杏林医话七则

——全国名中医王行宽从医经验撷菁

〔摘要〕 笔者临床多用“病-脉-证-治”诊治模式即辨病-辨脉-辨证-辨治模式，倡“杂病治肝、多脏调燮、微观辨证、疏通督脉”的学术思想，临证每每疗效应桴。辑录医话七则，归纳胸痹心痛、大肠胀、不寐、肺结节、瘿瘤的诊治经验与临床心得，以期对临床有所裨益。

〔关键词〕 辨病；辨脉；辨证；辨治；胸痹心痛；大肠胀；不寐；肺结节；瘿瘤；王行宽

〔中图分类号〕R259         〔文献标志码〕A          〔文章编号〕doi：10.3969/j.issn.1674－070X.２０23.11.003

Seven medical notes of Chinese medicine： the essence of Professor

WANG Xingkuan's medical experience

WANG Xingkuan

The First Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China

〔Ａｂｓｔｒａｃｔ〕 The diagnosis and treatment mode of "disease-pulse-pattern-treatment" in clinical practice is frequently used in my clinical practice， that is， disease identification-pulse identification-pattern identification-identification and treatment mode. I also follow the academic thoughts， that is "Treat the liver firstly when patients suffer from miscellaneous diseases， multiple zang organs should be regulated together， patterns need to be identified in a micro sense， and the Du meridian should be dredged to function well." These help me to cure patients with good effects. Here， seven medical notes are compiled to summarize the diagnosis and treatment experience of chest bi-impediment， large intestine distension， insomnia， pulmonary nodules and gall tumors， in order to benefit the future clinical practice.

〔Ｋｅｙｗｏｒｄｓ〕 disease identification; pulse identification; pattern identification; identification and treatment; chest bi-impediment; large intestine distension; insomnia; pulmonary nodule; gall tumor; WANG Xingkuan

光阴荏苒，回眸从医以来，不觉已届耄耋之岁，意欲小结本人从医之部分心得体会，命名为“杏林医话”。（剩余6661字）