吉林中医药2025，Vol.45Issue(6)：671-675,5.DOI:10.13463/j.cnki.jlzyy.2025.06.013
国医大师熊继柏诊治胸痹经验
Xiong Jibai's experience in the diagnosis and treatment of chest obstruction
摘要
Abstract
Professor Xiong Jibai,a master of traditional Chinese medicine,inherits the classics,upholds fundamental principles while makes innovations,develops a unique understanding of chest obstruction,and forms a characteristic diagnosis and treatment idea in this respect.He believes that its etiology features the combination of internal and external pathogens,and its pathogenesis lies in the deficiency of the heart and excessive pathogens in the pericardium.In his clinical syndrome differentiation,Professor Xiong Jibai underscores the pathogenesis of heart qi deficiency,phlegm and blood stasis,while in his clinical treatment,he views the deficiency and excess of heart qi as the root cause,differentiates cold and heat pathogens,takes phlegm and blood stasis as manifestations,regulates qi and blood simultaneously,and treats the body and the spirit together.He also holds that the five zang-organs and six fu-organs can all cause chest obstruction,not only the heart.Thereby,he argues for treating the disease according to the relationship between the heart and the gallbladder,stomach,lung,kidney,liver and spleen.Based on the stand of simultaneously treating the heart and the gallbladder,he applies the self-prescribed Xiong's Shiwei Wendan Decoction in his treatment of chest obstruction,achieving a significant efficacy.In addition,based on his experience in the diagnosis and treatment of chest obstruction,this study works out the regularities of his three commonly used prescriptions:modified Xiong's Shiwei Wendan Decoction to handle qi deficiency,phlegm heat,modified Diandao Mujin Powder combined with Danshen Decoction or Xuefu Zhuyu Decoction to treat stasis stagnation,modified Gualou Xiebai Banxia Decoction in combination with Zhishi Xiebai Guizhi Decoction to deal with phlegm turbidity.关键词
国医大师/胸痹/名老中医经验/熊继柏Key words
master of traditional Chinese medicine/chest obstruction/experience of renowned traditional Chinese medicine practitioners/Xiong Jibai分类
中医学引用本文复制引用
苏丹,姚军,谢雪姣,熊继柏..国医大师熊继柏诊治胸痹经验[J].吉林中医药,2025,45(6):671-675,5.基金项目
湖南省卫生健康委基金项目(D202303018265) （D202303018265）
湖南省中医药科研基金项目(A2023035) （A2023035）
湖南省科技厅基金项目(2021JJ30510) （2021JJ30510）
