刘宏潇运用四逆散从肝论治关节风湿症

Professor LIU Hongxiao's Application of Sini Powder(四逆散)Treating Rheumatism from Liver

关节风湿症属中医“痹证”范畴。刘宏潇教授擅从肝论治本病,认为肝失疏泄是其核心病机,将其分为肝气郁滞、气血两虚、肝胆湿热、肝肾阴虚等证型。肝气郁滞型当以疏肝解郁、通利关节为法,多用四逆散合柴胡疏肝散加减;气血两虚型当以疏肝理气、益气养血为法,多用四逆散合黄芪桂枝五物汤加减;肝胆湿热型当以疏肝解郁、清利湿热为法,多选用四逆散合茵陈蒿汤或三仁汤加减;肝肾阴虚型当以滋补肝肾、濡养关节为法,多选用四逆散合左归丸加减。同时善用对药如茵陈-藿香、香附-郁金、赤芍-丹参、秦艽-羌活、半枝莲-老鹳草等配伍治疗,临床疗效显著。

Articular rheumatism belongs to Bizheng in traditional Chinese medicine.Professor LIU Hongxiao is good at treating this disease from liver,which is classified into stagnation of liver Qi,deficiency of both Qi and blood,damp-heat of liver and gallbladder,Yin deficiency of liver and kidney.For the liver Qi stagnation type,the methods of soothing liver to relieve depression and dredge joints were used,and Sini Powder(四逆散) and Chaihu Shugan Powder(柴胡疏肝散) were used.For the deficiency of Qi and blood,the method of soothing liver and regulating Qi and nourishing Qi and blood was used,and Sini Powder combined with Huangqi Guizhi Wuwu Decoction(黄芪桂枝五物汤) was used.For the liver and gallbladder dampness-heat type,the liver and gallbladder dampness-heat type,the method of soothing liver and relieving depression and clearing dampness-heat was used.Sini Powder and Yinchenhao Decoction or Sanren Decoction were used.For liver and kidney Yin deficiency,the method of nourishing liver and kidney was used.Sini Powder and Zuogui Pill(左归丸) were mostly used.At the same time,Professor LIU has made good use of the combination of herbs,such as Yinchen(Herba Artemisiae Scopariae)-Huoxiang(Herba Pogostemonis),Xiangfu(Rhizoma Cyperi)-Yujin(Radix Curcumae),Chishao(Radix Paeoniae)-Danshen(Radix Et Rhizoma Salviae Miltiorrhizae),Qinjiao(Radix Gentianae)-Qianghuo(Rhizoma Et Radix Notopterygii),Banzhilian(Herba Scutellariae Barbatae)-Laohuancao(Herba Erodii/Herba Geranii).The clinical efficacy is significant.