周平安从内风论治贲门失弛缓症经验  

Experience of ZHOU Ping'an in Treating Achalasia: Based on “Endogenous Wind” Theory

作　　者：李国栋 牛洁 曹芳 孙蕊 焦扬 LI Guodong;NIU Jie;CAO Fang;SUN Rui;JIAO Yang(Beijing University of Chinese Medicine,Beijing 100029;Dongfang Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学 [2]北京中医药大学东方医院

出　　处：《中医杂志》2019年第6期466-468,共3页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建设项目;北京市中医管理局薪火传承周平安名医工作站建设项目

摘　　要：总结周平安诊治贲门失弛缓症经验。认为贲门失弛缓症属于中医学"噎膈"范畴,其发病的根源在于贲门括约肌紧张,应从内风论治。本病病位在脾胃,与肝密切相关,阴血不足、肝阳偏亢是产生内风的关键,熄风解痉应当贯穿治疗始终,同时辨证使用化痰降气和行气化瘀通络之法,肝阳偏亢化风者,常用天麻钩藤饮加减;而对于因虚致实、风痰阻络者,可予以地龙、全蝎、蜈蚣等虫类药增强熄风化痰通络之功。This paper summarized the experience Professor ZHOU Ping’an in treating achalasia.ZHOU believes that achalasia belongs to the"dysphagia"in traditional Chinese medicine(TCM),and the root cause lies in the tension of the cardiac sphincter,which should be treated with the"endogenous wind"theory.The disease is located in the spleen and stomach,and is closely related to the liver.Then deficiency of yin and blood and hyperactivity of liver yang are the key to the occurrence of endogenous wind.Thus relieving spasm by calming endogenous wind should be consistent throughout the process of treatment.The methods of dissipating phlegm and descending qi,and activating qi flowing,dissipate blood stasis and removing obstruction in collaterals should be applied with syndrome differentiation.For the patients with hyperactivity of liver yang leading to endogenous wind,modified Tianma Gouteng Decoction was frequently used.For those with excess syndrome resulted from deficiency and wind-phlegm blocking collaterals,the medicinal insects such as Lumbricus,Scorpio,Scolopendra are used to enhance the function of eliminating the wind,reducing phlegm and expelling stagnation.

关 键 词：贲门失弛缓症 噎膈 内风 熄风止痉 化痰通络 名医经验 周平安 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]