摘要
该文系统探讨了名中医刘健教授基于新安医学理论体系论治痹证的学术创新与临床经验。刘教授在传承新安医家“三气杂至”“痰瘀互结”“固本培元”等经典理论基础上,结合现代医学对风湿免疫病的病理认知,系统提出痹证“脾虚湿盛、痰瘀互结、气血不足、肝肾亏虚”的多维病因病机理论框架。创新性构建“从脾论治”为核心的四步疗法:首重健脾祛湿以绝生痰之源,继以活血化瘀通络,佐以补益气血调和营卫,终以培补肝肾固本。其临床实践有机融合新安医家“标本兼顾”“痰瘀同治”等学术思想,强调辨证时需把握“脾虚治痹”的病机特点,为风湿免疫性疾病的中西医结合治疗提供了具有新安医学特色的新思路。
This article systematically explores the academic innovations and clinical experiences of Professor Liu Jian,a renowned traditional Chinese medicine(TCM)practitioner,in treating Bi syndrome(arthralgia syndrome)based on the theoretical framework of Xin’an Medicine.Building upon the classical theories of Xin’an medical schol-ars,such as“the convergence of three pathogenic factors(wind,cold,dampness)”,“phlegm-stasis interblockage”,and“strengthening constitutional foundation and cultivating vitality”,Professor Liu Jian integrates modern pathologi-cal understandings of rheumatic immune diseases to systematically propose a multidimensional etiological-pathological framework for Bi syndrome:“spleen deficiency with dampness accumulation,phlegm-stasis interblockage,qi-blood insufficiency,and liver-kidney deficiency”.He innovatively establishes a four-phase therapeutic approach centered on“spleen-oriented treatment of Bi syndrome”:initially focusing on fortifying the spleen and eliminating dampness to eliminate phlegm production sources;followed by activating blood circulation and unblocking collaterals;supplement-ed by replenishing qi and blood to harmonize ying-nutrient and wei-defensive systems;and finally reinforcing liver and kidney functions to consolidate root vitality.His clinical practice organically integrates academic tenets of Xin’an Medicine,such as“simultaneous treatment of root and manifestation”and“concurrent resolution of phlegm and sta-sis”,emphasizing the crucial understanding of the pathological characteristic“spleen-regulation in Bi syndrome treatment”during syndrome differentiation.This provides a novel distinctive Xin’an Medicine approach for integrated Chinese-Western medical management of rheumatic immune diseases.
作者
曹云祥
刘健(指导)
CAO Yunxiang;LIU Jian(Supervisor)(The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2025年第9期1739-1743,共5页
Clinical Journal of Traditional Chinese Medicine
基金
国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函[2023]85号)
国家自然科学基金面上项目(82074090)
安徽省自然科学基金项目(2208085MH267)
第七批全国老中医药专家学术经验继承项目(国中医药人教函[2022]76号)
安徽省高校自然科学研究重点项目(2023AH050732)
2023年安徽省研究生教育教学研究与改革重点项目(2023jyjxggyjY174)。
关键词
新安医家
治痹经验
学术传承
Xin’an medicine
Clinical Experiences in Treating Bi Syndrome
Academic Inheritance
