欧阳晓勇论治木村病经验OA
OUYANG Xiaoyong's Experience in Treating Kimura Disease
文章总结了欧阳晓勇教授治疗木村病经验.基于同病异治思想,提出木村病的分层辨治诊疗思路,针对"痰、瘀、湿、热、虚",分温阳化气、清热利湿、化瘀祛痰三阶段辨证施治.温阳化气应以缓缓建功、温补阳气、养荣通络为主;清热利湿当因势治下,湿去则热孤,使在上之热无所依附,热随湿解;化瘀祛痰当剽悍直折,破血化痰,松动死血;在治疗上强调"衰其大半而止"和"以平为期",注重通过扶正固本,攻补兼施,通补相济以减毒增效,体现了祛邪不伤正、扶正不留毒的中医整体观和天人相应动态平衡思想.
The article summarizes Professor OUYANG Xiaoyong's experience in treating Kimura disease.Based on the principle of treating the same disease differently.A hierarchical diagnosis and treatment approach for Kimura disease is proposed,targeting"phlegm,blood stasis,dampness,heat,and deficiency".Treatment is divided into three stages:warming yang and transforming qi,clearing heat and removing dampness,and removing blood stasis and phlegm.Warming yang and transforming qi should be done gradually,warming up yang qi,and nourishing the meridians and collaterals should be the main focus;Clearing heat and promoting dampness should be controlled according to the condition.When dampness disappears,heat becomes isolated,so that the heat above has no attachment and dissipates with dampness;To remove blood stasis and phlegm,one should be bold and resolute,break through blood and phlegm,and loosen static blood;In terms of treatment,emphasis is placed on"stopping the decline of the majority"and"maintaining long-trem stability".Emphasis is placed on strengthening the body and consolidat the foundation,combining atlcak with supplementation,and coordinating unblocking and tonifying to reduce toxicity and enhance efficacy.This reflects the holistic view of traditional Chinese medicine,which is to eliminate pathogen without harming the right,and to strengthen the body without retaining toxicity,as well as the dynamic balance of correspondence between nature and human.
张吉霞;徐姝敏;王金容;欧阳晓勇
云南中医药大学,云南 昆明 650500云南中医药大学,云南 昆明 650500云南省中医医院,云南 昆明 650021云南省中医医院,云南 昆明 650021
医药卫生
木村病瘰疠同病异治温阳化气清热利湿祛瘀化痰欧阳晓勇名医经验
Kimura diseaseScrofulaTreating the same disease differentlyWarming yang and transformation into qiClearing heat and promoting dampnessDispelling blood stasis and resolving phlegmOUYANG XiaoyongExperience of famous doctors
《国医论坛》 2026 (3)
64-67,4
云南省中医(皮肤病)临床医学中心项目(云卫办医发[2021]24号)兴滇英才支持计划名医专项人才(云卫人发[2022]8号)云南省高层次中医药后备人才培养项目(第二批)(云财社[2025]92号).
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