基于医案探讨李乃庚教授运用黄芪药对的经验

Professor LI Naigeng’s experience in using Astragali Radix medicine pair based on medical cases

李乃庚教授根据多年儿科临证经验,将黄芪分别与桂枝、青蒿、赤芍、当归配伍,以取得温、清、消、补不同的功效,体现了黄芪补气升阳的作用。同时指出,对于病程长、面色少华、多汗、乳蛾肥大等症状,用药中但见一证便是,不必悉具。通过4则医案佐证李教授运用黄芪保护阳气、鼓舞阳气、祛除邪气的配伍特色。

Based on years of experience in paediatrics,professor LI Naigeng used Astragali Radix with Cinnamomi Ramulus,Artemisiae Annuae,Radix Paeoniae Rubra,and Angelicae Sinensis Radix to achieve different effects of warming,clearing,eliminating and tonifying,which reflects the effect of Astragali Radix in replenishing qi and elevating yang.Meanwhile,he also pointed out that,for the long duration of the disease,Astragali Radix can be used as long as the patient has one of symptoms such as pale complexion,profuse sweating and tonsillitis,rather than all of them.Professor LI's four cases illustrate the characteristics of Astragali Radix in protecting yang qi,enhancing yang qi and eliminating evil qi.