《续名医类案》从脾胃论治腰痛之浅析  

Analysis on treating lumbago from spleen and stomach in Xu Mingyi Lei'an

作　　者：姜梅 陈贵海[2] JIANG Mei;CHEN Gui-hai(Grade 2017 Doctoral Candidate, Shandong University of Chinese Medicine, Jinan 250355, China;Guangxi University of Chinese Medicine, Nanning 530200, China)

机构地区：[1]山东中医药大学2017级博士研究生,济南250355 [2]广西中医药大学,南宁530200

出　　处：《中华中医药杂志》2018年第5期1929-1931,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：《续名医类案》载有许多从脾胃论治腰痛的病案,为后世医家治疗腰痛提供了宝贵的临证思路和诊疗经验。文章对这些病案进行详细分析,并结合古今医家从脾胃论治腰痛的相关阐述,以探求《续名医类案》从脾胃论治腰痛的病因病机、用药规律和治疗特色。认为其基本的病因病机为湿痰内生、脾胃气虚、胃中燥屎,治疗方法以祛湿化痰、益气健脾、峻下燥结为主,对应的基本方依次为二陈汤、异功散、大承气汤加姜枣。《续名医类案》从脾胃论治腰痛体现了医家治病求本的思想。Xu Mingyi Lei＇an contained a lot of medical records of treating lumbago from spleen and stomach, which provided valuable clinical thinking and experience for the treatment of lumbago in later ages doctors. To explored the cause of disease, pathogenesis, medication rule and treatment characteristics of lumbago treated from the point of view of spleen and stomach in Xu Mingyi Lei＇an, these medical records and expounds of ancient and modern doctors on it were analyzed in detail. It was considered that the basic pathogenesis included endogenous phlegm-damp, qi deficiency of spleen and stomach, dry feces in the stomach. The main treatment methods were dispelling dampness and resolving phlegm, invigorating qi for strengthening spleen, and drastic purgation for eliminating constipation. The corresponding basic prescription was Erchen Decoction, Yigong Powder, Dachengqi Decoction adding ginger and Fructus Jujubae. Treating lumbago from spleen and stomach in Xu Mingyi Lei＇anreflected ideas of treatment aiming at it root causes

关 键 词：续名医类案 腰痛 脾胃 二陈汤 异功散 大承气汤 

分 类 号：R274[医药卫生—中医骨伤科学]