杨惠民教授运用天麻钩藤饮经验

2017-03-21钱丽超杨惠民

长春中医药大学学报 2017年5期

关键词：头痛中医药

钱丽超，李璐，史成，刘晶，杨惠民*

（1.北京中医药大学东直门医院，北京 100700；2.南京中医药大学，南京 210023)

杨惠民教授运用天麻钩藤饮经验

钱丽超1，李璐1，史成1，刘晶2，杨惠民1*

（1.北京中医药大学东直门医院，北京 100700；2.南京中医药大学，南京 210023)

杨惠民教授临证灵活运用天麻钩藤饮辨治以头痛为特征的全身性疾病，以其特有的方证相应及异病同治思想辨治，强调每个方子都有其适用的体质类型，主治疾病谱以及加减法，认为方药的用途，有对症状、对证候、对体质的不同层次。不同的疾病有着相同的症状及体质类型，也可用同一个方。天麻钩藤饮是其常用的体质性用方，也是改善阴虚阳亢体质的名方。临床用于面色潮红、形体较瘦类体质，以头痛为特征的慢性疾病，如高血压病、美尼尔氏综合征等。

天麻钩藤饮；头痛；阴虚阳亢；杨惠民

Abstract: Professor YANG Huimin is good at treating general diseases characterized by headache based on the mind “differentiation of symptoms and signs” by using Tianmagouteng decoction.In addition, he emphasizes each prescription has its suitable physical type, disease spectrum and its own addition and subtraction based on his thought about “the correspondence of prescription and syndrome” and “same treatment for different diseases”.Besides, he regards that the use of prescription is for different levels, such as symptoms, syndromes and constitution.So different diseases with the same symptoms and physical types can also be used in the same side.All in all, Tianmagouteng decoction is one of his important prescription based on body constitution.Moreover, it is also a famous prescription for improving the constitution of yin deficiency and yang excess.Furthermore, Professor YANG Huimin often uses it to treat the chronic disease characterized by headache, such as menieres disease, hypertension syndrome.And it often achieves remarkable curative effect especially for those patients with flushed face and thin body.

Keywords: Tianmagouteng decoction; headache; yin deficiency and yang excess; YANG Huimin

杨惠民教授是北京中医药大学第一临床医学院东直门医院博士研究生导师、主任医师，从事中西医结合老年病学临床、科研、教学30余年，在治疗老年人高血压、高脂血症、消化系统疾病、强直性脊柱炎、风湿病及其他内科杂症方面具有丰富的经验，见解独到，效果显著[1-6]。笔者随师侍诊，受益良多，现将杨老师运用天麻钩藤饮治疗以头痛为特征性疾病的经验，介绍如下。