治痿未必独取阳明——国医大师熊继柏教授从《黄帝内经》理论出发治疗痿证思路探讨

Yangming Is Not Only Way to Treat Muscle Weakness--Discussion on Thinking of Professor Xiong Jibai-A Chinese Medicine Master about Treating Muscle Weakness by Theory of Huangdi Internal Classic

痿证是一种以肢体筋脉弛缓,软弱无力,日久因不能随意运动而致肌肉萎缩的一种病证。目前已越来越成为神经科关注的疾病之一。在临床治疗上,往往囿于“治痿独取阳明”而导致认识过于片面。国医大师熊继柏教授从《黄帝内经》理论出发,深入剖析痿证发生的病理机制,采取“滋养肺胃”“清热利湿”“补脾益胃”的治疗原则,并以其深厚的理论功底为基础,将古方与验方结合,多靶点多方位治疗本病,取得满意的疗效。现选取有代表性的医案,分析熊继柏教授治疗痿证的思路和方法,希望对读者有一定的启发。

Flaccidity syndrome is a kind of disease with flaccid limbs,weakness and muscle atrophy due to inability to exercise at will for a long time.At present,it has become one of the most important diseases in neurology.In clinical treatment,it is often limited to the theory of"treating impotence only by Yangming",which leads to too one-sided.Based on the theory of Huangdi Internal Classic,Professor Xiong Jibai,a great master of traditional Chinese medicine,deeply analyzed the pathological mechanism of flaccidity,He adopted the therapeutic principles of nourishing Lung and Stomach,clearing Heat and Dampness,and tonifying Spleen and Stomach.Based on his profound theoretical foundation,he selected the principle of combining ancient and empirical prescriptions to treat flaccidity in multiple targets and directions,and achieved satisfactory results.This paper selected the representative medical cases,analyzed the ideas and methods of Professor Xiong Jibai in treating flaccidity syndrome,and explored the ideas of treating flaccidity syndrome,hoping to inspire readers.