陈晨光 李坤寅

摘要 通过对中医“异病同治”理论的探讨，结合代表性医案，以温胆汤化裁灵活使用祛湿化痰法，深刻理解李坤寅教授对岭南地区常见妇科疾病提出的“异病同治，心肾同调，祛湿化痰贯穿始终”重要学术思想以及临床经验，以供后辈学习。

关键词 中医;名医经验;异病同治;妇科疾病;心肾同调;祛湿化痰;温胆汤; @ 李坤寅

Discussion on the Application of the Method of Removing Dampness and Phlegm by Professor LI Kunyin Based on the Theory of “Treating Different Disease with the Same Method”

CHEN Chenguang，LI Kunyin

（Guangzhou University of Traditional Chinese Medicine，Guangzhou 510000，China）

Abstract Based on the discussion of the theory of “treating different diseases with the same method” in traditional Chinese medicine （TCM），combined with the representative medical cases，using Wendan Decoction to reduce dampness and phlegm，this paper has a deep understanding of Professor LI Kunyin′s important academic thought and clinical experience of Lingnan area common gynecological diseases，such as “treating different diseases with the same method，heart and kidney homology，moisturizing and phlegm running through the with Wendan Decoction”，in order to learn from future generations.

Keywords Traditional Chinese Medicine; A famous doctor′s experience; Treating different diseases with the same method; Gynecological diseases; Heart and kidney homology; Eliminating and resolving phlegm; Wendan Decoction; @ LI Kunyin

中圖分类号：R242;R249文献标识码：Bdoi：10.3969/j.issn.1673-7202.2021.03.025

李坤寅教授，医学博士，第一批全国名中医欧阳惠卿教授的学术继承人，现为广州中医药大学教授、主任中医师、中医妇科学博士研究生导师，是我国学校教育部重点学科中医妇科学的学术带头人。李教授在岭南地区潜心临床30余年，善于总结临床经验及翻阅古籍，开拓创新。经过长期临床实践，李教授基于岭南特殊地理环境以及女性特殊生理特点提出心肾同调、祛湿化痰大法的学术思想，是”异病同治”理论在妇科领域的体现。本文基于心肾同调及祛湿化痰的”异病同治”理论基础，结合典型临床病案，探讨李坤寅教授重要学术思想以及临床经验，以丰富现代中医妇科理论及实践。

1 “异病同治”理论

1.1 源流 “异病同治”是指不同的疾病，当出现同样的病理状态（病机）时，可采用同样的方药进行治疗。“异病同治”在古籍中未见专门记载，是后代医家在“同病异治”理论的基础上结合临床实践发展而来。《素问·五常政大论》载“西北之气，散而寒之;东南之气，收而温之，所谓同病异治也”;《素问·病能论》载“有病颈痈者，或石治之，或针灸治之，而皆已，其真安在？……