徐景藩教授从肝脾肾论治久泻经验  

Experience of Professor Xu Jingfan in the Treatment of Chronic Diarrhea by Strengthing the Function of Liver,Spleen and Kidney

作　　者：陈敏 

机构地区：[1]南京中医药大学附属医院、江苏省中医院,江苏南京210029

出　　处：《中医学报》2016年第1期47-49,53,共4页Acta Chinese Medicine

基　　金：国家中医药管理局“国医大师徐景藩学术经验传承研究室”建设项目{国中医药人教发[2010]59号};江苏高校优势学科建设工程资助项目(012062003010-B211);江苏省科学技术厅社会发展项目(BE2009614-1)

摘　　要：泄泻多由肝脾肾三脏功能失调所致,故治疗以健脾为主,辅以抑肝、温肾之品。泄泻尤其是久泻,病久脾虚易生湿,故应加用化湿药。而风药多燥,燥能胜湿,取类比象而喻之为"风能胜湿",故临证之时徐老常喜加用祛风药治疗久泻,疗效甚佳。徐老临床常用于治疗久泻的风药有羌活、防风、白芷、独活、升麻、柴胡、葛根等,常结合临床辨证,与健脾、温肾、抑肝等参合用之。徐老强调,风药多燥,既能胜湿,亦可伤阴,对于脾阴不足或肝肾阴虚者,不可过用或久用风药,若用之或可在风药中佐以白芍、乌梅、木瓜等敛阴之品,以防伤阴太过。Chronic diarrhea is caused by dysfunction of spleen,so the treatment always gives priority to strengthening spleen,complementary with Liver and strengthening spleen. Chronic diarrhea should be added with Huashi medicine. Wind medicine more dry,dry to win of wet. Professor Xu using wind dispelling agent treatment for a diarrhea has good curative effect. Clinical often used in the treatment of wind medicine have： Qianghuo,Fangfeng,Baizhi,Duhuo,Shengma,Chaihu,Gegen,etc,combined with clinical syndrome differentiation and strengthening Spleen and warming the kidney. Professor Xu stresses that the wind medicine more dry,can also injure Yin. For the Yin deficiency,do not use the wind medicine. Baishao,Wumei and Mugua can be used in case the injured Yin.

关 键 词：徐景藩 久泻 肝 脾 肾 

分 类 号：R249.27[医药卫生—中医临床基础]