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杨世勇应用升陷汤治疗消渴临证经验

         

摘要

"升陷汤,治胸中大气下陷,气短不足以息."此为张锡纯在《医学衷中参西录》所言.此方从古至今,应用甚广.杨世勇教授是我国第五批名老中医药专家学术经验继承工作指导老师,善于应用升陷汤加减治疗消渴、心悸、胸痹、水肿、失眠、瘿病等内科病证,提出应用升陷汤以气短乏力、脉短而小为主要依据,尤其在治疗心衰病、水肿中经验丰富,辨证施治.另外,杨老认为消渴病中脾为关键,与肺、肾相互影响而发病,认为脾虚为消渴发病之始动因素,打破了单纯以阴虚燥热为本的病机理论,其应用生黄芪量为100 g,辨证施治,配伍丹参、桑寄生、桂枝、葶苈子等中药,开创了先河,且疗效卓著.%"Shengxian decoction, cure chest air subsidence, short breath is not enough to rest." This is what ZHANG Xichun said inYixue Zhongzhong Canxinlu. Professor Yang Shiyong is China's fifth batch of famous old TCM experts academic experience inheritance to guide the work. He is good at usingShengxian decoction in the treatment of diabetes, heart palpitations, chest pain, edema, insomnia, gall disease and other medical diseases. He proposed the application ofShengxian decoction by shortness of breath fatigue, short and small veins as the main basis. Professor YANG raised the point of dealling of diabetes is Spleen deficiency, and the mutual influence and the incidence of lung and kidney. Spleen deficiency is the onset of diabetes that initiating factors. He uses 100 g astragalus, Salviamiltiorrhiza, Loranthaceae, cassia twig, Tinglizi and other traditional Chinese medicine. Using this therapy can create outstanding effect.

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