摘要
急性阑尾炎病是外科常见病,居各种急腹症的首位,在中医学属"肠痈"范畴。李可老中医认为"凡病皆为本气自病",临床辨证需"欲清其流,必澄其源"。他总结急性阑尾炎的病机为元气不足,少阳枢机不利,局部虚而化湿、化热,热甚化火等实证。故治疗时,以"气一元论"为核心理论,"病机统万病"为机理,"和解少阳枢机"为大法,理论指导实践,选用经方大柴胡汤加减治疗急性阑尾炎疾病,疗效突出。
Acute appendicitis is a common surgical disease,ranking the first in all kinds of acute abdomen diseases.It belongs to the category of“intestinal carbuncle”in traditional Chinese medicine.LI Ke,an old traditional Chinese medical doctor,believed that“all diseases are caused by Qi disorder”and clinical syndrome differentiation should be based on“understanding its source before understanding its development”.He summarized the pathogenesis of acute appendicitis as deficiency of Qi,block of Shaoyang movement and transformation,deficiency of local part and transforming into dampness,heat and fire.Therefore,in the treatment of acute appendicitis,the core theory is“Qi-dampness”,the mechanism is“the pathogenesis governs all diseases”,and the method is“mediating the pivot of Shaoyang”.The theory guides the practice,and the treatment of acute appendicitis with the addition and subtraction of Dachaihu Decoction(大柴胡汤)is effective.
作者
成云水
宫凤英
林锦韬
吕英
李爱武
CHENG Yunshui;LYU Ying;LI Aiwu;GONG Fengying;LIN Jintao(South Hospital of Southern Medical University,Guangzhou 510515,Guangdong,China)
出处
《辽宁中医杂志》
CAS
2021年第7期37-41,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81673718)
省中医药局科研项目(20191224)
关键词
李可
凡病皆为本气自病
和解少阳枢机
急性阑尾炎
LI Ke
all diseases caused by Qi disorder
mediating pivot of Shaoyang
acute appendicitis
