慢性泄泻证因论治探讨  

Discussion on treatment of chronic diarrhea in TCM

作　　者：韦骏飞 马华[2] 薛秦[2] 马天成[2] 

机构地区：[1]山西医科大学 [2]山西医科大学第二医院

出　　处：《山西中医》2017年第1期1-3,共3页Shanxi Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室基金资助项目

摘　　要：慢性泄泻的病机主要以脾虚为本,累及肺肾,临床表现为脾胃虚弱、脾肺气虚、脾肾阳虚三方面,上中下三焦俱虚,故当肺脾肾同治。临床常以参苓白术散、补中益气汤、四神丸三方加减为首选,健脾土、升中气、温肾阳,如是则肺气充、脾气旺、肾气盛。服药应守"虚极宜缓补,慎勿急求功"之戒,少量分次服药最为稳妥。在辨证的前提下,结合辨病,病证结合标本兼治,常可获效。The pathogenesis of chronic diarrhea is mainly due to spleen-deficiency is root,involving the lung and kidney. Its clinical manifestations are in three sides,i. e. spleen-stomach deficiency,spleen-lung qi deficiency and spleen-kidney yang deficiency. Because All of three Jiao,i. e. upper-,middle-and lower-Jiao,are deficiency,the lung,spleen and kidney should be treated simultaneously. Three modified formulas i. e. Shengling Baishu powder,Buzhong Yiqi decoction and Sishen pill,are selected first of all. Strengthening the spleen pertaining to earth,invigorating middle-qi and warming kidney yang are just to suffice lung-qi,flourish spleen-qi and suffice kidney-qi. Taking drug should comply with the precept of ＂if extreme deficiency,so slowly tonifying,do not rush to succeed＂,and small dose and administration of drug in different time are safest. Based on the premise of syndrome differentiation,the disease differentiation is combined with syndromes in order to treat both the outward symptoms and the root causes of a disease at the same time,which can be effective often.

关 键 词：慢性泄泻 病因病机 辨治方法 

分 类 号：R256.34[医药卫生—中医内科学]