浙江中医药大学学报2025，Vol.49Issue(6)：720-725,6.DOI:10.16466/j.issn1005-5509.2025.06.008
基于三焦辨治法探讨范永升教授诊治风湿病湿热证学术经验
Discussion on Professor FAN Yongsheng's Academic Experience in Treating Damp-Heat Syndrome of Rheumatism Based on the Sanjiao Method of Diagnosis and Treatment
摘要
Abstract
[Objective]To summarize the academic experience of Professor FAN Yongsheng,one of the first national famous traditional Chinese medicine masters,in treating the damp-heat syndrome of rheumatism.[Methods]Through the follow-up study,collecting and organizing Professor FAN Yongsheng's clinical cases of damp-heat syndrome of rheumatism,combined with the relevant ancient books and literature,summarizing the academic experience of Professor FAN Yongsheng in the diagnosis and treatment of damp-heat syndrome of rheumatism by Sanjiao method,focusing on the theoretical origin of Sanjiao method,the division of upper,middle and lower Jiao,as well as the practice of the clinical evidence,and added with the evidence of the experimental cases for support.[Results]The term Sanjiao originated in Huangdi Neijing.ZHANG Zhongjing deepened the concept of the Qi transformation of Sanjiao.XUE Xue pioneered the syndrome differentiation of the Sanjiao framework in Treatise on Dampness and Heat.WU Jutong systematically established the Sanjiao syndrome differentiation system in Systematic Differentiation of Warm Diseases.Professor FAN Yongsheng believes that the etiology of rheumatism with damp-heat syndrome is mostly attributed to insufficient endowment,exogenous or endogenous damp-heat obstruction in the Sanjiao,which results in the evil of damp-heat disturbing the upper-Jiao,trapping in the middle-Jiao and injecting into the lower-Jiao.When treating the disease,the parts of the Sanjiao where the damp-heat is located should be recognized.The treatment according to Sanjiao should be applied respectively with"propagation and opening""clearing"and"osmosis",and at the same time,the overall situation should be taken into account,and the three methods are often used together to eliminate the damp-heat and facilitate the Sanjiao.Three clinical cases demonstrated significant efficacy:Case 1 involved damp-heat clouding the upper-Jiao,treated with heat-clearing,damp-resolving,lung-ventilating and cough-relieving methods;Case 2 featured with damp-heat lodging in the middle-Jiao,managed with heat-clearing,spleen-strengthening and liver-soothing therapies;Case 3 presented damp-heat diffusing to the lower-Jiao,addressed through heat-clearing,damp-draining and collateral-unblocking strategies.All cases achieved satisfactory clinical results.[Conclusion]Professor FAN Yongsheng's academic experience in treating damp-heat syndrome of rheumatism by flexibly utilizing the Sanjiao method,which is based on inheritance,provides a theoretical basis and practical paradigm for the clinical management of rheumatism with damp-heat syndrome and is worth promoting and applying in the clinic.关键词
风湿病/湿热证/《湿热论》/三焦辨证/医案/范永升/名老中医经验Key words
rheumatism/damp-heat syndrome/Treatise on Dampness and Heat/syndrome differentiation of Sanjiao/medical records/FAN Yongsheng/experience of famous Chinese medicine doctors分类
医药卫生引用本文复制引用
林可,甘逸鸿,金萌,刘景群,李正富,范永升..基于三焦辨治法探讨范永升教授诊治风湿病湿热证学术经验[J].浙江中医药大学学报,2025,49(6):720-725,6.基金项目
科技部国家重点研发计划项目子课题(2018YFC1704102) （2018YFC1704102）
浙江省中青年临床名中医培养项目(浙中医药[2022]7号) Sub-project of the National Key Research and Development Program of the Ministry of Science and Technology(2018YFC1704102) （浙中医药[2022]7号）
Zhejiang Province Young and Middle-aged Clinical Famous TCM Training Project(Z.TCM.[2022]7) （Z.TCM.[2022]7）
