张锡纯《医学衷中参西录》救脱经验撷菁OA

The renowned modern Chinese medicine practitioner Zhang Xichun believed that collapse syndrome is closely related to the liver.Based on the relevant content on collapse syndrome recorded in Zhang Xichun's Yi Xue Zhong Zhong Can Xi Lu,this paper summarizes the dynamic pathogenesis of collapse syndrome and the corresponding therapeutic methods and formulas.The development of collapse syndrome can be divided into three stages:impending collapse without actual collapse,upper or lower collapse,and simultaneous collapse of both upper and lower.For patients with impending collapse without actual collapse,Zhang applied the method of"astringing the liver to prevent collapse"as an emergent treatment for the presenting signs,often using Shanzhuyu(Corni Fructus)to astringe liver Qi.For those with upper collapse of primordial Yang,he enriched Yin to restrain Yang,commonly using Dihuang(Rehmanniae Radix),Shanyao(Dioscoreae Rhizoma),and Baishao(Paeoniae Radix Alba)to enrich Yin and restrain the upward collapse.For those with downward sinking of Yin Qi,he applied the method of supplementing Qi and astringing with stabilization,using astringent herbs to secure the primordial Qi of the lower burn while also emphasizing the great Qi,and employing Renshen(Ginseng Radix)and Huangqi(Astragali Radix)to supplement Qi and lift the sinking.For those with separation of Yin and Yang and loss of mutual cohesion,he created the Jiji Tang to treat the condition,aiming to address both Yin and Yang equally while combining astringent and tonic effects.In addition,Zhang Xichun also pointed out contraindicated medicinals for collapse syndrome.