他在监狱里自学中医成才，善用大剂量的毒性中药救治心衰等危重病人，晚年在广东传艺开辟“中医ICU”，誓为中医摘掉“慢郎中”帽子。传奇老中医李可春节前夕在山西病逝，广东省中医院前日举行追思会，多名广东弟子含泪追忆恩师。97岁的国医大师邓铁涛专门托人致辞称，中医界失去了一员大将。

He is in prison a self-study the doctor of traditional Chinese medicine,Make the best use of large amounts of toxic Chinese medicine treatment in patients with heart failure, etc,Old age in guangdong ChuanYi open up"ICU of traditional Chinese medicine",Oath for traditional Chinese medicine to remove"Slow doctor"hat.Legendary old doctor of traditional Chinese medicine LiKe Spring Festival eve died in shanxi,Guangdong hospital of traditional Chinese medicine had held a memorial,More than guangdong disciple tearful recall mentor.The 97 - year - old GuoYi master DengTieTao specialized subject speech said,Lost a member's general.

　　3剂药一锅煎服意外起死回生 3 agent medicine a pan to fry suit accident back to life

　　“李老是2月7日中午去世的，享年83岁。我们感觉很突然，非常悲痛！”中华中医药学会副会长、广东省中医药学会会长吕玉波说。

"LiLao is feb. 7, died at noon,He was 83 years old.We feel very suddenly,Very sad!"Vice chairman of China association of Chinese medicine/Guangdong province academy of traditional Chinese medicine LvYuBo said.

　　李可1930年出生于山西省灵石县，初中毕业参军，曾在彭德怀西北野战军中当战地记者。新中国成立后他两次被诬告入狱，在狱中研读中医书籍，成为全国首批“赤脚医生”。他最知名的是在汉代医圣张仲景经方的基础上自拟“破格救心汤”等28味方剂，救治数千例危急病人。他敢于大剂量使用有毒性中药，比如附子，国家药典规定一般不能超过15克，而他常用到200克，抢救心衰病人往往能起死回生。

LiKe was born in 1930 in Shanxi Province LingShiXian,Graduated from junior high school to join the army,Worked in peng dehuai northwest field army for war correspondent.After the founding of the two was falsely accused him in prison,In prison study traditional Chinese medicine books,Become the first"Barefoot doctor".His most famous is the han dynasty YiSheng by party ZhangZhongJing based on the proposed since"Abnormality save heart soup"Etc and flavor prescription,Treatment of thousands of cases of critical patients.He dares to a large dose of poisonous Chinese traditional medicine,Such as monkshood,State pharmacopoeia provisions generally not more than 15 grams,And he used to 200 grams,Rescue heart failure patients often can back to life.

　　为什么李可敢有这样的“霹雳手段”(快速)？原来，早年山西灵石有一个心衰濒死的老年女患者，家人一面悲伤地准备寿衣，一面找李可试试。那时患者昏迷厥冷，脉摸不到，血压也没有了。李可用“四逆汤”变方3剂，附子用到45克，告诉家属若能活过来再找他。患者不识字的媳妇在悲恸中将3剂药一起煎煮，半天内给婆婆灌了下去，3个小时后老人居然活过来了，还能坐起来。李可问明缘由后发现附子已用到135克，这让他非常震动，认识到以往《伤寒论》方救心衰不显效，可能是因为剂量太小。“患者全身衰竭、生死存亡之际，不以雷霆万钧之力斩关夺门、破阴回阳，不足以挽垂绝之生命。”

Why LiKeGan have this"Blue means"(fast)?The original,Early shanxi LingShi have a heart failure dying old female patients,Family a woefully prepared shroud,Looking for LiKe try.Then a cold patient thought,Vein to touch,Blood pressure is not.LiKeYong"Four inverse soup"Become square 3 agent,Monkshood use 45 g,Tell family members if you can live to him again.Patients can't read daughter-in-law in grief will be 3 agent with medicine decoction,Within half a day to drink her mother-in-law,Three hours after the old man actually lived,Can sit up.LiKe inquire the reason found monkshood already use 135 grams,It makes him very shock,Realize in the past[Treatise on febrile diseases]Party save heart failure not markedly improved,May be because of the dose is too small."Patients systemic failure/Survival of,Not in the power of the thunderous cut off from the door/Broken Yin Yang back,In the life to hang off."

　　办起“中医ICU”救治2000多例 qingyuan"ICU of traditional Chinese medicine"More than 2000 cases of treatment

　　李可晚年多次到广东带徒传艺，分别在南方医院、广东省中医院开辟传承基地和经典病房，轰动全国。广东省中医院副院长杨志敏说，以往中医被认为是“慢郎中”，但李可让大家改变了这一传统印象。“广州一个70多岁的心衰男病人，已经下了病危通知书，家属找李老试一试，用的就是破格救心汤，3天后病人居然就能下地了！”此后，省中医院多名青年中医拜师李可。他还支持医院在2010年开设经典科，用中医方法治疗危急重症，被称为“中医ICU”。

Many times LiKe old age to guangdong DaiTu ChuanYi,In the south hospital, respectively/Guangdong hospital of traditional Chinese medicine open inheritance base and classical ward,Is a national.Guangdong hospital of traditional Chinese medicine, vice President of the YangZhiMin said,In the past the doctor of traditional Chinese medicine is considered"Slow doctor",But LiKe let everybody has changed the traditional impression."Guangzhou a 70 - year - old male patient heart failure,Have a notice under the terminally ill,Families find LiLao give it a try,Use is abnormality save heart soup,Three days later that the patient can the earth!"Since then,Provincial hospital of traditional Chinese medicine of traditional Chinese medicine LiKe more young master.He also supports the hospital opened in 2010 classic division,In traditional Chinese medicine treatment method for emergency and severe cases,called"ICU of traditional Chinese medicine".

　　“去年给师父拜寿时，他叮嘱我，再难你也要撑住！广东是振兴中医的重要基地！”李可弟子、广东省中医院经典科主任颜芳说，刚开科4个月，他们真不知道怎么办，就把《李可老中医急危重症疑难病经验专集》的电子版拷贝在电脑上，病人有什么症状就在电脑上搜索，用李老的处方来治疗，疗效居然很不错。后来，李老又派出得意弟子齐玉茹每月到广东省中医院查房一周。这3年，经典科救治了2000多例危急疑难病人，接近90%是用纯中医的办法治好的。

"Last year when the master offer birthday felicitations,He told me,More difficult and you will brace!Guangdong is the important base of the traditional Chinese medicine!"LiKe disciple/Guangdong hospital of traditional Chinese medicine classics department director YanFang said,Just open section 4 months,They really don't know how to do,the[LiKe old doctor of traditional Chinese medicine the critical difficult-and-rare-case experience album]Electronic copy on the computer,The patient has what symptom is on the computer search,With Lao li prescription to treat,That is very good curative effect.later,LiLao and send best student JiYuRu monthly to guangdong hospital of traditional Chinese medicine ward round a week.The last three years,Classic family treatment more than 2000 cases of critical difficult patients,Close to 90% is to use pure traditional Chinese medicine to cure.

剂量争议：是否李时珍搞错了 Dose dispute:If LiShiZhen mistake

　　李可已去，但留下了争议：能否像他一样大胆突破药典规定，大剂量使用附子等毒性中药？

LiKe has to,But leave the dispute:Can be like him is bold breakthrough pharmacopoeia provisions,A large dose of radix aconiti lateralis preparata and toxic traditional Chinese medicine?

　　杨志敏介绍说，古代临床医家著作中剂量是不传之秘，明代李时珍提出剂量为“古之1两，今用1钱”，为后世沿用。1981年上海中医柯雪帆整理马王堆医学出土文物，在换算古代和现代剂量时提出了“权”(汉代度量衡器)的概念，即汉代的1两=15.625克，这样算来，现在的剂量只用了原来的1/10，是李时珍把剂量搞错了。李可也支持这一观点，认为加大剂量是有依据的。“目前学术界对此争议很大，需要继续研究。”

YangZhiMin said,Ancient clinical physicians work dose is not preach the secret,In the Ming dynasty put forward for LiShiZhen dose"One of the two,1 money today",Used for the later.1981 Shanghai traditional Chinese medicine KeXueFan finishing miu medical unearthed relics,In the conversion of ancient and modern doses puts forward"right"(Han dynasty measuring instruments)concept,The han dynasty is a two = 15.625 grams,Such calculating come,Now the dose only 1/10 of the original,LiShiZhen is the wrong dose.LiKe also support this view,Think increase dosage is based on."At present academia to be controversial,Need to continue to study."

　　“我们对病人还是要保证安全第一。”杨志敏说，对于大剂量使用附子，该院有严格规定，只有副主任以上医师才能开，还要病人签知情同意书。而且，必须煎煮超过两个半小时，配以炙甘草、干姜，以减少毒性。

"We to the patient or to ensure the safety first."YangZhiMin said,For a large dose of radix aconiti lateralis preparata,The hospital has strict rules,Only above, deputy director of the physician to open,Will the patient informed consent to sign.and,Must decoction more than two and a half hours,Match with main licorice/Dried ginger,In order to reduce toxicity.

　　广东省中医院院长陈达灿说，该院已经成立以李可为代表的“扶阳学派”研究室，启动专项课题，运用现代科学手段，研究附子中的乌头碱毒性对人体的影响，以科学证据指导临床。（记者 陈枫 通讯员 胡延滨 宋莉萍）

Guangdong hospital of traditional Chinese medicine ChenDaCan dean said,The hospital has been set up to LiKe as a representative of"Helped Yang school"research,Start special subject,The use of modern scientific methods,Study of the lateral aconitine toxicity to the influence of human body,To guide the clinical scientific evidence.(Reporter ChenFeng correspondent HuYanBin SongLiPing)