顾润环 陶方泽 周小敏 刘成全 周兴武

摘要：顾维超主任学验俱丰，对张锡纯学术经验积有心得，尤对张氏大气学说有所发挥，在其升陷汤基础上加红景天、仙鹤草、桑寄生、甘松、山萸肉、炙甘草而衍生出经验方加味升陷饮，以加强升陷汤益气升陷、强心固脱、补肾培元、醒神除疲之功，用于治疗心肺疾病之大气下陷证，拓展了张氏升陷汤的应用范围。本文结合肺积术后悬饮、胸痹心痛、喘证三则验案，介绍了顾维超运用加味升陷饮治疗心肺疾病经验。

关键词：名医经验；顾维超；大气下陷；加味升陷饮；心肺疾病

DOI：10.3969/j.issn.1005-5304.2018.01.024

中图分类号：R259.41；R259.63 文献标识码：A 文章编号：1005-5304（2018）01-0108-03

Experience of GU Wei-chao in Treating Heart and Lung Diseases Through Application of Modified Shengxian Decoction

GU Run-huan1，2， TAO Fang-ze3， ZHOU Xiao-min4， LIU Cheng-quan4， ZHOU Xing-wu5， Instructor： GU Wei-chao1，2 1. The Second Peoples Hospital of Huaian， Huaian 223002， China；

2. The Affiliated Huaian Hospital of Xuzhou Medical University， Huaian 223002， China；

3. Zhejiang Chinese Medical University， Hangzhou 310053， China；

4. Huaian Maternal and Childrens Health Hospital， Huaian 223002， China；

5. Huaian Hospital of Traditional Chinese Medicine， Huaian 223002， China

Abstract： Professor GU Wei-chao is with great academic and clinical experience. He has thoughts in ZHANG Xi-chuns academic thoughts， especially his application of Zhangs theory. He added Rhodiolae Crenulatae Radix et Rhizoma， Agrimoniae Herba， Taxilli Herba， Nardostachyos Radix et Rhizoma， Corni Fructus， and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle to Shengxian Decoction to make modified Shengxian Decoction to strengthen the efficacy of invigorating qi and ascending qi collapse， reinforcing heart and astringing qi， cultivating the essence and notifying kidney， and inducing resuscitation and allaying tiredness， with a purpose to treat sinking qi syndrome of heart and lung diseases and expand the application areas of Zhangs Shengxian Decoction. This article introduced experience of GU Wei-chao in treating heart and lung diseases by using modified Shengxian Decoction through three clinical cases of effusion after lung surgery， chest and heart pain and difficulties in breathing.

Keywords： experience of famous doctors； GU Wei-chao； sinking qi syndrome； modified Shengxian Decoction； heart and lung diseases

顧维超主任中医师是第五批全国老中医药专家学术经验继承指导老师，业医50余载，学验俱丰，擅治疑难杂症。顾师熟读经典，医成大家，勤求古训，博采众方，于中医各家学说中尤其推崇张锡纯。顾师

基金项目：第五批全国老中医药专家学术经验继承工作项目（2012年）；江苏省中医药管理局科技项目（YB2015127）；第二批江苏省名老中医药专家传承工作室建设项目（2016年）

通讯作者：陶方泽，E-mail：185334241@qq.com

对张氏学术经验尤其是大气学说颇有研究[1]，对大气下陷证的诊治见解独到。顾师经过多年临床探索，在张氏升陷汤基础上衍生出经验方加味升陷饮（黄芪、知母、升麻、柴胡、桔梗、红景天、仙鹤草、桑寄生、山萸肉、甘松、炙甘草），用于治疗心肺疾病，屡获良效[2-7]。笔者有幸跟师临诊，获益良多，现将顾师运用加味升陷饮治疗心肺疾病经验介绍如下。……