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Jingdong book

黄仕沛经方亦步亦趋录

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黄仕沛经方亦步亦趋录

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《黄仕沛经方亦步亦趋录》共分为四大部分:方证相对医案、师门对话录、黄仕沛老师“临床感悟”以及附录经方学验“华山论剑”。通过不同侧面展示了黄老的经方理论和临床特色。正如《黄仕沛经方亦步亦趋录》序言所说,“良医必用良方,良方何其多,如何掌控?《黄仕沛经方亦步亦趋录》一书揭示了寻觅良方之法。”
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方征相对医案
独家感悟:葛根汤证更多“非表证”——强直性脊柱炎案
反思误案:用方必察“利之弊”——葛根汤之误案
辨证难关:不传之秘在“辨”字——不完全性肠梗阻案
辨方证之妙,更有合方并方——带状疱疹后遗神经痛案
临床探秘:破解千古疑难病——续命汤医案(六则)
经方妙用:别有一番滋味在心头——续命汤通腑案
附:《古今录验》续命汤小议
不可尽信:医之以讹传讹者多矣——间歇性跛行案一
静思细考,难证不难——手足十指(趾)端肿痛案
“判若两人”的疗效从哪里来——肺癌术后喘满案
“方证相对”如何“对”——风湿性心脏病喘满自利口渴案
诸证中最难治者之“水肿”辨析故事——全身浮肿案(两则)
经方如何从条文的“独木桥”走出——炙甘草汤案(三则)
看似辨一案,实则辨类方——奔豚案
“越辨越明”方为经方风采——冠心病寒气上冲感案
细味此两条,犹如仲景在我身旁也——冠状动脉供血不足案
单捷小方:力专而用宏,故立竿而见影——眩晕案
“提纲证”的是与非——心悸气短嗜睡案
“上腹部跳动感半年”的奇病难症——球部溃疡心下悸案
医案着眼处,应与他证而甄别——心中悸而烦案
经方效如桴鼓的现场直播——呃逆案
奇症怪病只是“常”——噫气不除案
不禁拍案叫道,一言惊醒——咽中如有炙脔案
从经典原文中寻找深层韵味——小儿增殖腺肥大案
错有数端,寓其理也数端,错中求理,发人深省——肺痈错治获效案
当遭遇“看之似是寒热两途互不相干”——肺痿吐浊唾涎沫案
似乎不可思议,但证之临床,便知仲景诚不欺我——老妇长年遗尿案
师生讨论,“真理”仲景书中探寻——自下利案(两则)
诸方无一对证,唯此方最与病相应也——复发性口腔溃疡案
狐惑病方,治古惑之病——银屑病案
在“予用之取效者屡矣”的背——风疹头面肿痒案(两则)
异曲同工:方证固要审察,药证又虽明了也——慢性荨麻疹案
一知半解中医医理误人不浅——早泄案
病机数者,互为因果,从何着眼——不孕案(三则)
经方中之大方:看似庞杂,但杂而不乱——周期性子宫出血案
世界性疑案杂症从何入手一继发性闭经案
方义无人日不晓,用于临床却常畏首畏尾——发热汗出恶风案
详察病情,决不可为表面现象所左右——真武汤治肾衰发热案
掷地有声:小柴胡汤非专为少阳而设也——小柴胡加石膏汤案(两则)
“宗古法而变古方者”大谬也——丑夜发热三年案
曾有亲身经历,施之此案,信心倍增——间隙性发热三年案
方药正合儿病,大可放心服之,不必使用抗生素——发热胁痛腹满便秘案(两则)
当西医毫无进展,不妨以经方放胆一试——发热腹满下利案
使用经方如何有效变通——胆石症术后心下满痛案
大黄一药,非只为泻实而设也——惊悸失眠案
不加辨证,徒费药饵,贻误病机巳也——耳聋耳鸣案
两大名方实对偶而出,异曲而同工也——失眠脱发案
经方辨治精神症状的“曲径通幽”——柴胡加龙骨牡蛎汤辨治精神症状案(四则)
何以初之时,我等未恕到用此方——纳呆暴瘦案
重剂起沉疴,须知病机药证——皮疹痴呆双手舞动案
排除西药作用后的疗效观察——嘴巴不自主抖动案
时方寻源:开介类潜阳,育阴息风之端——左侧上下肢不自主舞动案
必辨病机,毋使一叶障目——颠顶头痛案
重复有效之方,犹经方也——主动脉夹层动脉瘤案

师门对话帚
经方问对之一
经方问对之二

黄仕沛老师“临床感悟”
炙甘草汤的临床感悟:走出教材的“条条框框”
经方辨治“精神抑郁症”面面观
白虎汤“四大证”质疑
从桂枝汤说起,谈谈经方的药物配对
不依《内经》更非《易经》:仲景经方风格之我见
《吴鞠通医案》经方医案(选)赏析
一个世纪前粤港疫情再揭秘
附:真实记录:一个世纪前粤港疫情揭秘

附录:经方掌验“华山论剑”
经方的现代临床运用体会
从“执简驭繁”到“方证对应”
联系方剂与病证的桥梁到底是什么——甘草泻心汤治疗小儿口腔黏膜病
透过诸位临床大家的不同视点:柴胡桂枝干姜汤小议
千古之谜,用常理难解但有脉络可寻:麻黄升麻汤随想
随师体会:大美不言的仲景用药心法举隅
Book Abstract

《古今录验》续命汤原为治风痱而设。风痱是中风的一种,先贤将中风分为四类,偏枯为半身不遂;风痱为四肢不收;风痹为身体不仁;风懿为吞咽及构音障碍。续命汤本拟治风痱,但上述四类,其病因病机相仿,治疗风痱之方,故同样可以治疗中风。黄师认为该方不但能治中风,还能治多种神经系统疾病。
原文可这样理解,“身体不能自收持”,指四肢肌力下降,肌张力降低;“冒昧不知痛处”,指感觉障碍;“口不能言”,指言语欠清,吞咽功能障碍;“拘急不得转侧”,指肌张力增高及伴发神经性疼痛的症状。结合方后所述“并治但伏不得卧,咳逆上气,面目浮肿”,指的是重症影响呼吸或伴发肺部感染。通观以上症状和神经系统疾病中累及运动系统,造成肌力、肌张力障碍;累及感觉系统,影响深、浅感觉及复合感觉;累及后组颅神经,出现呼吸困难,言语、吞咽障碍的临床表现相符。该方以麻、桂、姜破癜坚积聚,温通经隧,更配以大量益气活血之品,使血脉畅通,经气流转,清窍通利,治疗多种神经系统疾病,改善神经功能缺损症状,当取奇效。故我们不应因反对“内虚邪中”而反对续命汤。
关于临床运用《古今录验》续命汤的体会
一、要从仲景的原意去解释续命汤
仲景论广《汤液经》,是经方中的一家,经方派与以《内经》为代表的医经派实属两家。续命汤的组成,世人看之,奇特难明。后世誉之者,每引经据典,多方诠解,为了证明此方之妙,从《内经》、《难经》寻找依据,对于有利于己意者铺陈发挥,于经理不合者弃而不论。以发散风寒,调和营卫释之当然难以理解。还有认为“本方重在石膏、干姜并用,而调理脾胃之阴阳。盖因风痱以四肢突然瘫痪为特征,主四肢者脾胃也。《素问·太阴阳明论》云:“‘脾病四肢不用’,脾胃升降失调也。故以干姜辛温刚燥,守而能散,大具温补宣通之力,石膏辛微寒而柔润,质重,具沉降之能。所以本方用此二味,调脾胃阴阳,使脾升胃降,还其气化之常,四肢得禀水谷,此治痱之本也……”如此这般,似乎把此方解释得既合经典,又与众不同,无懈可击。然则唐以前多首续命汤无用干姜、石膏者又作何解释?故不应以源于《内经》、《难经》的辨证理论体系来解释仲景的方证。
……

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