岭南黄氏中医外科基于“以通为用”论治现代外科急腹症

Treatment of Surgical Abdomen Based on the Theory of“Functioning Well When Unobstructed”Advocated by Lingnan HUANG’s Traditional Chinese External Medicine

岭南黄氏中医外科流派为岭南医学流派的分支之一。以黄耀燊教授为代表的岭南黄氏中医外科提出六腑以通为用,久病必瘀,内外并治,中西医结合等中医外科诊治原则。外科急腹症可归属祖国医学的“腹痛”“肠结”“肠痈”等范畴,病位在六腑,岭南黄氏中医外科主张基于“以通为用”分期论治急腹症。外科急腹症发病初期多为实证,治疗以通腑为法;发病中期则病久必瘀,在通泄的基础上需加以通络;后期则病久必致体虚,在通泄通络的基础上必须顾护正气。岭南黄氏中医外科基于“以通为用”分期论治急腹症的学术思想可为急腹症的现代中医诊治提供参考。

Lingnan HUANG’s traditional Chinese external medicine is one of the branches of the Lingnan medical academic schools,and Professor HUANG Yao-Shen was the representative expert of Lingnan HUANG’s traditional Chinese external medicine practitioner.The Lingnan HUANG’s traditional Chinese external medicine practitioners put forward the thoughts of six fu-organs functioning well when unobstructed,and lasting illness resulting into the blood stasis.They held the therapeutic principles of simultaneous application of internal treatment and external treatment,and integration of the Chinese and western medicine.In the field of traditional Chinese medicine,surgical abdomen can be classified into the categories of abdominal pain,intestinal obstruction,and suppurative infection of intestine,and the disease is involved with the six fu-organs.The Lingnan HUANG’s traditional Chinese external medicine practitioners advocated that the treatment of surgical abdomen can be based on staging differentiation according the theory of six fu-organs functioning well when unobstructed.The initial stage of the surgical abdomen is dominated by excess syndromes and can be mainly treated by the method of unblocking bowels.The middle stage of the surgical abdomen is dominated by blood stasis syndrome due to lasting illness,and can be treated by the method of unblocking collaterals based on the method of unblocking bowels.And the late stage of the surgical abdomen is dominated by deficiency syndromes due to lasting illness,and can be treated by the method of supporting healthy qi based on unblocking bowels and unblocking collaterals.The thoughts of staging treatment of surgical abdomen based on the theory of six fu-organs functioning well when unobstructed advocated by Lingnan HUANG’s traditional Chinese external medicine will supply reference to the treatment of surgical abdomen by modern Chinese medicine practitioners.