Experience of TCM Master LI Shi-mao in Treating Oral Ulcer by Using The Method of Warm Yang
DOI:10.19945/j.cnki.issn.1006-3250.2021.09.030
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1.Basic Medical College, Hebei University of Chinese Medicine, Shijiazhuang 050200, China
2.Hebei Province Hospital of Chinese Medicine, Shijiazhuang 050011, China
3.College of pharmacy, Hebei University of Chinese Medicine, Shijiazhuang 050200, China
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XIONG Zhi-gang, ZHANG Ce-ce, WANG Xiao-wei, et al. Experience of TCM Master LI Shi-mao in Treating Oral Ulcer by Using The Method of Warm Yang[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.030
阳气温养机体,维持着正常生理机能,为人体一身之本。阳气不足则血脉凝涩、肌肤失养可致疮疡。国医大师李士懋认为阳虚寒凝之口腔溃疡病位在口腔,病机为肾阳虚损,常分为脾肾阳虚证和虚火上炎证(真寒假热证)两类,肾阳虚损是口腔溃疡发生发展的重要病机。强调临床诊断口腔溃疡应以脉象为本、首分虚实,平脉辨证,方可抓住阳虚口疮的证候本质,并确立了温肾壮阳法为口腔溃疡病阳虚诸证的主要治法。提出以温阳散寒法辨治口腔溃疡之脾肾阳虚证,且善用风药、炒炭入药;以温经通脉法辨治口腔溃疡之阳衰寒凝证,重视振奋人体阳气;以温潜降火法辨治口腔溃疡之虚火上炎证,常配伍龙牡、山萸敛降浮火,总之,他提出温阳法重在温补脾肾,充实人体阳气,可祛除阴寒凝滞、温运全身气血、温通上下经脉,潜降下焦虚火,是临床中口腔溃疡的重要治法,温阳之下则人体阳气恢复、寒凝消散、浮火潜敛,故使口疮自愈。
As a basic condition of life activities, the body is warmed and nourished by Yang Qi, maintains normal physiological functions. It can cause blood vessels to become astringent and the skin to lose its nutrition when Yang Qi is insufficient. Professor LI Shi-mao believes that the ulcer of Yang Qi deficiency and cold pathogenesis coagulation is located in the oral cavity, and the critical pathogenic factor is kidney yang deficiency. That is divided into spleen and kidney yang deficiency syndrome and deficiency of fire syndrome (true cold false heat syndrome) . Professor Li emphasizes that kidney yang deficiency is an important factor in the formation of oral ulcer. Moreover, he strongly convinced that diagnosis of oral ulcers should be based on the pulse, so as to Initially distinguish between false syndrome and positive syndrome; Finally, we could perform specific treatment is based on syndrome differentiation according to pulse diagnosis and its characteristics.Specially, the warm kidney viscera and urgently supplement Yang Qi is established as an important treatment principle for oral ulcers by TCM. Professor Li proposed to treat the spleen and kidney yang deficiency syndrome of oral ulcer with the method of increase Yang Qi moderately and eliminate cold pathogenesis, and could make good use of wind medicine and fried charcoal into medicine; with the method of Warming and smoothing meridians and blood vessels to treat the syndrome of feeble Yang Qi and severe stagnation of cold pathogenesis lead to oral ulcer, and pay attention to inspiring to Yang Qi and invigorating the body; with the method of warming the latent and lowering the fire to treat oral ulcer of the syndrome of flaring up of deficient fire, and could appropriate add Longmu and Cornus to reduce the floating fire. All in all, using the method of warm supplement Yang Qi treats oral ulcers could promote the recovery of Yang Qi of body, dissolve and eliminate the coagulation of cold pathogenesis, restrain deficient fire, and achieve the healing of oral ulcers.
口腔溃疡温肾壮阳法平脉辨证口疮李士懋
Oral ulcerMethod of warm kidney and urgently supplement Yang QiSyndrome differentiation according to pulse diagnosisTCM masterLI Shi-maoAphthous ulcer
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