雷少逸伏气泄泻特点初探  

Disscussion on Lei Shaoyi's Treatment for Latent-qi Diarrhea

作　　者：汪如镜 龚人爱 吴小明[1] 

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江衢化医院

出　　处：《浙江中医药大学学报》2016年第8期640-642,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨和总结雷少逸治疗伏气泄泻的临床经验和学术特色。[方法]通过对雷少逸《时病论》等著作中关于"春伤于风,夏生飱泄"理论及其医案的分析,总结雷少逸论治伏气泄泻的临床经验。[结果]雷氏将伏气泄泻病机概括为"木气克土",分为飱泄和洞泄论治;因疾病日久,往往虚多实少,故治法上以补益为主;雷氏擅长用轻清宣散之方药,使在里之伏邪向外透发而解,同时又注重顾护脾胃;临证时对于泄泻兼有他证者,雷氏往往随机应变,采用对应的治法,每救病人于危厄之中。[结论]雷少逸对伏气泄泻的治疗,既有对《黄帝内经》的继承,又有个人的创建发挥,对后世医家辨治泄泻启发甚大,值得学习借鉴。[Objective] To explore and summarize clinical experience and academic characteristics of Lei Shaoyi on treating latent-qi leading to diarrhea. [Methods] By analyzing theory of ＂Impaired by wind in spring, one must get diarrhea containing undigested foods in summer＂and related typical clinical cases in treatise on seasonal diseases clinical experience of Lei Shaoyi on treating latent-qi leading to diarrhea has been summarized. [Results] Lei Shaoyi put forward that the pathogenesis of latent-qi leading to diarrhea was ＂wood restrains earth＂. There were two types of lateut--qi leading to diarrhea： lienteric diarrhea and through-flux diarrhea. Due to suffering from disease for a long time, patients with latent-qi leading to diarrhea often were characterized by more asthenia syndrome and less sthenia syndrome, therefore, treatment was ~ven priority to invigoration method.Lei Shaoyi was good at taking advantage of prescriptions and herbs with nature of light, clear and scattering for dispersing to expel inner deliteseent pathogenic factors and emphasizing on protecting the spleen and stomach simultaneously. In clinical practice, Lei Shaoyi always adjusted treatments according to different clinical symptoms of diarrhea accompanied with other syndromes, which saved a lot of patients with critical illness.[Conclusions] The treatment methods created by Lei Shaoyi were not only inherited from The Yellow Emperor＇s Inner Classic, but also the sublimation of his personal clinical experience, which was well worth learning by physicians of later generations.

关 键 词：雷少逸 飱泄 洞泄 木气克土 伏气 泄泻 

分 类 号：R574[医药卫生—消化系统]