庞宇航 李在斯 管伟 周轩 赵泽世 李冀

    摘要 转筋是以肢体筋脉牵掣拘挛，痛如扭转为主要症状的病症，临床中常以主证或兼证出现。李冀教授认为其病机与胆热痰扰、肝经实火、脾气虚弱、阴津不足、湿热淫筋、营卫不和等有关，病位多在肝、脾两脏。李冀教授在以法遣方治疗转筋的基础上，常配伍木瓜、白芍药对，屡试屡效。现将近5年随诊临五则医案整理分析，以期为临床治疗转筋提供参考。

    关键词 转筋;腓肠肌痉挛;木瓜;白芍;经验;辨证论治;病因;病机

    Examples of Professor LI Ji′s Proven Cases of Using Fructus Chaenomelis and Radix Paeoniae for Cramp

    PANG Yuhang1，LI Zaisi2，GUAN Wei1，ZHOU Xuan1，ZHAO Zeshi1，LI Ji1

    (1 Heilongjiang University of Chinese Medicine，Harbin 150040，China; 2 Zhuhai College of Beijing Institute of Technology，Zhuhai 519088，China)

    Abstract The main symptoms of the cramp are limb blood impeding spasm and pain such as torsion.It often manifests as the main symptom or concurrent symptom in clinical practice.Professor LI thought that the pathogenesis of cramp，which sited in liver and spleen，was in connection with bile heat phlegm disturbance，excess-fire of the liver，spleen qi deficiency，yin-fluid deficiency，and disharmony between nutritive qi and defensive qi.On the basis of prescription classified by therapeutic methods，Professor LI treated the disease with Fructus Chaenomelis and Radix Paeoniae by law with high curative effect.Five year-clinical case reports were collected in this research as clinical references for clinical treatment. ......