宗越鞠丸之意异病同治心系病体悟

毛晨晗; 张蒙; 马文祺; 沈建平; 董其美; 王新东

doi:10.14148/j.issn.1672-0482.2022.0254

宗越鞠丸之意异病同治心系病体悟

doi: 10.14148/j.issn.1672-0482.2022.0254

毛晨晗^1,,
张蒙¹,
马文祺¹,
沈建平^{1, 2},
董其美²,
王新东^{1, 2, ,}

1.
南京中医药大学第三临床医学院, 江苏南京 210028
2.
江苏省中西医结合医院董其美名老中医传承工作室，江苏南京 210028

基金项目:

江苏省教育厅研究生创新实践计划 SJCX21-0802

江苏省教育厅研究生创新实践计划 SJCX21-0801

江苏省名老中医专家董其美传承工作室建设项目苏中医科教〔2019〕10号

全国中医药创新骨干人才项目国家中医药管理局办人教函〔2019〕128号

详细信息

作者简介:
毛晨晗，男，硕士研究生，E-mail: ywxsxxmch@163.com

通讯作者:
王新东，男，副主任中医师，主要从事中医心系疾病的研究，E-mail: wangxindong@jsatcm.com

中图分类号: R242
计量
- 文章访问数: 357
- HTML全文浏览量: 84
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- 被引次数: 0
出版历程
- 收稿日期: 2021-12-30
- 网络出版日期: 2022-03-24
- 发布日期: 2022-03-10

Analysis on the Meaning of Yueju Pill Based on the Same Treatment for Different Diseases in Heart System

1.
The Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, China
2.
Dong Qimei Famous TCM Studio, Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Nanjing, 210028, China

摘要

摘要: 总结全国老中医药专家学术经验继承工作指导老师董其美宗越鞠丸之意异病同治心悸、胸痹、高血压等心系病证的经验。认为心系病的病机始于气郁，成于痰瘀，变于风火，同时重视湿浊病邪在心系病中的作用，提出宗越鞠丸方证之意，以解郁化湿统治心系病；临证运用越鞠丸治疗心系病的关键在于把握气郁为先、诸郁夹杂病机之同，细辨悸、烦、闷、痛、晕证候之异，方证以苔浊腻脉沉为要等学术思想。并通过典型病案介绍应用越鞠丸的临证体会，拓展该经典名方的临证运用思路。
- 越鞠丸 /
- 郁 /
- 心系病 /
- 异病同治
Abstract: The study summarizes the experience of Dong Qimei, the instructor of the inheritance of academic experience of famous traditional Chinese medicine experts, in using Yueju Pill to treat palpitations, thoracic obstruction, and hypertension from "constraint syndrome" based on the same treatment for different diseases in heart system. Dong Qimei believes that the pathogenesis of heart diseases "begins with qi constraint, develops in phlegm-stasis, and changes to liver wind and liver fire", and also pays attention to the role of damp-turbidity in heart diseases. Thus, she proposes "treating heart diseases according to qi-constraint and damp-stagnation by narrowing down the range of heart diseases from the meaning of the formula of Yueju Pill". In addition, she considers that the key to treating heart diseases with Yueju Pill in clinical practice is to focus on qi-constraint in other complicated pathogenesis caused by constraint syndromes, to identify the differences in symptoms of palpitation, irritation, stuffiness, pain and dizziness, and to differentiate clinical signs based on the greasy tongue coating with deep pulse. She also introduced the clinical experience of applying Yueju Pill through typical cases to expand the clinical application of that classic formula.
- Yueju Pill /
- constraint syndrome /
- diseases in heart system /
- the same treatment for different diseases

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参考文献(19)

[1]	朱丹溪. 丹溪心法[M]. 北京: 人民卫生出版社, 2005: 182-183. ZHU DX. Teachings of Dan-xi[M]. Beijing: People's medical publishing house, 2005: 182-183.
[2]	黄帝内经素问[M]. 北京: 人民卫生出版社, 2005. The Yellow Emperor's Inner Classic: Basic Questions[M]. Beijing: People's medical publishing house, 2005.
[3]	张介宾. 类经[M]. 北京: 人民卫生出版社, 1965: 463. ZHANG JB. The Classified Classic[M]. Beijing: People's medical publishing house, 1965: 463.
[4]	吴澄. 不居集[M]. 北京: 中国中医药出版社, 2002: 299. WU C. Collected Works of Buju[M]. Beijing: China traditional Chinese medicine press, 2002: 299.
[5]	陈言. 三因极一病证方论[M]. 北京: 中国医药科技出版社, 2011: 22. CHEN Y. Treatise on Diseases, Patterns and Formulas Related to the Unification of the Three Etiologies[M]. China medical science and technology press, 2011: 22.
[6]	灵枢经[M]. 北京: 人民卫生出版社, 2005: 71. The Spiritual Pivot[M]. Beijing: People's medical publishing house, 2005: 71.
[7]	沈金鳌. 杂病源流犀烛[M]. 北京: 中国中医药出版社, 1994: 78. SHEN JA. Wondrous Lantern for Peering into the Origin and Development of Miscellaneous Diseases[M]. Beijing: China traditional Chinese medicine press, 1994: 78.
[8]	王履. 医经溯洄集[M]. 北京: 人民卫生出版社, 1993: 65. WANG L. Discourse on Tracing Back to the Medical Classics[M]. Beijing: People's medical publishing house, 1993: 65.
[9]	孙一奎. 医旨绪余[M]. 北京: 中国医药科技出版社, 2012: 31. SUN YK. Remnants of Medical Decree[M]. Beijing: China medical science and technology press, 2012: 31.
[10]	李梴. 医学入门[M]. 北京: 中国中医药出版社, 1995: 341. LI Y. Introduction to Medicine[M]. Beijing: China traditional Chinese medicine press, 1995: 341.
[11]	林佩琴. 类证治裁[M]. 北京: 中国中医药出版社, 1997: 196. LIN PQ. Categorized Patterns with Clear-cut Treatments[M]. Beijing: China traditional Chinese medicine press, 1997: 196.
[12]	徐春甫. 古今医统大全[M]. 北京: 人民卫生出版社, 1991: 939. XU CF. The Complete Compendium of Ancient and Modern Medical Works[M]. Beijing: People's medical publishing house, 1991: 939.
[13]	叶桂. 温热论[M]. 北京: 人民卫生出版社, 2007: 17. YE G. Treatise on Warm-Heat Diseases[M]. Beijing: People's medical publishing house, 2007: 17.
[14]	赵献可. 医贯[M]. 北京: 人民卫生出版社, 2005: 40. ZHAO XK. Key Link of Medicine[M]. Beijing: People's medical publishing house, 2005: 40.
[15]	秦楚峰, 夏梦幻, 杨丹倩, 等. 试从"七郁"病机论冠心病的发病机制[J]. 中医杂志, 2021, 62(18): 1594-1597. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202118007.htm QIN CF, XIA MH, YANG DQ, et al. The pathogenesis of coronary heart disease from the perspective of "seven constraints"[J]. J Tradit Chin Med, 2021, 62(18): 1594-1597. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202118007.htm
[16]	倪朱谟. 本草汇言[M]. 北京: 中国古籍出版社, 2005: 79. NI ZM. Treasury of Words on the Materia Medica[M]. Beijing: China ancient books publishing house, 2005: 79.
[17]	李时珍. 本草纲目[M]. 太原: 山西科学技术出版社, 2014. LI SZ. The Grand Compendium of Materia Medica[M]. Taiyuan: Shanxi science and technology press, 2014.
[18]	朱丹溪. 本草衍义补遗[M]. 北京: 中国中医药出版社, 2017: 23. ZH DX. Supplement to the Extension of the Materia Medica[M]. Beijing: China traditional Chinese medicine press, 2017: 23.
[19]	汪昂. 医方集解[M]. 北京: 中国医药科技出版社, 1997: 100. WANG A. Medical Formulas Collected and Analyzed[M]. Beijing: China medical science and technology press, 1997: 100.