[1]刘涵驰,王斌,吴深涛.吴深涛基于内毒理论运用柴胡类方的经验[J].陕西中医,2026,(3):384-387.[doi:DOI:10.3969/j.issn.1000-7369.2026.03.018]
 LIU Hanchi,WANG Bin,WU Shentao.WU Shentao’s experience in applying Chaihu decoction based on the theory of internal toxin[J].,2026,(3):384-387.[doi:DOI:10.3969/j.issn.1000-7369.2026.03.018]
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吴深涛基于内毒理论运用柴胡类方的经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年3期
页码:
384-387
栏目:
名中医经验
出版日期:
2026-03-05

文章信息/Info

Title:
WU Shentao’s experience in applying Chaihu decoction based on the theory of internal toxin
作者:
刘涵驰王斌吴深涛
(天津中医药大学第一附属医院 国家中医针灸临床医学研究中心,天津 300381)
Author(s):
LIU HanchiWANG BinWU Shentao
(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)
关键词:
内毒柴胡类方少阳病枢机不利名医经验吴深涛
Keywords:
Internal toxinChaihu decoctionShaoyang diseasePivot dysfunctionExperience of famous doctorsWU Shentao
分类号:
R 289
DOI:
DOI:10.3969/j.issn.1000-7369.2026.03.018
文献标志码:
A
摘要:
介绍吴深涛教授基于内毒理论运用柴胡类方的临证经验,认为脾胃虚弱,脾不散精,精腐成毒是内毒产生的根本原因,同样也是少阳病发病的病变关键;枢机不利,升降失司则人身之精微皆不可正常疏布全身,同样可以积而为浊,酿生毒邪。临床见枢机运转不利、水液代谢失常者,治以和解少阳、水火分治,方以自拟柴胡解毒饮加减;由浊酿毒,浊毒内蕴着,治以清利少阳、化浊解毒,方以自拟化浊解毒饮加减;阳虚毒蕴,虚实夹杂者,治以疏解少阳、温阳解毒,方以柴胡桂枝干姜汤加减。
Abstract:
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 generation 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 presenting turbidity-toxin conversion with internal turbid-toxin accumulation receive therapy emphasizing Shaoyang clearance 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 combines Shaoyang regulation with yang-warming detoxification employing modified Chaihu Guizhi Ganjiang decoction.

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备注/Memo

备注/Memo:
国家自然科学基金资助面上项目(82474450);国家科技重大专项资助项目(2025ZD0549700)及其子课题(2025ZD0549702);国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)
更新日期/Last Update: 2026-03-05