资源描述：
《熊继柏辨治痹证经验_李点》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、·1272·中华中医药杂志(原中国医药学报)2016年4月第31卷第4期CJTCMP,April2016,Vol.31,No.4·临证经验·熊继柏辨治痹证经验1,21,21,3李点，周兴，何清湖12（熊继柏名老中医药专家传承工作室，长沙410007；湖南中医药大学第一附属医院，长沙410007；3湖南中医药大学，长沙410208）摘要：文章从痹证源流、主症、辨治要领、个人重要经验等方面，系统阐述了熊继柏辨治痹证的学术思想和独到经验。熊教授认为痹证以肌肉、筋骨、关节疼痛、屈伸不利为主症，临床常见痹证分7型：
2、行痹、痛痹、著痹、湿热痹、气血虚弱痹、肝肾亏虚痹、痰瘀合阻痹。熊教授个人独到经验有4点：①痹证治疗首辨风寒湿与湿热；②辨部位遣方用药；③详审痹证虚实；④治顽痹要重疏通。关键词：熊继柏；痹证；名医经验；医案基金资助：国家中医药管理局全国老中医药专家熊继柏学术经验继承工作室XIONGJi-bo’sexperienceindifferentiatingandtreatingbidisease1,21,21,3LIDian,ZHOUXing,HEQing-hu12(InheritanceOfficeofNation
3、alFamousTCMExpertsXIONGJi-bo,Changsha410007,China;TheFirstHospitalofHunan3UniversityofChineseMedicine,Changsha410007,China;HunanUniversityofChineseMedicine,Changsha410208,China)Abstract:ThisarticlesystematicallyexpoundedprofessorXIONGJi-bo’sacademicthough
4、tsanduniqueexperienceindifferentiatingandtreatingbidiseasefromitsorigin,mainsymptoms,pointsofdifferentiationandtreatment,andpersonalimportantexperiences.ProfessorXIONGbelievedthatthemainsymptomsofbidiseasewerepainandinhibitedbendingandstretchinginmuscles,
5、bonesandjoints.Therewere7commonsyndromesinclinicincludingmigratoryarthralgia,arthralgiaaggravatedbycold,fixedarthralgia,damp-heatarthralgia,arthralgiaduetodeficiencyofqiandblood,arthralgiaduetodeficiencyofliverandkidney,andarthralgiaduetointermingledphlegman
6、dbloodstasis.TherewerefourpersonaluniqueexperienceofprofessorXIONGindifferentiatingandtreatingbidiseaseincluding:①Differentiatingwind-cold-dampnessanddamp-heatfirstly;③Selectingprescriptionsbasedondiseaselocationdifferentiation;②Distinguishingdeficiencyande
7、xcessofbidiseaseindetail;④Payingattentiontodredgeintreatingobstinatearthralgia.Keywords:XIONGJi-bo;Bidisease;Famousdoctors’experience;MedicalrecordFunding:ConstructionProgramforInheritanceOfficeofNationalFamousTCMExpertsXIONGJi-bo痹症，最早的记载见于《黄帝内经》，并且对虎啮，《外台
8、秘要》又称之为“白虎病（白虎历节）”；其病名、病因病机、分类等都有详细叙述，如《素朱丹溪则首次提出了“痛风”一说，谓“痛风者，四问·痹论》曰：“风寒湿三气杂至，合而为痹也。其风肢百节走痛是也，他方谓之白虎历节证”（《丹溪心气胜者为行痹，寒气胜者为痛痹，湿气胜者为着痹法·痛风》）；吴鞠通在《温病条辨》中补充了“暑湿也”，“以冬遇此者为骨痹，以春遇此者为筋痹，以痹”的概念。夏遇此者为脉痹，以至阴遇此者为肌痹，以秋遇此《黄帝内经》认
