史锁芳基于运气学说辨治咳嗽病验案举隅

SHI Suofang’s Experience on Treating Cough with Theory of Five Evolutive Phases and Six Climatic Changes

介绍史锁芳教授基于五运六气学说治疗咳嗽病经验。五运六气学说基于阴阳五行、天干地支理论研究气化运行规律,借以探讨气候变化对人的生理病理的影响,具有一定的科学基础,是中医学理论体系的重要组成部分,是对传统辨证论治的有力补充。史锁芳教授在运用五运六气学说指导临床实践方面颇有心得,治疗咳嗽病屡获良效。提出五运六气学说指导下的咳嗽病的临证思路是:治疗咳嗽病在五运中尤其要关注岁运金运,在六气中要关注阳明燥金之气。先依据五运六气学说确定当年的运气特征,然后根据运气特征挖掘潜在的致病病机,最后结合传统辨证论治,灵活选用合适的三因司天方(麦门冬汤、紫菀汤、牛膝木瓜汤、苁蓉牛膝汤、审平汤)加减。并附陈氏运气方麦门冬汤、紫菀汤治疗咳嗽病2则验案以资验证。以五运六气学说指导治疗咳嗽病具有积极的临床价值,为咳嗽病的治疗提供了新的思路,值得我们进一步深入研究。

The experience of professor SHI Suofang on treating the cough with the theory of five movements and six climates is introduced.The theory of five evolutive phases and six climatic changes involves the theories of Yin-Yang and the five elements,heavenly stems and earthly branches,the movement of"Qi",human health and so on.It is scientific and is an important part of traditional Chinese medicine.Besides,it makes up the deficiency of the treatment based on syndrome differentiation.Professor SHI Suofang is good at treating cough with the theory of five evolutive phases and six climatic changes.The clinical thought of treating cough can be explained as follows.The movement of gold Qi(lung Qi)and the climate of Yangming play an important role in treating cough.Firstly,the theory of five evolutive phases and six climatic changes can determine the characteristics of the year.Secondly,the characteristics of the year can infer the pathological factors.Finally,selecting the suitable Sanyin Sitian Fang(三因司天方)of CHEN Wuze[Maimendong Decoction(麦门冬汤),Ziwan Decoction(紫菀汤),Niuxi Mugua Decoction(牛膝木瓜汤),Congrong Niuxi Decoction(苁蓉牛膝汤),Shenping Decoction(审平汤)]is most important.Two typical cases were explained.The theory of five evolutive phases and six climatic changes shows obvious clinical effect in treating pulmonary diseases and provides new ideas for treating cough.We must study the theory of five evolutive phases and six climatic changes thoroughly.