国医大师张琪从六经辨治劳淋的思路探析

Analysis of Master Zhang Qi’s thinking on differentiating and treating overstrain stranguria under the guidance of Six Channels Theory

国医大师张琪教授认为,劳淋的病因病机是本虚标实,虚实夹杂,内外相感。病位主要在膀胱,与肾、三焦、肺、脾、肝等脏腑有密切的关系,病程日久涉及脏腑阴阳气血功能失调。因六经与脏腑相连,故从太阳、阳明、少阳、太阴、少阴及厥阴辨治,用桃黄止血汤、加味五苓散、小承气汤、小柴胡汤、补中益气汤、八味肾气丸、栝蒌瞿麦丸、加味四逆散等治疗,效果显著。

Professor Zhang Qi,a master of traditional Chinese medicine,believes that the etiology and pathogenesis of overstrain strangury is deficiency in root and excess in manifestations,mixture of deficiency and excess,interaction of internal and external factors.Its affected site is mainly in the bladder,and is also closely related to the zang-fu viscera of kidney,sanjiao,lung,spleen,liver and so on.The disease tends to linger for some time and involves dysfunction of yin,yang,qi and blood in the internal organs.As the six channels are connected to the zang-fu viscera,the above symptoms can be reasonably differentiated and effectively treated by examining the channels of Taiyang,Yangming,Shaoyang,Taiyin,Shaoyin,and Jueyin.It can be effectively treated by critically selecting Taohuang Zhixue Decoction,Wuling Powder,Xiaochengqi Decoction,Xiaochaihu Decoction,Buzhong Yiqi Decoction,Bawei Shenqi Pills,Gualou Qumai Pills,Jiawei Sini Powder,etc.