王永炎教授学术思想及临证经验总结(1)
[摘要]王永炎教授从医从教50余年，创立了较完整的中风病中医诊疗体系，制定了“中风病中医诊断、疗效评定标准”，对我国临床其他各科建立规范化系统化中医药诊疗体系起到了一定的启示及示范作用。王永炎教授首次明确了病络的定义，指出病络是络脉的病理过程和病机环节，是病证产生的根源，强调深入分析病络的发生机制，对寻求其共同的病机、制定治法方药、评估预后均具有重要意义。在此基础上，发展创新，将理论与实践结合，用于心血管病的治疗，提出心阴不足、风动心络为室性期前收缩的病机之一。在临床上根据本病的基本病机形成治疗本病的经验方——养阴熄风复脉汤。本研究旨在通过总结王永炎教授的学术思想及临证经验，以期为临床防治心脑血管疾病提供参考借鉴。
[关键词]王永炎；学术思想；临证经验；养阴熄风复脉汤
[中图分类号] R54 [文献标识码] A [文章编号] 1674-4721(2018)1(a)-0139-05
[Abstract]Professor WANG Yong-yan has been engaged in medicine and teaching for more than 50 years，he creatively established and improved the system of traditional Chinese medicine (TCM) diagnosis and treatment of stroke，and put forward the formulation TCM diagnosis and curative effect evaluation standard of stroke，which played a leading role and exemplary role for the study on standardization of diagnosis and treatment of common diseases and syndromes in clinical departments.Professor Wang made a clear interpretation of the concept of abnormal collaterals for the first time，pointed out that the abnormal collaterals is the collateral disease of the pathological process and pathogenesis，the source of disease and syndrome.It is of great significance to deepen the analysis of pathogenesis of abnormal collaterals，to seek common pathogenesis of syndromes，to determine the treatment and treatment of prescription and to determine the prognosis.On this basis，developing and innovating，he combined theory and practice for the treatment of cardiovascular disease，put forward the heart-YIN deficiency and wind-driven heart collaterals is one of the pathogenesis of premature ventricular contraction，according to the basic pathogenesis of this disease，he formed the experienced prescription：Yangyinxifengfumai Decoction.The purpose of this study is to summarize the academic thought and clinical experience of Professor WANG Yong-yan，in order to provide reference for the clinical prevention and treatment of cardiovascular and cerebrovascular diseases.
[Key words]WANG Yong-yan；Academic thought；Clinical experience；Yangyinxifengfumai Decoction
王永炎教授是我國著名的中医内科学、神经内科学专家，中国工程院院士。他出生于中医世家，幼承家训，师从于中医名家董建华，继承了董先生许多宝贵经验，并擅于发展创新，又熟读经典，勤于临证，不仅在以中风病为主的中医脑病理论和临床方面形成了自己的主要学术方向，并且在中医药标准化规范化、方剂组分配伍、临床评价、临床中药学、中药资源等学科培养了大量人才。作者通过总结跟师体会和查阅相关文献，对王永炎教授在心脑血管疾病方面的学术思想及临证经验进行了整理归纳，希望为同道学习提供帮助。
1 重视经典，传承创新
王永炎教授对经典的研读很重视，认为应以《内经》为引导，用经典来开启诊疗思路，以临床为目标，用临床验证经典，并认为只有把《内经》的思想与实践接轨，才能真正领会其微言大义。
王永炎教授认为，特立独行是创新思维的核心，从科学研究的感悟、选题、分析、推理、归纳、观察、验证、判断、立论，到论文的成形、发表、临床应用，创新思维贯穿于其始终。中医学原创思维的传承与创新是中医学发展的重要途径和动力[1]。科学的思维方式，有助于我们进一步求证先人的理论，并于继承之中发展创新[2]。, 百拇医药(张丽梅 胡元会 陈锦)
[关键词]王永炎；学术思想；临证经验；养阴熄风复脉汤
[中图分类号] R54 [文献标识码] A [文章编号] 1674-4721(2018)1(a)-0139-05
[Abstract]Professor WANG Yong-yan has been engaged in medicine and teaching for more than 50 years，he creatively established and improved the system of traditional Chinese medicine (TCM) diagnosis and treatment of stroke，and put forward the formulation TCM diagnosis and curative effect evaluation standard of stroke，which played a leading role and exemplary role for the study on standardization of diagnosis and treatment of common diseases and syndromes in clinical departments.Professor Wang made a clear interpretation of the concept of abnormal collaterals for the first time，pointed out that the abnormal collaterals is the collateral disease of the pathological process and pathogenesis，the source of disease and syndrome.It is of great significance to deepen the analysis of pathogenesis of abnormal collaterals，to seek common pathogenesis of syndromes，to determine the treatment and treatment of prescription and to determine the prognosis.On this basis，developing and innovating，he combined theory and practice for the treatment of cardiovascular disease，put forward the heart-YIN deficiency and wind-driven heart collaterals is one of the pathogenesis of premature ventricular contraction，according to the basic pathogenesis of this disease，he formed the experienced prescription：Yangyinxifengfumai Decoction.The purpose of this study is to summarize the academic thought and clinical experience of Professor WANG Yong-yan，in order to provide reference for the clinical prevention and treatment of cardiovascular and cerebrovascular diseases.
[Key words]WANG Yong-yan；Academic thought；Clinical experience；Yangyinxifengfumai Decoction
王永炎教授是我國著名的中医内科学、神经内科学专家，中国工程院院士。他出生于中医世家，幼承家训，师从于中医名家董建华，继承了董先生许多宝贵经验，并擅于发展创新，又熟读经典，勤于临证，不仅在以中风病为主的中医脑病理论和临床方面形成了自己的主要学术方向，并且在中医药标准化规范化、方剂组分配伍、临床评价、临床中药学、中药资源等学科培养了大量人才。作者通过总结跟师体会和查阅相关文献，对王永炎教授在心脑血管疾病方面的学术思想及临证经验进行了整理归纳，希望为同道学习提供帮助。
1 重视经典，传承创新
王永炎教授对经典的研读很重视，认为应以《内经》为引导，用经典来开启诊疗思路，以临床为目标，用临床验证经典，并认为只有把《内经》的思想与实践接轨，才能真正领会其微言大义。
王永炎教授认为，特立独行是创新思维的核心，从科学研究的感悟、选题、分析、推理、归纳、观察、验证、判断、立论，到论文的成形、发表、临床应用，创新思维贯穿于其始终。中医学原创思维的传承与创新是中医学发展的重要途径和动力[1]。科学的思维方式，有助于我们进一步求证先人的理论，并于继承之中发展创新[2]。, 百拇医药(张丽梅 胡元会 陈锦)