第一百二十四章 临床分析会议(下)(2 / 2)

大国上医 方千金 1287 字 2023-04-01

“从脉证来看,患者心衰垂危,病人全身功能衰竭,五脏六腑表里三焦,都已被重重阴寒所困,手足厥冷,口鼻冷气,全身冰凉,这些都是症状表现,这个时候生死存亡,也就在千钧一发之间,阳回则生,阳去则死。”

“那么这个时候,如何回阳救逆,该采用什么样的法子呢?”

方乐继续道:“《伤寒论》中,四逆汤类方是最为合适的,中医临床的医生和医学生应该都知道,四逆汤类的方剂,指的是《伤寒论》中以四逆汤为代表的加减诸方,它包括了通脉四逆汤、通脉四逆加猪胆汁汤、四逆加人参汤、茯苓四逆汤、白通汤、白通加猪胆汁汤、干姜附子汤,附子汤九个方证,这九个方证因为加减变化,具体功效各有差异,可都具有回阳救逆的功效。”

现场的中医医生不少都点着头。

方乐说的极为详细了。

郑高峰越听越忍不住想揍程载明一顿。

虽然这个时候方乐讲解还只是前奏,还没有进入真正的主题,可从方乐讲的这些,基本上能判断出方乐的水平。

这么一番分析,需要的不仅仅是对病症的掌握,还要有对中医各方面知识的掌握,根基一定要厚。

之前郑高峰其实对程载明说的这个方剂可能是方乐自己想出来的有点不认可,可这会儿,郑高峰倒是觉得程载明说的并非不可能。

“而这九个四逆汤类方的方证之所以具有回阳救逆的效果,其实都源于方证中的一味主药,附子。”

“附子,味辛、甘,性大热,归心、肾、脾经,回阳救逆,补火助阳,散寒止痛,《本草纲目》中记载,附子治三阴经证,及阴毒伤寒,阴阳易病。”

“而针对患者的症状,非大剂量附子不足以回阳救逆。”

“我们再详细了解患者的病症,命悬一线,奄奄一息,在这个时候,无论什么方案,也只有一次机会,倘若一剂不能奏效,那么就没有机会了,因而用药必须果断,必须胆大,大病用猛药,只有以雷霆万钧之力,斩关夺门,破阴回阳,患者才有生机。”

“可附子同样大毒,这个也是众所周知的,那么多少剂量的附子合适?”

方乐说着在九味主药中附子一味药上面画了一个圈,把附子圈了起来。

下面一些医生也在轻声讨论。

刚才方乐写破格救心汤的时候并没有写剂量,所以到了这一步,除了个别了解内情的,大多数人其实都不知道方乐究竟用了多少剂量的附子。

除却剂量,截至现在,示教室的中医医生还是认可方乐的说法的。

患者元阳垂绝,命悬一线,这个时候确实需要回阳救逆,而且剂量不能小,可不能小究竟是多少呢?

“30克?”

有坐的近的医生轻声交流。

“30克我觉的剂量小了,这个病症能被拿到全院会议上分析讨论,肯定是超常规的,我觉的剂量应该在60克。”

“60克,这么大剂量?”

“当时我们用了200克的附子。”

就在一些人讨论的时候,方乐轻轻的在被圈子圈起来的附子边上写下了剂量。

200克!

足足二百克的附子,瞬间就惊呆了一群人。

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