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

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宗越鞠丸之意异病同治心系病体悟

中国中医药临床案例成果库 | 名老中医学术传承

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宗越鞠丸之意异病同治心系病体悟
Analysis on the Meaning of Yueju Pill Based on the Same Treatment for Different Diseases in Heart System
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
DOI：10.14148/j.issn.1672-0482.2022.0254

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毛晨晗, 张蒙, 马文祺, 等. 宗越鞠丸之意异病同治心系病体悟[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2022.0254

MAO Chen-han, ZHANG Meng, MA Wen-qi, et al. Analysis on the Meaning of Yueju Pill Based on the Same Treatment for Different Diseases in Heart System[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2022.0254
毛晨晗, 张蒙, 马文祺, 等. 宗越鞠丸之意异病同治心系病体悟[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2022.0254 DOI：

MAO Chen-han, ZHANG Meng, MA Wen-qi, et al. Analysis on the Meaning of Yueju Pill Based on the Same Treatment for Different Diseases in Heart System[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2022.0254 DOI：

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。

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.

关键词

越鞠丸郁心系病异病同治

Keywords

Yueju Pillconstraint syndromediseases in heart systemthe same treatment for different diseases

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