王世强运用小青龙汤加附子或石膏经验介绍
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R249

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国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)


Experience of WANG Shiqiang in Using Xiaoqinglong Decoction Plus Aconiti Lateralis Radix Praeparata or Gypsum Fibrosum
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    摘要:

    介绍王世强教授化裁运用小青龙汤加附子或石膏的临床经验。王世强教授认为小青龙汤证之根结 在于“水气”,即水液代谢失常。治疗小青龙汤证,就是“治水”,即“青龙治水”,让“水气”从体内排出。 方法无外乎使寒化之水气温热蒸腾,因汗而出,即小青龙汤加附子;热化之水气遇寒,凝结成有形之水从小便 排出,即小青龙汤加石膏;三焦阳气不足,气化无力,体内水气又出现热化之象,需在用附子温肾阳助小青龙 汤温通三焦之时,再使热化之水气遇寒凝结成有形之水从小便而出,即小青龙汤加附子、石膏。

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    Abstract: This paper introduces Professor WANG Shiqiang's clinical experience in using Xiaoqinglong Decoction plus Aconiti Lateralis Radix Praeparata or Gypsum Fibrosum. Professor WANG Shiqiang believes that the root of syndromes of Xiaoqinglong Decoction lies in "fluid retention", that is, the abnormal metabolism of water. To treat syndromes of Xiaoqinglong Decoction is to "treat water", that is, "use Xiaoqinglong to treat water",so that "fluid retention" is discharged from the body. The treatment methods include the following. First,the application of Xiaoqinglong Decoction plus Aconiti Lateralis Radix Praeparata can make cooling water warm and hot and then come out as sweat. Second, the application of Xiaoqinglong Decoction plus Gypsum Fibrosum can make hot water meet the cold to condense into tangible water, and then purge as urine. Third, when qi insufficiency of triple energizers occurs, failing to transform into qi,and when fluid retention in the body appears to heat up,it is necessary to use Aconiti Lateralis Radix Praeparata in Xiaoqinglong Decoction to warm kidney yang,so as to to warm and unblock the triple energizers;and then Xiaoqinglong Decoction plus Aconiti Lateralis Radix Praeparata and Gypsum Fibrosum should be all used, making the hot water meet the cold to condense into tangible water, and then purge as urine.

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朱雨柔,徐春秀,金菁,梁快,指导:王世强.王世强运用小青龙汤加附子或石膏经验介绍[J].新中医,2024,56(2):53-57

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  • 在线发布日期: 2024-01-25
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