通下法,是祖国医学治疗疾病的重要法则之一。临床上通下法主要用以通积滞,逐邪热,常用于里实积聚、邪火、热毒等病症,具有攻下导滞、引热下行、“釜底抽薪”等作用。我们在跟随上海中医学院张赞臣教授学习期间,曾用过多种不同的通下法。治疗不少耳鼻咽喉病症,深感张老在辨证施治原则下对通下法的运用能谨守病机,效如桴鼓。现将他在这方面具有代表性的治疗经验,整理归纳如下,以供参考。一、通下泄热法:主要适用于多种急、慢性咽喉疾病以及内耳性眩晕症、鼻衄等。今以鼻衄为例加以说明。在临床上,可以见到有些缠绵不愈的鼻衄患者,往往兼有大便干结不 Passing the law is one of the important laws in the treatment of diseases in the motherland. In clinical practice, the pass method is mainly used to pass stagnation and heat, and is often used in the real accumulation, evil fire, heat poisoning and other illnesses. It has the role of taking over the stagnation, underheating, and “recruiting”. During our study with Professor Zhang Zanchen of Shanghai University of Traditional Chinese Medicine, we used a variety of different methods. Treatment of a lot of otolaryngologic diseases, Zhang Lao deeply feel that the use of the method of differentiation under the principles of syndrome differentiation can keep the pathogenesis and be effective. His representative treatment experience in this area is summarized and summarized below for reference. First, under the heat release method: mainly applicable to a variety of acute and chronic throat diseases and inner ear vertigo, epistaxis and so on. Take this case for an example. In the clinic, you can see some lingering nosebleed patients who often have both dry stools.