摘要
付细芳主任从事中医临床工作60余载,在长期临床实践中发现脾阴虚泄泻并不少见,且多见于素体阴亏者。脾阴虚泄泻病程较长,少则数月,多则数年,泄泻昼夜均可出现,泻时黏滞不畅或先坚后溏,腹不痛或微痛,舌质红或暗红,苔黄或白腻,中有裂纹及花剥,脉象细弦或数而无力。治疗上当以甘药守中,甘淡养阴固其本,酸甘敛阴以涩肠,甘寒益阴以祛邪;同时辅以补气升提药物,注重脾气之升清作用;并兼顾胃气,使脾升胃降,气机运化有常。
Director Fu Xifang has been engaged in clinical work of traditional Chinese medicine for more than 60 years.In long-term clinical practice,it has been found that diarrhea due to spleen yin deficiency is not rare,and it is mostly seen in those with congenital yin deficiency constitution.Diarrhea due to spleen yin deficiency has a long course of disease,ranging from several months to several years.Diarrhea can occur both day and night.During diarrhea,the stool is sticky and difficult to pass,or it is hard at first and then loose.There is no pain or slight pain in the abdomen.The tongue is red or dark red,the tongue coating is yellow or white and greasy,with cracks and exfoliation in the middle.The pulse is thin,wiry,or rapid and weak.In treatment,sweet herbs should be used to stabilize the middle jiao.Sweet and mild herbs should be used to nourish yin and consolidate the root.The combination of sour and sweet herbs should be used to astringe yin and relieve diarrhea.Herbs with the function of replenishing qi and lifting qi should be used as adjuvants.Attention should be paid to the function of the spleen qi in ascending the clear.At the same time,the function of the stomach qi should also be taken into account,so that the spleen can ascend and the stomach can descend,and the qi movement and transformation can be regular.
作者
石浩珂
谢桂
周成
熊佳
徐琳
胡穗发
SHI Haoke;XIE Gui;ZHOU Cheng;XIONG Jia;XU Lin;HU Suifa(Department of Internal Medicine,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330000,China)
出处
《中国中医药现代远程教育》
2025年第11期57-60,共4页
Chinese Medicine Modern Distance Education of China
基金
国家中医药管理局全国老中医药专家传承工作室建设项目【No.国中医药办人教函[2022]75号】。
关键词
泄泻
脾阴虚证
付细芳
名医经验
diarrhea
spleen yin deficiency syndrome
Fu Xifang
experience of renowned doctor
