There are long history that using "Tihu Jiegai" to treat disease, in clinical practice, we usually apply to"through the treatment of the underlying disease to treat the disease above , activities of qi in the upper Jiao is open, and the activities of qi in the lower Jiao is also smooth." Starting with the theory of "Tihu Jiegai" that is opening Xiaqiao through opening the Shangqiao. In the choice of drugs and prescriptions, Platycodon and almonds are basic drugs, adding ephedra, bupleurum, perilla, Schizonepeta, windproof and other drugs. These drugs together play a role in "Tihu Jiegai" and inducing diuresis to alleviate edema. According to the characteristics of clinical disease machine, the drugs such as cassia twig, cassia bark and dried ginger are added into the prescription to treat yang deficiency;The drugs such as Pericarpium Citri Tangerinae, Cortex Magnolia Officinalis, and Atractylodis Rhizoma are added into the prescription to treat stagnation of the circulation of vital energy; the drugs such as peach seed, the root of red-rooted salvia and Ligusticum wallichii are added into the prescription to treat stagnation of blood; The drugs such as Peppermint, honeysuckle, forsythia Forsythia are added into the prescription to treat damp-heat syndrome. The long-term effect of this method is ideal and the side effect is small, which provides a new way of thinking for the treatment of this disease by Chinese medicine.%运用提壶揭盖法治疗疾病历史悠久,临床上运用"上病下治,开上焦之气机而下焦自通",从上窍开而下窍自通之提壶揭盖理论着手,利用开宣肺气、通利三焦之法论治乳腺癌术后上肢水肿治疗效果.在辨证选方上,以桔梗、杏仁为用药基础,适当加麻黄、柴胡、苏叶、荆芥、防风等轻清升浮之品,共筑提壶揭盖、利水消肿之功.根据临床病机特点,阳虚者加桂枝、肉桂、干姜等药物;气滞者加陈皮、厚朴、白术之品;血瘀者加桃仁、丹参、川芎等;湿热重者加薄荷、金银花、连翘等.提壶揭盖法治疗乳腺癌术后上肢水肿远期效果理想,且副作用小,为中医药治疗此病提供新思路.
展开▼
