基于“少阳枢机”理论运用柴胡剂治疗郁证心悸验案撷英

A Collection of Exemplary Cases of Treating Depressive Disorder with Heart Palpitations Using Bupleurum-Based Formulas Based on the Theory of “Shaoyang Pivot Mechanism”

柴胡类方剂首先出自于医圣.张仲景的《伤寒论》,是以柴胡为主药并以柴胡命名的一类方剂,是治疗少阳证的主要方剂,在六经证治中占有重要地位。经后世医家的不断临证总结和补充发挥,极大地丰富和扩展了柴胡剂的应用范围,不仅应用于伤寒疾病,也用于治疗现代的诸多内伤杂病。程芳主任医师结合《伤寒论》中柴胡剂具有和解少阳,疏通内外,调畅全身气机的作用,在临床辨证施治,以“少阳枢机”理论运用柴胡剂治疗心悸,收到较好疗效。本文介绍了程芳主任医师运用柴胡剂治疗心悸的经验、谴方用药及医案一则。

The Bupleurum-based formulas were first introduced in Zhang Zhongjing’s “Treatise on Febrile Diseases”, a work of the medical sage. These formulas, named after the main ingredient Bupleurum, are primarily used for treating Shaoyang syndrome and occupy an important position in the treatment of six meridians’ syndromes. Through continuous clinical summation and supplementation by later generations of doctors, the application scope of Bupleurum-based formulas has been greatly enriched and expanded, not only for the treatment of febrile diseases but also for many modern internal injuries and miscellaneous diseases. Chief Physician Cheng Fang, combining the role of Bupleurum-based formulas in harmonizing Shaoyang, dredging the inside and outside, and regulating the qi flow throughout the body as described in “Treatise on Febrile Diseases”, applies the “Shaoyang Pivot Mechanism” theory in clinical treatment of heart palpitations and achieves good therapeutic effects. This article introduces Chief Physician Cheng Fang’s experience in treating heart palpitations with Bupleurum-based formulas, the selection of prescriptions and medications, as well as a medical case.