吕培文教授运用药对治疗中医外科疾病经验撷英

Prof.Lyu Peiwen’s experience in treating TCM surgical diseases with drug pairs

吕培文教授在治疗中医外科疾病时,经常针对某些特定疾病、证候、症状、体征甚至是化验检查异常等,使用一些独具特色的药对,常常能够取得很好的临床疗效。本文总结了吕培文教授临床常用的部分药对,在解析时多引用中医古籍和吕培文教授出诊带徒过程中讲述的原话,通过中医理论阐释鸡血藤-首乌藤等十二组药对的功用主治、配伍特点、临证思考、药症对应、用法用量、使用技巧等经验,最后附以治疗疑难病(大动脉炎)的验案一则,进一步对吕培文教授乃至燕京中医外科学术流派认识和治疗疾病的临床思维体系进行思考和整理,挖掘其临证时独具特色的用药经验传承。

When treating traditional Chinese medicine surgical diseases,Professor Lyu Peiwen often uses unique drug pairs for specific diseases,syndromes,symptoms,signs,and even laboratory abnormalities,often achieving excellent clinical results.This article summarizes some commonly used drug pairs in the clinical practice of Professor Lyu Peiwen.In the analysis,it quotes many ancient Chinese medical books and the original words spoken by Professor Lyu Peiwen during his clinical visits and teaching.Through the interpretation of traditional Chinese medicine theory,it explains the functions and indications,compatibility characteristics,clinical thinking,drug symptoms,usage and dosage,use techniques and other experience of 12 pairs of herbal drugs,such as Jixueteng(Caulis Spatholobi)-Shouwuteng(Caulis PolygoniMultiflori).Finally,it provides a provencase of the treatment of a difficult disease(Takayasu arteritis).It further explores and summarizes the clinical thinking system of Professor Lyu Peiwen and even the academic school of Yanjing Traditional ChineseMedicine surgery to understand and treat diseases,and explore its unique experience of medication in clinical practice.