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刘茂才教授“滋阴益气、通络止痛、疏肝宁神”法治疗神经病理性疼痛的经验

Exploring Professor LIU Maocai’s clinical experience of treating neuropathic pain via therapies of “nourishing yin and benefiting qi, dredging collaterals to relieve pain, and soothing liver to tranquilize mind”

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【作者】 李春熹蒋志宇卢明许浩游

【Author】 LI Chunxi;JIANG Zhiyu;LU Ming;XU Haoyou;Second Affiliated Hospital of Guangzhou University of Chinese Medicine;Guangdong Provincial Hospital of Chinese Medicine;

【通讯作者】 许浩游;

【机构】 广州中医药大学第二临床医学院广东省中医院

【摘要】 总结刘茂才教授治疗神经病理性疼痛(NP)的临证经验。认为正气亏虚、外邪客络为发病之因;气阴亏虚、内热痰瘀、络脉痹阻为核心病机;立滋阴益气、清热降火、通络止痛、活血祛瘀之治法,同时加强情志的调摄。临证用药上,自拟滋阴清热止痛方,以知母、石斛、党参、白术、肿节风、徐长卿、姜黄等为基础方药。清补兼施、正邪兼顾,使补而不恋邪,清泄而不伤正气,为NP的中医药治疗提供了参考思路。

【Abstract】 This article tries to summarize Professor LIU Maocai’s clinical experience in the treatment of neuropathic pain(NP). Professor LIU believes that in traditional Chinese medicine(TCM), the cause of NP lies in qi deficiency and invasion of pathogenic qi into collaterals; the core pathogenesis lies in qi and yin deficiency, internal heat causing phlegm and stasis, and obstruction of collaterals; therapeutic methods include nourishing yin and benefiting qi, clearing heat to reduce fire, unblocking collaterals to relieve pain, activating blood to resolve stasis, combined with adjusting emotions. In clinical use of medicines, LIU often applies his self-made prescription for nourishing yin, clearing heat and relieving pain, including medicinals like Anemarrhenae Rhizoma, Dendrobii Caulis, Codonopsis Radix, Atractylodis Rhizoma, Sarcandrae Herba, Cynanchi Paniculati Radix, Curcumae Longae Rhizoma, etc. In brief, he makes a combined use of both clearing and tonifying therapies, and takes into account both reinforcing the healthy qi and eliminating the pathogenic factors, thus providing some reference for the treatment of NP in TCM.

【基金】 国家中医药管理局第七批全国老中医药专家学术经验继承工作(国中医药人教函[2022]76号);国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023154)
  • 【文献出处】 时珍国医国药 ,Journal of Li-shizhen Traditional Chinese Medicine , 编辑部邮箱 ,2025年20期
  • 【分类号】R249;R277.7
  • 【下载频次】92
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