宋立群以气机升降理论辨治复发性口腔溃疡经验  

Song Liqun's Experience in Treating Recurrent Oral Ulcer with the Theory of“Ascending and Descending of Qi Movement”

作　　者：马丁 熊友 宋立群[2] MA Ding;XIONG You;SONG Liqun(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《中医药学报》2024年第1期77-80,共4页Acta Chinese Medicine and Pharmacology

基　　金：宋立群全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)。

摘　　要：目前,由于现代不良的生活、饮食习惯致复发性口腔溃疡发病率日益上升,常规治疗对患者口腔溃疡的周期性发作无明显疗效,中医对此病的疗效及长期预后得到广大患者的认可。宋立群教授临床治疗此类疾病时,运用气机升降理论,将人体主要气机运动变化归于脾胃、心肾、肝肺三对脏腑,认为口腔溃疡的产生与三对脏腑气机升降失常有密切关系;治疗时注重脏腑的虚实辨证以明确何处脏腑的气机升降失衡,选用补中益气汤合清胃散加减以扶脾清胃、交泰丸加味以交通心肾、龙胆泻肝汤加减以疏肝降肺,用药随证加减,取得良好治疗效果。At present,the incidence of recurrent aphthous ulcer is rising day by day due to modern poor living and eating habits,and conventional treatment has no obvious effect on the periodic attack.The efficacy and long-term prognosis of TCM for this disease have been recognized by the majority of patients.In the clinical treatment of such disease,Professor Song Liqun applies the theory of ascending and descending of qi movement,attributes the main changes of qi movement in the human body to the three pairs of zang-fu organs:spleen and stomach,heart and kidney,and liver and lung.He believes that the occurrence of oral ulcer is closely related to the abnormal qi ascending and descending movement of the three pairs of zang-fu organs.During the treatment,he maintains that we should mainly identify if the syndrome is in deficiency or excess in order to determine where the imbalance of qi movement in the zang fu organs is.During the treatment,the combination and modification of center-supplementing and qi-boosting decoction and stomach-heat-clearing powder can be employed to support the spleen and clear the stomach;modified Jiaotai pills can be administered to make the heart and kidney communicate well;and modified gentian liver-draining decoction can be given to soothe the liver and lower the lung qi.The medication needs to be modified according to the symptoms of the patients in order to achieve good therapeutic effects.

关 键 词：气机理论 复发性口疮溃疡 名医经验 

分 类 号：R276.8[医药卫生—中医五官科学]