吴深涛基于内毒理论运用柴胡类方的经验OA

This article summarizes Professor WU Shentao's clinical experience in applying Chaihu decoction based on the internal toxin theory.It is believed that spleen-stomach weakness with impaired essence distribution leads to"putrefied essence transforming into toxin",constituting the fundamental mechanism of internal toxin gener-ation and Shaoyang disease initiation.Dysfunction of the Shaoyang pivot mechanism disrupts ascending-descending dynamics,causing systemic maldistribution of nutrients that accumulate as turbidity-toxin complexes.For patients manifesting pivot mechanism dysfunction with abnormal fluid metabolism,the treatment focuses on harmonizing Shaoyang and regulating water-fire interactions using the self-designed modified Chaihu Jiedu decoction.Those pres-enting turbidity-toxin conversion with internal turbid-toxin accumulation receive therapy emphasizing Shaoyang clear-ance combined with turbidity-resolving detoxification through the modified self-formulated Huazhuo Jiedu decoction For cases of yang deficiency with toxin retention demonstrating mixed deficiency-excess patterns,the strategy com-bines Shaoyang regulation with yang-warming detoxification employing modified Chaihu Guizhi Ganjiang decoction.