从脾气虚损探讨四君子汤加味治疗臌胀及验案举隅  

An empirical case of treating tympanites due to spleen deficiency with the Sijunzi decoction

作　　者：白敏 段永强[1] 巩子汉 马骏[1] 王亮 肖正 Bai Min

机构地区：[1]甘肃中医药大学,甘肃兰州730020

出　　处：《中医临床研究》2021年第23期54-55,共2页Clinical Journal Of Chinese Medicine

基　　金：国家自然科学基金(81260519,81660758)。

摘　　要：臌胀为中医病名,以腹大胀满,绷急如鼓为其主要临床特征。中医理论认为该病形成与肝脾肾三脏关系密切,但尤以脾气虚弱、土不制水为其主要病机之一。四君子汤方出《太平惠民和剂局方》,被后世视为健脾益气之基础方,效专力捷。故文章基于"脾气虚损"相关理论深入探讨四君子汤加味治疗臌胀的理论机制,并举隅临床验案,进一步探讨其论治臌胀一病的可靠性和有效性。Tympanites is a kind of disease in TCM,and is characterized by abdominal swelling.The main clinical characteristics of tympanites are abdominal distension and tense like drum.The theory of TCM holds that the formation of the disease is closely related to the three organs of liver,spleen and kidney,but especially spleen deficiency is one of the main pathogenesis.The Sijunzi decoction(四君子汤) comes from Taiping Huimin Heji Ju Fang(《太平惠民和剂局方》),which is regarded by later generations as a basic prescription for strengthening the spleen and replenishing Qi(气).It is effective and powerful.In this article,the theoretical mechanism of treating tympanites due to spleen deficiency with the Sijunzi decoction was deeply explored,and an empirical case was given to further explore the reliability and effectiveness of the classic prescription.

关 键 词：臌胀 脾气虚损 四君子汤 

分 类 号：R575.2[医药卫生—消化系统]