王新陆临证运用红景天经验

WANG Xinlu's Experience in Using Hongjingtian (Radix et Rhizoma Rhodiolae Crenulatae) in Clinical Practice

总结王新陆教授临证应用红景天的经验。认为红景天功善益气补虚、行气解郁、活血通脉,可广泛应用于气虚、气郁、血瘀等气血失调所致的多种病症。常用红景天配伍鸡血藤以益气养血、活血通脉,配伍预知子以理气活血、化瘀散结。并根据具体病症灵活配伍红景天自拟多个经验方,针对心悸气虚血瘀证,自拟三红养心汤;针对哮喘发作期虚证,自拟安肺定喘汤;针对郁证气郁血瘀证,自拟红胡解郁汤;针对特发性血小板减少性紫癜气虚不摄证,自拟摄血除癜汤;针对新型冠状病毒感染重症气阴两脱证,常用红景天配伍生脉散合葶苈大枣泻肺汤加减,阳气外脱证则用红景天、山萸肉配伍参附汤;针对长新冠综合征正虚邪恋证,自拟新冠复愈汤。

This paper summarized professor WANG Xinlu's experience in clinical application of hongjingtian(Radix et Rhizoma Rhodiolae Crenulatae).It is believed that hongjingtian is good at boosting qi and supplementing deficiency,moving qi and resolving constraint,invigorating blood and unblocking vessels,which can be widely used in various diseases caused by qi-blood disorders such as qi deficiency,qi constraint,and blood stasis.Hongjingtian is commonly used with jixueteng(Caulis Spatholobi)to boost qi and nourish blood,invigorate blood and unblock vessels,and together with yuzhizi(Fructus Akebiae)to regulate qi and invigorate blood,dissolve stasis and dissipate masses.According to the specific symptoms,hongjingtian can be flexibly combined with other medicinal herbs to prepare different experienced formulas,such as self-made Sanhong Yangxin Decoction(三红养心汤)for palpitation with qi deficiency and blood stasis syndrome,self-made Anfei Dingchuan Decoction(安肺定喘汤)for exacerbation of asthma with deficiency syndrome,self-made Honghu Jieyu Decoction(红胡解郁汤)for constraint syndrome of qi constraint and blood stasis,and self-made Shexue Chudian Decoction(摄血除癜汤)for idiopathic thrombocytopenic purpura with qi deficiency failing to contain syndrome.For severe cases of coronavirus disease 2019(COVID-19)with qi-yin desertion syndrome,hongjingtian is commonly used together with modified Shengmai Powder and Tingli Dazao Xiefei Decoction(生脉散合葶苈大枣泻肺汤),and for those with yang qi external desertion syndrome,hongjingtian combined with shanyurou(Fructus Corni)and Shenfu Decoction(参附汤)is recommended.Moreover,long COVID-19 with healthy qi deficiency and pathogen lingering syndrome can be treated with self-made Xinguan Fuyu Decoction(新冠复愈汤).