毛德西教授应用经方治疗外感病经验介绍.doc

毛德西教授应用经方治疗外感病经验介绍 　　【摘要】 通过总结毛德西教授临床治疗太阳少阳并病发热证、外感风寒表实兼证、少阳阳明合病等外感病证， 介绍临床常用方药。毛德西教授应用经方治疗外感病证， 临床疗效显著。小柴胡汤为少阳百病之宗方， 和解少阳之总方， 外感病证、外感内伤皆可辨证用之。葛根为阳明之药， 解表生津， 升发脾胃清阳之气， 对外感表证、发热恶寒、头痛无汗、项背强痛， 无论风寒表证， 风热表证均可用之 【关键词】 经方；太阳少阳并病；外感风寒表实兼证；少阳阳明合病；外感病证 DOI：10.14163/j.cnki.11-5547/r.2016.34.076 Introduction of experience by Professor Mao Dexi applying classical prescription in the treatment of exogenous disease LI Ping， CHEN Zhi， MAO De-xi. Zhoukou City Sixth Peoples Hospital， Zhoukou 466000， China 【Abstract】 Introduction of common clinical prescriptions was made by summarization of expression by Professor Mao Dexi in the treatment of symptoms caused by exopathogen， such as Taiyang disease involving Shaoyang channel， wind-cold exterior excess accompanying syndromes and Shaoyang disease involving Yangming meridians. Classical prescription applied by Professor Mao Dexi in the treatment of symptoms caused by exopathogen showed precisely clinical effects. As traditional prescription for Shaoyang diseases and leading prescription for harmonizing Shaoyang， Xiaochaihu decoction was appropriate for symptoms caused by exopathogen， exogenous and internal injuries in accordance with syndrome differentiation. Pueraria lobata， as Yangming medication， relieved exterior syndrome， engendered liquid， and elevated spleen and stomach Qingyang. It was feasible in treating both wind-cold exterior and wind-heat exterior syndromes， such as exopathogen， fever with cold aversion， headache without sweat， and severe pain in neck and back. 【Key words】 Classical prescription； Taiyang disease involving Shaoyang channel； Wind-cold exterior excess accompanying syndromes； Shaoyang disease involving Yangming meridians； Symptoms caused by exopathogen 毛德西教授是??家级名老中医， 主任医师、教授， 国家级名医工作室传承指导老师。从事中医内科临床、教学和科研工作五十余年， 治学严谨， 医术精湛， 临证经验丰富， 于内、外、妇、幼及疑难杂症无一不精， 尤擅长于运用经方治疗疑难杂症， 而在医治外感病方面更有成效。毛老认为外感病即是以外感为病因的疾病总称， 是指因感受六淫、疫疠之气等外邪而产生的疾病。病邪先侵犯人体皮毛肌肤， 或从口鼻吸入， 初起多有寒热或上呼吸道感染症状等[1]。《难经》指出：“伤寒有五：有中风、有伤寒、有湿温、有热病、有温