摘要
泄泻作为消化科疾病,其慢性发作在临床中较为常见,杨小军教授基于阴阳辨证及五脏一体观,认为慢性泄泻多因阳气不足,温煦、固涩无力致水湿代谢失常、肛门失守、浊阴外泄。病位上,五脏为整体,魄门为五脏使,慢性泄泻可因五脏功能不调所致,不单责之于脾,脾胃虚弱、运化失司、肝气失调木乘其土、肾虚(火衰)火不暖土为其主因,且以肾阳不足为要。治疗上以益气温阳、五脏同调为原则,采用合方治疑难思想,选用参苓白术散合四神丸合痛泻要方为治疗基础方,随证加减。
Diarrhea is a gastroenterology disease,and its chronic attacks are more common in clinical practice.Professor Yang Xiaojun analyzed from the perspective of yin and yang differentiation and the five internal organs.He believes that chronic diarrhea is mainly due to insufficient Yang Qi,warm and weak convergence,which leads to abnormal water and moisture metabolism,anal incontinence and Zhuo Yin leakage.The five internal organs are the whole,and the Po Men is the envoy of the five internal organs.Chronic diarrhea can be caused by the imbalance of the five internal organs,not only the spleen,but also the weakness of the spleen and stomach,the lack of movement and chemistry,the imbalance of liver qi,the main cause is kidney deficiency(fire failure),and fire is not warming the soil,and the main cause is kidney yang not enough.The treatment is based on the principle of benefiting temperature and yang,and the five internal organs coordinating,and adopting the idea of combining prescriptions to treat difficult problems,choosing Shenlingbaizhu powder combined with Sishen pills combined with pain-reducing prescriptions as the basic prescription for treatment,adding and subtracting according to the syndrome.
作者
陈宇桥
李飞
范青峰
杨小军
Chen Yuqiao;Li fei;Fan Qingfeng;Yang Xiaojun(Hunan University of Chinese Medicine,Changsha 410208,China;Chongqing Traditional Chinese Medicine Hospital,Jiangbei 400021,China)
出处
《亚太传统医药》
2021年第7期123-125,共3页
Asia-Pacific Traditional Medicine
关键词
慢性泄泻
阴阳辨证
五脏一体
温肾助阳
Chronic Diarrhea
Yin and Yang Syndrome Differentiation
Five Internal Organs in One Body
Warming Kidney and Assisting Yang
