卢尚岭运用麦冬经验及理论阐释

总结卢尚岭教授对麦冬功效的认识及临证应用经验。在回顾历代医家对麦冬功效与主治病证阐述的基础上,结合自己的临床实践,阐述卢尚岭教授对"麦冬功用要在补气"的独到见解,认为麦冬最善补益心肺之气,特别适宜于心肺之气亏虚诸证,临证常用其治疗心肺气虚之胸痹、心痛、心悸、心衰等病证。同时,深入发掘了麦冬治水病的功用。麦冬治水功用多端,而补心肺之气乃其治水之本,气旺自能行血布津。临证用麦冬补气需要两方面的条件,一是用量宜大,常用量为45 g;二是适当配伍,临证常与人参、五味子、太子参、炙甘草、黄芪等为伍。麦冬甘寒,甘而不腻胃,且善能开胃;既能补气,又能利水消肿,为其药性之特长。

LU Shangling's Experience and Theoretical Explanation of Clinical Application of Maidong(Ophiopogonis Radix)

To summarize Professor LU Shangling's understanding of the function of Maidong(Ophiopogonis Radix) and experience in its clinical application. On the basis of reviewing the views of function and indications of Maidong expounded by doctors in previous dynasties,combined with his own clinical practice,the author expounds the original view put forward by Professor LU Shangling that the most important function of Maidong should be to tonify qi. He believes that Maidong is best at tonifying qi of the heart and the lung,especially suitable for the syndromes of qi deficiency of the heart and the lung,so it is commonly used for the treatment of chest impediment,heart pain,palpitation and heart failure due to qi deficiency of the heart and the lung. At the same time,the function of Maidong in treating water diseases was deeply explored. Maidong has many functions in the treatment of water diseases which were based on tonifying qi of the heart and the lung. When qi is suffcient,it can promote the circulation of blood and the transportation of body fluid. The application of Maidong for tonify ing qi should meet two conditions. First,the dosage should be large,with a common dosage of 45 g. Second,with appropriate compatibility,it is often used with Renshen(Ginseng Radix Et Rhizoma),Wuweizi(Schisandrae Chinensis Fructus),Taizishen(Pseudostellariae Radix),Zhigancao(Glycyrrhizae Radix Et Rhizoma Praeparata Cum Melle),Huangqi(Astragali Radix) and so on. Maidong is sweet and cold. Its sweet flavor is not harmful to the stomach and is helpful to improve the appetite. It can tonify qi,treat water diseases and reduce swelling,which is the specialty of its medicinal properties.