CAJ | 학술논문

[目的]初步探讨王作顺主任运用大柴胡汤合桂枝茯苓丸合小陷胸汤加减治疗冬季难治性高血压的临床经验。[方法]从病因病机、辨证论治、临床治验等方面总结王作顺主任治疗冬季难治性高血压的学术观点及临床经验，同时从经典条文、体质学说等多方面初步阐释这一临床经验的机理，以病案说明。[结果]本病发病的主因是痰饮、瘀血，诱因为阴寒之邪，病机为少阳枢机不利、痰瘀热结、外寒凝滞；王师根据以上病因病机，形成了和解少阳枢机，内泻热结，化痰祛瘀，稍佐温通的治则，运用大柴胡汤合桂枝茯苓丸合小陷胸汤，使患者取得满意疗效。[结论]王作顺主任在临床工作中，辨证论治，深研病机，灵活运用大柴胡汤合桂枝茯苓丸合小陷胸汤加减治疗冬季难治性高血压，疗效显著，具有推广应用价值。
[목적]초보탐토왕작순주임운용대시호탕합계지복령환합소함흉탕가감치료동계난치성고혈압적림상경험。[방법]종병인병궤、변증론치、림상치험등방면총결왕작순주임치료동계난치성고혈압적학술관점급림상경험，동시종경전조문、체질학설등다방면초보천석저일림상경험적궤리，이병안설명。[결과]본병발병적주인시담음、어혈，유인위음한지사，병궤위소양추궤불리、담어열결、외한응체；왕사근거이상병인병궤，형성료화해소양추궤，내사열결，화담거어，초좌온통적치칙，운용대시호탕합계지복령환합소함흉탕，사환자취득만의료효。[결론]왕작순주임재림상공작중，변증론치，심연병궤，령활운용대시호탕합계지복령환합소함흉탕가감치료동계난치성고혈압，료효현저，구유추엄응용개치。
[Objective] Preliminary clinical experience of Wang Zuoshun using Da Chaihu decoction contacts with other decoctions in the treatment of re-fractory hypertension in winter. [Methods] From the etiology and pathogenesis, syndrome differentiation and treatment, clinical treatment experience sum-mary of Professor Wang Zuoshun 's treatment of winter refractory hypertension academic ideas and clinical experience, also from the classical articles, the-ory of constitution etc to expound the omechanisationf the clinical experience.[Results] The etiology is phlegm, blood stasis, induced by cold pathogen, its pathogenesis are dysfunction of Shaoyang, accumulation of phlegm-heat and blood stasis, cold accumulation, according to the etiology and pathogenesis, forming a cardinal in Shaoyang, purging heat, resolving phlegm and removing blood stasis, slightly with temperature and the treatment. [Conclusions] In clinical work, Wang Zuoshun director using syndrome differentiation and treatment, researches the pathogenesis, flexibility in the use of traditional Chinese herbal soup recipe in treating winter refractory hypertension, the curative effect is remarkable, and has popularization and application value.