国医大师林天东运用补中益气汤“异病同治”的验案举隅
王立春,王定国,董秀娟,林天东〔摘要〕 通过列举国医大师林天东运用补中益气汤治疗痿病、阴吹、异位妊娠(合用寿胎丸)、虚劳、臁疮(合用五味消毒饮)的典型病案,总结林天东教授临证运用补中益气汤辨治多种疾病的经验。“异病同治”的核心是辨证精准。林天东教授基于“异病同治”的中医原则,以补中益气汤为主方,通过辨病、辨证加减用药,在内、外、妇、儿等多科疾病取得了较好的中医疗效,擴大了补中益气汤临床应用范围。
〔关键词〕 林天东;补中益气汤;痿病;阴吹;异位妊娠;虚劳;臁疮
〔中图分类号〕R259? ? ? ?〔文献标志码〕A? ? ? ? 〔文章编号〕doi:10.3969/j.issn.1674-070X.2023.08.002
"Same treatment for different diseases" with Buzhong Yiqi Decoction: Medical records of National TCM Practitioner LIN Tiandong
WANG Lichun1, WANG Dingguo1, DONG Xiujuan2*, LIN Tiandong1*
1. Hainan Hospital of Chinese Medicine, Haikou, Hainan 570203, China;
2. Hainan Medical University, Haikou, Hainan 571199, China
〔Abstract〕 Our paper has listed the medical records of Buzhong Yiqi Decoction in treating flaccidity, vaginal flatulence, ectopic pregnancy (combined with Shoutai Pill), deficiency-consumption, and shank ulcer (combined with Wuwei Xiaodu Drink) by National TCM Practitioner LIN Tiandong, and summarized his experience in using Buzhong Yiqi Decoction to treat various diseases. The core of "same treatment for different diseases" is the accurate pattern identification. Based on this TCM principle ......
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