“六腑以通为用”在临床中的应用  

The clinical application of"Six Fu organs must keep its dredging function"

作　　者：柯俊羽 李燕舞[1,3] 邹汉飞 李鳌才 Ke Junyu;Li Yanwu;Zou Hanfei;Li aocai

机构地区：[1]广州中医药大学脾胃研究所,广东广州510405 [2]广州中医药大学附属高州中医院,李鳌才全国基层名老中医工作室,广东高州525200 [3]广州中医药大学科技创新中心,广东广州510405

出　　处：《中医临床研究》2021年第3期19-20,共2页Clinical Journal Of Chinese Medicine

基　　金：国家中医药管理局关于公布2018年全国基层名老中医药专家传承工作室建设项目(国中医药人教函〔2018〕133号);广东省中医药传承创新“百千万”人才工程(岐黄工程)基金(粤中医办函[2017]224号)。

摘　　要：目的:从“六腑以通为用”角度解释李鳌才全国基层名老中医临床中运用的经验。方法:通过跟师学习,收集整理李鳌才全国基层名老中医的医案,总结李老在临床中运用从“六腑以通为用”的角度阐释其病因病机,并验证该类病证的临床疗效。结果:“六腑以通为用”治疗脾胃病时除辨证论治外,往往能够收到事半功倍的效果。所举验案中,泻泄多因饮食不节,过食肥甘厚腻,酗酒过度,其病理主要是脾胃湿热阻滞,腑气不通,基本病机为不通则痛;小儿发热者则为肺热下移大肠,腑气不通,大便不解,热邪无外泄通路,导致发热,两者皆辨证为六腑不通之证。结论:人是阴阳平衡统一体,若饮食不节,内伤脾胃,则百病由生。李老用“六腑以通为用”的原则治疗泻泄、小儿发热等病证,调理肠胃、通腑泄下,值得借鉴。Objective:To summarize the clinical treatment experience of"Six Fu organs must keep its dredging function"by Mr.Li Aocai,one of the famous national traditional Chinese medicine(TCM)practitioner at the grassroots level.Methods:Through learning from teachers,the medical cases of Li Aocai,a famous Chinese doctor at the grassroots level in China were collected and sorted out,Li Aocai's clinical application from the perspective of"Six Fu organs must keep its dredging function"was summarized to explain its etiology and pathogenesis,and the clinical efficacy of this kind of disease and syndrome was verified.Results:Good effect was achieved in treating spleen and stomach disease by applying the theory of"Six Fu organs must keep its dredging function".Especially in the treatment of diarrhea and stomachache,the pathogenesis was mainly the spleen and stomach dampness-heat block,Fu-qi obstruction due to poor diet or excessive eating.For the child fever,the lung heat moved to the large intestine,which induced the constipation and fever.The basic pathogenesis was Six Fu organs'function obstruction.Conclusion:It is important to keep the balance of Yin and Yang for health.If the diet is not proper,and there is internal injury of the spleen and stomach,all kinds of diseases emerge.Professor Li emphasizes the theory of"Six Fu organs must keep its dredging function"in treating diarrhea,child fever and other diseases.It is worth learning to regulate the intestines and stomach in the clinic practice of TCM.

关 键 词：六腑以通为用 泻泄 小儿发热 经验 

分 类 号：R223.12[医药卫生—中医基础理论]