史银春 石晓琪 陈宗俊

摘要 国医大师吕仁和教授在长期的临床实践中创造性地提出的诊“六对论治”疗思路，即对病论治、对病辨证论治、对病分期辨证论治、对症论治、对症辨证论治、对症辨病与辨证相结合论治。“六对论治”贯穿于吕仁和教授诊治疾病的始终。茵陈清热利湿，为吕仁和教授常用药物之一。从吕仁和教授的“六对论治”诊疗思路出发，探析吕教授临床应用茵陈的经验，为临床提供新思路。

关键词 六对论治;茵陈;国医大师;经验;传承;学术思想;辨证理论; @ 吕仁和

Abstract During his long-term clinical practice，master of traditional Chiense medicine（TCM）and Professor LYU Renhe creatively puts forward “six diagnosis and treatment principles”，which includes treatment according to diseases，treatment according to disease differentiation，treatment according to disease differentiation and stage，treatment according to symdromes，treatment according to symptom differentiation，as well as combination of treatment according to disease differentiation and treatment according to syndrome differentiation.Such principles run through diagnosis and treatment of diseases by Professor LYU Renhe.With the ability of clearing heat and promoting dieresis，Artemisia capillaris Thunb is one of the common herbal medicine used by Professor LYU.Based on Professor LYU Renhe′s “six diagnosis and treatment principles” clinical thinking，this paper explores Professor LYU′s experience in clinical application of Artemisia capillaris Thunb and provides new ideas for clinical practice.

Keywords Six diagnosis and treatment principles; Artemisia capillaris Thunb; Chinese medicine master; Experience; Inheritance; Academic ideas; Syndrome differentiation theory; @ LYU Renhe

中圖分类号：R242;R249文献标识码：Bdoi：10.3969/j.issn.1673-7202.2021.07.019

国医大师吕仁和教授师承京城名医秦伯未、施今墨、祝谌予等，中西合参诊治糖尿病及其并发症与多种慢性肾脏疾病，经验丰富，疗效显著。吕仁和教授临床重视疾病的核心病机、分期、证候和症状，主张“病-期-证-症”相结合，提出“六对论治”，即对病分期辨证论治、对病论治、对病辨证论治、对症论治、对症辨证论治、对症辨病与辨证相结合论治的6种辨证方法。在跟诊过程中，体会到吕老擅长使用茵陈，故结合“六对论治”思想试述吕仁和教授临床应用茵陈的经验。

1 茵陈简介

1.1 历史源流 茵陈又称绵茵陈、茵陈蒿，最早载于《神农本草经》，书中言其属上品，“味苦平，主风湿寒热，邪气，热结黄疸。久服轻身，益气耐老”[1]。《伤寒杂病论》里亦多用茵陈治疗黄疸，如将茵陈与栀子、大黄同用，清热利湿退黄，治疗黄疸湿热并重者或谷瘅;茵陈与五苓散同用温阳利湿退黄，治疗黄疸湿重于热者。……