摘要
李敬林教授对于消渴并头痛的病因病机、辨证分型及治法用药均有独到见解。李老提出从肝论治消渴并头痛,认为此病多由情志不遂、肝气不舒引发,因肝失疏泄,郁而化火致上实,火盛伤阴,肝失濡养,致肾水不足而下虚,故病机多以"上实下虚"为主。临证时,李老根据疼痛部位、性质及持续时间结合全身症状进行辨证论治,将"清上导下调肝"作为治疗之大法,以《止园医话》中提取的头痛要方作为基础方,巧用药对及引经药,并善用轻清之剂,灵活化裁,临床疗效显著。
Professor Li Jinglin has unique views on the etiology, pathogenesis, syndrome differentiation and treatment of consumptive thirst with headache (diabetes with hypertension). He prefers to treat the disease from liver and holds that emotional frustration, dissatisfaction and liver abnormal dispersion are the main causes of the disease. Due to liver controlling conveyance and dispersion, qi depression transforming into fire, there is a syndrome of upper excess. Owing to blazing fire injuring yin, malnutrition of liver and insufficiency of kidney yin, there is a syndrome of upper excess. Therefore, the main pathogenesis of this disease is “upper excess and lower deficiency”. According to the location, nature and duration of pain combined with systemic symptoms, Professor Li takes “clearing the upper part and dredging the lower by regulating liver” as the treatment method, and the headache prescription extracted in Zhiyuan Yihua as the basic prescription. He uses pair drugs and channel ushering drugs skillfully and makes good use of light prescriptions flexibly, with remarkable clinical effect.
作者
路妍
王莉
李敬林
LU Yan;WANG Li;LI Jinglin(Liaoning University of Tradition Chinese Medicine,Shenyang 110032,China;Affiliated Hospital of Liaoning University of Tradition Chinese Medicine,Shenyang 110032,China)
出处
《长春中医药大学学报》
2018年第6期1085-1088,共4页
Journal of Changchun University of Chinese Medicine
基金
全国名老中医药专家工作室传承项目
关键词
李敬林
消渴并头痛
从肝论治
LI Jinglin
consumptive thirst with headache
treatment according to liver differentiation
作者简介
路妍(1992 -),女,硕士研究生,主要从事中医药治疗内分泌疾病研究;通信作者:王莉,女,主任医师,硕士研究生导师,电话 - 18102457279,电子信箱 - 1784113869@qq.com
