风药临证运用经验举隅

Examples of clinical application experience of wind medicine

风药质轻味薄,具有辛散而升发的特性,具有祛风胜湿、解表散寒、平肝息风等功效。历代医家在实践和总结过程中逐渐拓展了风药的内涵和作用,对于风药的认识和运用各具特色,对后世影响深远。窦丹波教授继承前贤经验,深研风药特性,临床中用之得心应手。窦教授认为,许多疾病的致病因素中均有风邪作祟,而不仅限于外感病,许多内伤杂病之迁延不愈均是风湿之邪困阻,困遏正气,致使阳气升发不利,难以透邪外出,尤其是下焦水湿为患的泄泻、带下等病,气机不畅导致的郁病等,更需风药鼓荡祛邪。所以在诸多疾患中常佐以风药,应自然之升发之性,取其祛风散邪、化湿通络、条畅气机、活血升阳达郁等功效,临证每获佳效,文章将从理法方药多角度探讨窦教授运用风药的独特经验。

!The wind medicine has the characteristics of pungent taste having dispersing effect,which has the functions of dispelling wind and eliminating dampness,relieving surface cold and calming liver and cooling wind.In the process of practice and summary,physicians of past dynasties gradually expanded the connotation and function of wind medicine,and their understanding and application of wind medicine had their own characteristics,which had a far-reaching impact on later generations.Professor DOU believes that wind evil is the pathogenic factor of many diseases,not limited to exogenous diseases.The delay of many internal injuries and miscellaneous diseases is due to the evil of rheumatism,which hinders the development of yang qi and makes it difficult to get rid of pathogenic factors.In particular,diarrhea and diarrhea caused by xiajiao water dampness,depression caused by poor qi mechanism,and so on,wind drugs are needed to eliminate pathogenic factors.Therefore,wind medicine is often used in many diseases.It should be natural to promote the occurrence of diseases.It has the functions of dispelling wind and dispersing pathogenic factors,removing dampness and dredging collaterals,smoothing qi,promoting blood circulation and yang,and achieving depression.Every time it has good clinical effect,this paper will discuss professor DOU's unique experience in using wind medicine from the perspective of theory,method,prescription and medicine.