王行宽教授基于“虚、郁、热”治疗复发性口腔溃疡的临证思路
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摘要
探析首届全国名中医王行宽教授基于"虚、郁、热"的病机特点治疗复发性口腔溃疡的临证思路:口腔溃疡责之心脾积热,治当清心泻脾,方用导赤散合泻黄散、清胃散加减。而复发性口腔溃疡易伤阴耗气,需加用益气养阴之品。在此基础上,王老师认为复发性口腔溃疡的辨治虽不可执一而论,然其论治终不离肝、肾两脏,治必加用疏肝利胆、滋阴补肾之法,方用丹栀逍遥散、柴芩温胆汤合六味地黄丸加减,临床疗效显著。
This paper explored and analyzed one of the 1 st national famous traditional Chinese medicine doctors-Professor WANG Xingkuan's clinical thinking in treating recurrent oral ulcer(ROU) based on the pathogenesis characteristics of "deficiency, depression and heat". That is: oral ulcers attribute to the accumulated heat in the heart and spleen, so the treatment is clearing heart and draining spleen, using modified Daochi Powder with Xiehuang Powder and Qingwei Powder. But ROU can easily damage Yin and consume Qi, so it is necessary to add the product of tonifying Qi and Yin. On this basis, Professor WANG believes that the syndrome differentiation and treatment of ROU cannot be treated as the same as that of common oral ulcers, but its treatment does not depart from treating liver and kidney. The treatment must be combined with the method of soothing liver and promoting bile secretion as well as nourishing Yin and supplementing kidney, by using modified Danzhi Xiaoyao Powder, Chaiqin Wendan Decoction and Liuwei Dihuang Pills, whose clinical efficacy is remarkable.
This paper explored and analyzed one of the 1 st national famous traditional Chinese medicine doctors-Professor WANG Xingkuan's clinical thinking in treating recurrent oral ulcer(ROU) based on the pathogenesis characteristics of "deficiency, depression and heat". That is: oral ulcers attribute to the accumulated heat in the heart and spleen, so the treatment is clearing heart and draining spleen, using modified Daochi Powder with Xiehuang Powder and Qingwei Powder. But ROU can easily damage Yin and consume Qi, so it is necessary to add the product of tonifying Qi and Yin. On this basis, Professor WANG believes that the syndrome differentiation and treatment of ROU cannot be treated as the same as that of common oral ulcers, but its treatment does not depart from treating liver and kidney. The treatment must be combined with the method of soothing liver and promoting bile secretion as well as nourishing Yin and supplementing kidney, by using modified Danzhi Xiaoyao Powder, Chaiqin Wendan Decoction and Liuwei Dihuang Pills, whose clinical efficacy is remarkable.
引文
[1]王伟杰,王新昌,张喜召,等.寒性口疮的辨治思路探讨[J].中华中医药杂志,2018,33(4):1394-1396.
[2]陈志明,任虹.泻黄散合导赤散治疗复发性口腔溃疡疗效观察[J].新中医,2014,46(5):108-110.
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[4]尹崇志,聂敏海.加味导赤散与维生素B12对大鼠口腔溃疡血清IL-6及TNF-α水平影响分析[J].重庆医学,2017,46(23):3192-3194.
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[7]李晓荣,张晓丽,李映红,等.丹栀逍遥散对复发性口腔溃疡模型相关细胞因子的影响[J].深圳中西医结合杂志,2010,20(4):201-203.
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[10]郭洪涛,郑光,张志华,等.基于文本挖掘探索六味地黄丸临床适应症[J].世界科学技术—中医药现代化,2013,15(3):535-538.
[11]吴梅艳,李平.六味地黄丸的药理作用及临床运用综述[J].世界中西医结合杂志,2014,9(9):1023-1025.
[2]陈志明,任虹.泻黄散合导赤散治疗复发性口腔溃疡疗效观察[J].新中医,2014,46(5):108-110.
[3]田晓蓓,孙晋虎,刘宗响.清胃散治疗复发性口腔溃疡随机平行对照研究[J].实用中医内科杂志,2015,29(12):53-54.
[4]尹崇志,聂敏海.加味导赤散与维生素B12对大鼠口腔溃疡血清IL-6及TNF-α水平影响分析[J].重庆医学,2017,46(23):3192-3194.
[5]邹净亭,赵静辉,王佳,等.黄芪在口腔医学中的应用研究进展[J].口腔医学,2018,38(2):189-192.
[6]陈非凡,黄远峰.加减甘露饮治疗复发性口腔溃疡50例疗效观察[J].新中医,2014,46(11):162-163.
[7]李晓荣,张晓丽,李映红,等.丹栀逍遥散对复发性口腔溃疡模型相关细胞因子的影响[J].深圳中西医结合杂志,2010,20(4):201-203.
[8]刘芳.丹栀逍遥散合温胆汤治疗复发性口腔溃疡35例[J].新中医,2008,40(10):84.
[9]陈会娟,毕伟博,崔红生.复发性口腔溃疡的郁热病机与六经辨证探析[J].中华中医药杂志,2016,31(8):2989-2992.
[10]郭洪涛,郑光,张志华,等.基于文本挖掘探索六味地黄丸临床适应症[J].世界科学技术—中医药现代化,2013,15(3):535-538.
[11]吴梅艳,李平.六味地黄丸的药理作用及临床运用综述[J].世界中西医结合杂志,2014,9(9):1023-1025.