微妙精详,方证相应,效如桴鼓。文章较全面地叙述了何庆勇运用经方桂枝加龙骨牡蛎汤治疗疾病的临床经验。何师认为临床应用桂枝加龙骨牡蛎汤有4点技巧,主要包括:一是重视以方证辨证来指导临床,凡是见到噩梦频作,脱发,易疲劳,少腹拘急,梦遗失精,脉虚的患者,使用多有疗效;二是采用经方的相对剂量,即桂枝:芍药:生姜:龙骨:牡蛎:大枣:甘草为3∶3∶3∶3∶3∶3∶2;三是提倡古法加减,可参考《小品方》:虚弱浮热汗出者,除桂枝,加白薇、附子各三分,成二加龙骨汤;四是临床上兼见其他症状可酌情合用真武汤、百合地黄汤、小建中汤等,以扩大临床治疗范围。

The classic formulas are very effective and ingenious.This paper has made the detailed introduction to the experience of applying GuizhiLongguMuli Decoction by Doctor He Qingyong.There are four key points in using this formula.First,focus on the syndromes,such as nightmare frequently,hair loss,easy fatigue,high muscular tension of the lower abdomen\,nocturnal emission with deficient pulse.Second,it is important to follow the dosage of the classic prescription.Third,pay attention to the applying of associated prescriptions and changes made in the classic Chinese Medicine book.Fourth,find other symptoms clinically Combine Zhenwu Decoction,Lily Dihuang Decoction,Xiaojianzhong Decoction,etc.as appropriate to expand the scope of clinical treatment.