刘持年应用甘麦大枣汤临床经验

出自《金匮要略》的甘麦大枣汤是治疗脏躁的基础方。刘持年教授认为其主治心阴不足、肝失所养、肝气不和之证,临床用以治疗脏躁、汗证、失眠等,取得良好效果。本着"辨治求精,同证异治;杂合以治,数方相合;明理活法,药精量当"的用方思路,刘教授临床强调精准辨证,针对异病同证、同病同证采取不同治疗方法;推崇数方合用,善于将功能、治证病机相同或相近的小方叠加配伍;选药时注意审度用量,并适当参考药理作用。

Experience of LIU Chinian in Using Ganmai Dazao Decoction

Ganmai Dazao decoction,from the Essentials from the Golden Cabinet,is the primary formula in the treatment of visceral dryness. Professor LIU Chinian holds that this formula aims at deficiency of heart yin,malnutrition of liver,disharmony of liver qi,and is good at treating visceral dryness,sweating,insomnia and so on. Professor LIU emphasizes that syndrome differentiation should be correct and precise,and for different disease of similar syndrome or similar disease of different syndrome,the treatment should be different.Also He advocates to combine various formula together,especially the small formulas of the similar function,treating similar syndrome or disease mechanism. For choosing herbs,he emphasizes the dose and also to consider the pharmacological effect.