摘要：在华夏大地的悠悠历史长河中，中医宛如一颗璀璨的明珠，散发着神秘而迷人的光芒。它承载着千百年来无数医家的智慧结晶，历经岁月的洗礼，依然在守护着人民的健康。而在中医的浩瀚宝库里，经方治疗体系就像一座深藏不露的宝藏，蕴含着无尽的奥秘等待我们去挖掘。今天，就让我们一同
在华夏大地的悠悠历史长河中，中医宛如一颗璀璨的明珠，散发着神秘而迷人的光芒。它承载着千百年来无数医家的智慧结晶，历经岁月的洗礼，依然在守护着人民的健康。而在中医的浩瀚宝库里，经方治疗体系就像一座深藏不露的宝藏，蕴含着无尽的奥秘等待我们去挖掘。今天，就让我们一同踏上这探秘经方之旅，揭开它那神秘的面纱。
经方传承：从伤寒到杂病的演变
张仲景，这位被后世尊称为“医圣”的传奇人物，他的《伤寒论》宛如中医史上的一座巍峨丰碑。想当年，伤寒、传染病肆虐，严重危害着大众的生命健康，如同凶猛的野兽般在人群中横冲直撞。而其他病大多属于单发的、慢性的，被轻蔑地称为“杂病”。《伤寒论》本是为了应对这严峻的伤寒疫情而诞生，犹如一把锋利的宝剑，直指病魔的要害。
然而，时光流转，柯韵伯这位医家大胆地将《伤寒论》引向了杂病治疗，这一举措被后世概括为“一本《伤寒》治百病”。这一改变，就像是一场医学领域的革命，极大地扩展了《伤寒论》的治疗范围。据相关统计，在柯韵伯之后，运用《伤寒论》治疗杂病的案例呈逐年上升趋势，短短数十年间，增长幅度显著提升。但这一创新也并非一帆风顺，它不再区分外感和内伤的不同情况，这就好比用一把万能钥匙去开所有的锁，虽然能打开一些门，但也会遇到不匹配的情况。比如，在治疗内伤虚损时，往往会用治疗外感“表、热、实”的方法，也就是“汗、吐、下”的祛邪方法，这就如同用猛药去治疗虚弱的病人，结果往往会适得其反，损伤人体正气，造成误治。
李东垣，这位心怀苍生的医家，正是见证了开封围城之后的惨痛景象，才有了写作《内外伤辨惑论》的初衷和本心。那时的开封，战乱纷飞，百姓流离失所，疾病肆虐。李东垣目睹了无数因误治而加重病情甚至失去生命的病人，心中充满了悲痛和愤怒。他深知，必须要有一种新的理论来区分内外伤，避免类似的悲剧再次发生。于是，他潜心研究，终于写成了这部具有划时代意义的著作，为中医的发展指明了新的方向。
商汤经方：古老智慧的复兴与创新
在中医的传承与发展中，梁世杰主任的《商汤经方分类疗法——经方外感内伤分类法》犹如一颗耀眼的新星，照亮了前行的道路。这一创新性的治疗方法，源于对《辅行诀脏腑用药法要》中失传已久的汤液经法二十四神方的深入挖掘与整理。想象一下，那些被岁月尘封的古老智慧，就像沉睡在地下深处的宝藏，等待着有缘人去发现。梁世杰主任就像一位勇敢的探险家，深入其中，将这些珍贵的宝藏挖掘出来，并进行压缩归类。
通过脏腑辨证、上古六合辨证、伤寒论六经辩证、十纲辨证、卫气营血辨证等中医辩证方法，他针对内伤杂症与外感疾病分别制定了精准的处方。其中，内伤杂症主要包括五脏虚损的调理治疗，共设8个方子；外感疾病则针对伤寒、伤热、表里气血等不同证型，共设7个方子。这一分类法就像是一把精准的手术刀，能够针对不同的病症进行精准的治疗。据临床统计，采用这一分类法治疗的病人，治愈率比传统方法显著提高，而且复发率明显降低。
从学术角度来看，这一分类法在汉唐经方的基础上恢复商朝古方原貌，更能体现出中医治病求本的古朴思想和药方特点。它就像是一场穿越时空的对话，将古老的智慧与现代医学相结合，为中医的发展注入了新的活力。
疗法优势：精准与整体的完美结合
内伤病症治疗：精准辨证，整体调理
商汤经方分类疗法在治疗内伤病症时，展现出了其独特的优势。它根据六经理论，细致区分不同脏腑的病理变化，就像一位经验丰富的侦探，能够从细微之处发现问题的根源。例如，对于五脏虚损的调理，它能够精准地判断出是哪个脏腑出现了问题，然后针对性地开出方剂。
同时，它不仅关注局部症状，更注重整体脏腑功能的调和，促进机体自愈能力。就像一个和谐的交响乐团，每个脏腑都是其中的一个乐器，只有它们相互配合、协调一致，才能演奏出美妙的乐章。所选方剂均源自古代经典医籍，经过长期临床验证，疗效可靠。而且，根据病情轻重、体质差异，能够灵活调整方剂中的药物及剂量，实现个性化治疗。这就好比一位技艺高超的厨师，能够根据客人的口味和需求，调整菜肴的调料和火候，做出一道道美味佳肴。
外感病症治疗：细分邪气，精准施治
在外感病症的治疗中，商汤经方分类疗法同样展现出了其独特的理论体系与显著的疗效。它将外感病症细致地区分为热邪与寒邪两大类，并进一步根据邪气所伤的部位（卫、气、血、枢、脏）进行细分，就像一位精准的射手，能够准确地命中目标。
通过细致观察患者的症状与体征，结合中医的六经辨证理论，能够准确判断外感邪气的性质与所伤部位，为治疗提供精确指导。在治疗外感病症的同时，注重调整患者的整体脏腑功能，促进机体内外环境的和谐统一，加速康复进程。所选方剂均源自中医经典，经过千百年的临床验证，其疗效可靠，安全性高。而且，根据患者的具体病情与体质差异，灵活调整方剂中的药物与剂量，实现个性化治疗，提升治疗效果。
验案见证：疗效是最好的证明
李某：小肠元阳不足的康复之路
患者李某，男性，50岁，因长期劳累和饮食不节，导致小肠功能严重失调。初诊时，他就像一个被黑暗笼罩的病人，主诉胃反频繁，吐水不止，口渴难耐，欲饮而不能解，同时伴有明显的心悸和冐逆症状。舌淡苔白，脉沉细，这些症状就像一个个神秘的密码，等待着医生去解读。经过辨证，诊断为小肠元阳不足。
针对患者病情，采用手太阳小肠方（大咸池汤）进行治疗。该方就像一支精锐的部队，以茯苓、白术健脾利湿，炙甘草、桂枝温阳化气以助小肠运化，生姜、泽泻利水消肿以除胃中水饮，大枣、小麦养心安神以定心悸。诸药合用，旨在温补小肠元阳，促进气化，调和胃心。
患者服药一周后，就像从黑暗中看到了一丝曙光，胃反吐水症状明显减轻，口渴、心悸、冐逆等症状也有所改善。继续服药两周，患者症状基本消失，精神状态良好。为了巩固疗效，建议患者继续服药一周，并注意饮食调理和休息。如今，李某已经恢复了健康，重新过上了正常的生活。
王某：膀胱元阳不足与脾肾阳虚的治愈
患者王某，女，60岁，因年老体弱，膀胱及脾肾功能逐渐衰退。就诊时，她就像一朵枯萎的花朵，主诉肾虚疲惫，少腹冷痛，腰背沉重，四肢厥冷，小便不利，大便溏薄。舌淡苔白腻，脉沉迟，这些症状都表明她患有膀胱元阳不足，脾肾阳虚。
治以足太阳膀胱方（大玄武汤），方中茯苓、白术、炙甘草健脾利湿，人参片益气补虚（考虑患者体虚，用人参），白芍养血柔肝，黑附子、干姜温阳散寒。这个方剂就像一股温暖的春风，吹走了患者身上的寒气。服药一周后，患者症状明显改善，少腹冷痛减轻，腰背沉重感消失，四肢渐暖，小便通畅，大便成形。继续服药两周，患者症状基本消失，精神状态良好，又重新焕发出了生机。
张某：厥阴经络受寒的痊愈
患者张某，男，35岁，因长期暴露于寒冷环境，导致厥阴经络受寒。就诊时，他就像一个被冰封的战士，主诉肠澼下利，伴有脓血，腹部痞满，腹痛难忍，不能进食。舌淡苔白腻，脉沉紧，这些症状都表明他患有心包、肝脉积寒，藏血不能，反疏泄太过。
治以手足厥阴方（大神后汤），方中黑附子、干姜温阳散寒以祛厥阴之寒，白芍养血柔肝以缓腹痛，炙甘草调和药性以增疗效，麸炒薏苡仁利湿以止泻，石榴皮、煅赤石脂涩肠以固脱。这个方剂就像一把炽热的火焰，融化了患者身上的寒冰。服药一周后，患者肠澼下利减轻，脓血减少，腹部痞满缓解，腹痛减轻，食欲渐增。继续服药两周，患者症状完全消失，厥阴经络受寒得愈，重新回到了健康的生活轨道。
经方传承的价值与展望
商汤经方分类疗法的出现，就像是一场及时雨，滋润了中医这片古老的土地。它不仅是对古老经方的一次重大复兴，更是对现代医学难题的一次有力回应。在当今这个快节奏的时代，人们面临着各种各样的健康问题，而商汤经方分类疗法以其独特的针对性和高效性，为患者带来了新的希望。
它让我们看到了中医的博大精深和无限潜力。我们应该珍惜这份宝贵的文化遗产，传承和发扬下去。同时，我们也应该鼓励更多的医家和学者深入研究经方，不断创新和发展，让中医在新时代焕发出更加耀眼的光芒。
在未来的医学道路上，商汤经方分类疗法有望成为解决许多疑难病症的关键。它就像一把钥匙，能够打开健康之门，让更多的人摆脱疾病的困扰。让我们携手共进，共同探索经方的奥秘，为人类的健康事业做出更大的贡献。
探秘经方之旅虽然即将结束，但我们对中医的探索和追求永远不会停止。让我们怀揣着对古老智慧的敬畏之心，继续在这条充满希望的道路上前行，相信中医的明天一定会更加美好！
作者简介：梁世杰 中医高年资主治医师，本科学历，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹入选《当代科学家》杂志、《中华英才》杂志。
Exploring "conversational taxonomy of therapies": echoes of ancient wisdom in modern medicine
In the long history of the Chinese land, Chinese medicine is like a shining pearl that radiates a mysterious and charming light. It carries the wisdom of countless medical practitioners over thousands of years, and has been baptised by the years, still protecting the health of the people. In the vast treasure house of traditional Chinese medicine, the classic formula treatment system is like a hidden treasure, containing endless mysteries waiting for us to explore. Today, let us embark on this journey to discover the secret of the Divine Land and unveil its mystery.
Traditional Chinese Medicine: Evolution from Typhoid to Miscellaneous Diseases
Zhang Zhongjing, a legend who was revered as "the holy man of medicine" by later generations, his Thesis of Typhoid is a monumental monument in the history of Chinese medicine. Back then, typhoid fever, infectious diseases raging, seriously endangering the life and health of the Volkswagen, like a ferocious beast in the crowd rampage. The other diseases are mostly uncommon and chronic, which are stigmatized as "paranormal diseases." The Theory of Typhoid was originally developed in response to this severe typhoid epidemic, and it is like a sharp sword that reaches the very heart of the disease.
However, as time went by, Dr. Cure boldly turned the theory of typhoid towards the treatment of a variety of diseases, a move that was summarized by later generations as "one copy of typhoid cures a hundred diseases." This change, like a revolution in medicine, greatly expanded the scope of the treatment of typhoid. According to relevant statistics, after Ke Yunbo, the use of typhoid theory to treat various diseases has been increasing year by year, and the growth rate has increased significantly in just a few decades. But the innovation isn't always easy. It no longer distinguishes between external and internal injuries. It's like using a universal key to open all the locks. While it can open some doors, it can also encounter mismatches. For example, when treating internal injuries and weaknesses, it is often used to treat external feelings of "face, heat, and substance," which is the method of healing evils by "sweat, spit, and fall." This is like treating weak patients with strong drugs, and the result will often be counterproductive, damaging the body's positive qi and causing mistreatment.
Li Dongjian, a lifelong medical practitioner, witnessed the tragic scenes after the siege of Kaifeng, which gave him the original intention and the essence of writing "The Question of Trauma." In Kaifeng at that time, war was raging, the people were displaced, and disease was raging. Li Dongjian witnessed countless patients whose illnesses were aggravated and even lost their lives due to mistreatment, and his heart was full of grief and anger. He knew that a new theory was needed to distinguish between internal and external injuries and to prevent similar tragedies from happening again. So he devoted himself to research and finally wrote this landmark work, which pointed out a new direction for the development of Chinese medicine.
Ancient Wisdom: The Renewal and Innovation of Ancient Wealth
In the inheritance and development of traditional Chinese medicine, Director Liang Shijie's Traditional Chinese Materia Medicare Classification and Treatment - The classification of external injuries from traditional remedies is like a bright new star, illuminating the way forward. This innovative treatment resulted from the deep digging and sorting out of the long-lost twenty-four recipes of soup and tonic in the Traditional Chinese Materia Medica. Imagine that ancient wisdom, which has been stained by the years, is like a treasure sleeping deep underground, waiting for those who will find it. Director Seiji Leung was like a brave explorer, digging deeper into it, digging out these precious treasures and compressing them into categories.
Through the dialectical methods of Chinese medicine such as visceral digestion, ancient feng shui digestion, the six meridians of typhoid dialysis, the ten stages of dialysis, and the wei qi camp blood dialysis, he formulated precise prescriptions for internal injury disorders and external exposure diseases. Among them, internal injury disorders mainly include the conditioning treatment of the damage of the five livers, which has a total of eight treatments. For external diseases, a total of seven treatments were established for different symptoms such as typhoid, fever, and peripheral air and blood. This classification is like a precise surgical knife that can provide precise treatment for different conditions. According to clinical statistics, the use of this classification treatment of patients, cure rate significantly higher than the traditional method, and recurrence rate significantly lower.
From an academic perspective, this classification method restores the original appearance of the ancient Chinese prescriptions in the Shang Dynasty on the basis of the Han and Tang scriptures, and more reflects the quaint thought and medicinal characteristics of traditional Chinese medicine to cure diseases and seek the root cause. It is like a conversation across time and space, combining ancient wisdom with modern medicine, and injecting new vitality into the development of traditional Chinese medicine.
The advantages of therapy: the perfect combination of precision and holisticity
Treatment of internal injury disorders: precision diagnosis, holistic management
The traditional classification therapy has shown its unique advantages when treating injury disorders. Based on the six-dish theory, it carefully distinguishes pathological changes in different internal organs, like an experienced detective who can spot the root cause of a problem at the subtlest. For example, in the treatment of weakened livers, it can accurately determine which organs are in trouble and then prescribe a prescription specifically.
At the same time, it focuses not only on local symptoms, but also on the harmonization of overall visceral function, promoting the body's ability to heal itself. Like a harmonious symphony orchestra, each inner organ is one of the instruments in it, and only if they cooperate and coordinate with each other can they play a wonderful piece. The chosen medications are derived from ancient classical medical texts and have been validated over a long period of time, and their efficacy is reliable. Moreover, according to the severity of the disease and physical differences, it is possible to flexibly adjust the drugs and doses in the formulation to achieve personalized treatment. It's like a skilled chef who can adjust the dressing and cooking of a dish according to the taste and needs of the guest, and make a series of delicious dishes.
Treatment of external diseases: Breaking down evil spirits and applying them accurately
In the treatment of externally susceptible diseases, the traditional Chinese traditional classification therapy has also demonstrated its unique theoretical system and significant therapeutic effect. It divides the detailed areas of external diseases into two categories: hot evil and cold evil, and further segments them according to the areas wounded by the evil spirit (wei, qi, blood, hub, sickness), like a precise shooter who can accurately hit a target.
By carefully observing the symptoms and signs of the patient, combined with the six-point theory of dialectical diagnosis in traditional Chinese medicine, it is possible to accurately judge the nature of the externally felt evil spirit and the injured area, providing accurate guidance for treatment. While treating externally induced diseases, we pay attention to adjusting the overall visceral function of the patient, promoting the harmonious integration of the internal and external environment of the body, and accelerating the recovery process. The chosen prescriptions are derived from the classical Chinese medicine and have been clinically validated over thousands of years, their efficacy is reliable and their safety is high. Moreover, according to the specific medical conditions and physical differences of patients, the drugs and dosage in the formulation can be adjusted flexibly to achieve personalized treatment and improve treatment effectiveness.
Testimony: The efficacy of the treatment is the best proof
Li: The road to recovery from hypoxia in the small intestine
The patient, Li, 50 years old, suffered from severe dysfunction of the small intestine due to long-term exhaustion and inappropriate diet. At the initial visit, he was like a patient surrounded by darkness, complaining of frequent stomach problems, frequent vomiting, thirsty and unable to drink, along with significant heart palpitations and hypoxia. The tongue is pale and pale, and the pulse is thin. These symptoms are like mysterious codes waiting for the doctor to decipher. Upon diagnosis, a neutron deficiency in the small intestine was diagnosed.
In response to the patient's condition, the hand-sun small intestine prescription (big salt pool soup) was used for treatment. The party is like an elite force, with tuckahoe, Atractylodes Macrocephala invigorating spleen dampness, Zhigancao, cassia twig warm Yang transforming qi to help small intestine transport, ginger, Alisma Rhizoma Alismatis water detumescence to remove stomach water to drink, jujube, wheat Yangxin tranquilizing the heart palpitations. The drugs are used together to tonic the yin yang of the small intestine, promote gasification, and reconcile the stomach and heart.
After a week of taking the medication, it was like seeing a glimmer of dawn from the darkness, and the symptoms of reflux in the stomach were significantly reduced, and symptoms such as thirst, heart palpitations, and hypoxia also improved. After taking the medication for two weeks, the patient's symptoms basically disappeared and his mental state was good. To consolidate the effectiveness of the treatment, patients are advised to continue taking the medication for a week and to pay attention to dietary conditioning and rest. Now, Li has recovered his health and is living a normal life again.
Wang: Cure of hypogonadism and spleen and kidney deficiency
The patient, Wang, a 60-year-old woman, was weakened by old age, and his bladder and spleen and kidney function was gradually declining. When she visited the doctor, she was like a withered flower, complaining of kidney weakness and exhaustion, low abdominal pain, heavy back and lower back, chills in her limbs, unfavorable urination and a thin stools. Her tongue was pale and greasy, and her pulse was slow. These symptoms suggested that she suffered from hypogonadism of the bladder and hypoxia of the spleen and kidneys.
To rule the foot of the Taiyang Bladder Fang (Daxuanwu Tang), Tuckahoe, Atractylodes macrocephala, Zhigancao spleen dampness, ginseng tablets Yiqi deficiency (consider the patient's body, use ginseng), Paeonia lactiflora, black monkshood, ginger warming yang for dispelling cold. The remedy was like a warm spring wind that blew away the cold from the patient. After one week of taking the medication, the patient's symptoms improved significantly, the abdominal cold pain was reduced, the heavy sensation of the back and lower back disappeared, the limbs were warmer, urination was smooth, and the stool was formed. After taking the medication for two weeks, the patient's symptoms basically disappeared, his mental state was good, and he was rejuvenated.
Zhang: recovery from cold in the yangiotic meridian
Patient Zhang, a 35-year-old male, suffered from chills in the clitoris meridian due to long-term exposure to cold. When he visited, he looked like an ice-cold warrior, complaining of a lowered bowel, with pus, a puffy stomach, unbearable abdominal pain, and unable to eat. The tongue was pale and pale, and the pulse was tight. These symptoms showed that he suffered from a heart block and a chilly pulse in the liver, could not store blood, and could not relieve too much.
In the prescription, black aconite root and dry ginger warming yang for dispelling cold to dispel the cold of Jueyin, white peony root for relieving abdominal pain, prepared licorice root for regulating drug to increase curative effect, fried coix seed with bran for relieving diarrhea, pomegranate peel, calcined red stone fat for astringent bowel. The solution was like a blazing flame that melted the cold ice on the patient's body. After one week of taking the medication, the patient's lowered intestinal tract was reduced, the abscess was reduced and the abdominal cramps were eased, the abdominal pain was reduced. The appetite grew. After continuing to take the medication for two weeks, the patient's symptoms completely disappeared, the chills of the seizure meridian were healed, and he was back on a healthy life track.
The Value and Outlook of Traditional Chinese Medicine
The emergence of traditional Chinese traditional classes of therapies was like a timely rain that swelled the ancient land of traditional medicine. It was not only a major renaissance of ancient healing arts, but also a powerful response to the difficult problems of modern medicine. In today's fast-paced age, people are faced with a wide variety of health problems, and traditional classes of therapies offer new hope for patients with their unique targeting and high efficiency.
It shows us the great depth and unlimited potential of traditional Chinese medicine. We should cherish this valuable cultural heritage, pass it on and promote it. At the same time, we should also encourage more medical practitioners and scholars to study traditional Chinese medicine in depth, continuously innovate and develop, so that traditional Chinese Medicine will shine even brighter in the new era.
In the future of medicine, a combination of therapeutic approaches is expected to be the key to solving many difficult diseases. It is like a key that can open the door to health and free more people from the scourge of disease. Let us work together to explore the mysteries of economics and make greater contributions to the cause of human health.
Although the journey of discovering traditional Chinese medicine is coming to an end, our exploration and pursuit of traditional Chinese Medicine will never stop. With the fear of ancient wisdom, let us continue on this promising path, and believe that the future of traditional Chinese medicine will be even better!
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
来源：老梁谈养生
