CAJ | 학술논문

文章以临床验案为例，分析刘学勤教授活用经方的思路，举隅说明刘学勤教授活用经方治疗肝胆病的临证经验。以逍遥散变方（以丹参易当归、赤芍易白芍、土茯苓易茯苓、生薏仁易白术）拟疏肝健脾汤，治疗慢性肝炎；以血府逐瘀汤去生地、桔梗、川芎、牛膝，加川楝子、香附、郁金拟疏肝化瘀汤，治疗肝硬化；以五苓散去桂枝，加苍术、猪苓、防己、川牛膝、怀牛膝等拟消水汤，治疗肝硬化合并胸腹水；以半夏泻心汤加枳壳、砂仁，以太子参易人参拟胃平汤，治疗脂肪性肝病。在经方原方基础上“取其意、增其效”，灵活变通后，更加符合肝胆病特点。经方变方对肝胆病的治疗更具有针对性，在一定程度上提高了临床疗效，这种承古拓今的独特思路值得借鉴。
문장이림상험안위례，분석류학근교수활용경방적사로，거우설명류학근교수활용경방치료간담병적림증경험。이소요산변방（이단삼역당귀、적작역백작、토복령역복령、생의인역백술）의소간건비탕，치료만성간염；이혈부축어탕거생지、길경、천궁、우슬，가천련자、향부、욱금의소간화어탕，치료간경화；이오령산거계지，가창술、저령、방기、천우슬、부우슬등의소수탕，치료간경화합병흉복수；이반하사심탕가지각、사인，이태자삼역인삼의위평탕，치료지방성간병。재경방원방기출상“취기의、증기효”，령활변통후，경가부합간담병특점。경방변방대간담병적치료경구유침대성，재일정정도상제고료림상료효，저충승고탁금적독특사로치득차감。
In the paper,the clinical medical cases were taken as the example to analyze Prof.Liu Xueqin′s thought on the flexible application of classic formulas and introduced the clinical experiences in treatment of liver and gallbladder diseases.Chronic hepatitis was treated with modified xiaoyao san(in which, Chinese angelica was replaced by salvia miltiorrhiza,radix paeoniae alba by radix paeoniae rubra,poria cocos by rhizome smilacis glabrae and rhizome atractylodis macrocephalae by semen coicis)as shugan jianpi decoc-tion.Liver cirrhosis was treated with modified xuefu zhuyu tang(in which,rhizome of rehmannia,platycodon grandiflorum,rhizome of chuanxiong and radix achyranthis bidentatae were omitted,and Szechwan chinaberry fruit,rhizome cyperi and radix curcumae were added)as shugan huayu decoction.Liver cirrhosis associated with hydrothorax and ascite were treated with modified wuling san(in which,cassia twig was omitted,rhizome atractylodis,grifola,radix stephaniae tetrandrae,radix cyathulae and achyranthes bidentata were added)as xi-aoshui decoction.Fatty liver was treated with modified banxia xiexin tang(in which,fructus aurantii and fruc-tus amomi were added,panax ginseng was replaced by radix pseudostellariae)as weiping decoction.It was summarized that on the basis of the original formulas,the flexible applications of these classic formulas much accorded with the characteristics of liver and gallbladder diseases.The modified classic formulas target the treatment of liver and gallbladder diseases and improve clinical efficacy.This unique thought on the inherit-ance of classic formulas deserves to be promoted.