“轻灵平和”治疗脾胃病经验浅析  

Prescription style of‘light,dynamic,balanced and harmonious'for treating spleen and stomach diseases

作　　者：刁云皓 张佳琪 张北华[2] 马祥雪 唐旭东[2] DIAO Yunhao;ZHANG Jiaqi;ZHANG Beihua;MA Xiangxue;TANG Xudong(Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China;Institute of DigestiveDiseases Xiyuan Hospital of CACMS,Beijing 100091,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院西苑医院脾胃病研究所,北京100091

出　　处：《中华中医药杂志》2024年第5期2619-2622,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金重点项目(No.81830118);中华中医药学会青年人才托举工程(No.CACM-2021-QNRC1-02)。

摘　　要：文章从“轻灵平和”的角度总结唐旭东教授治疗脾胃病的用药特点。唐教授认为治疗脾胃病时夑理升降需“轻灵”乃达,调和纳化宜“平和”乃安。具体而言,“轻以去实”即以味薄质轻之品宣达实邪,常以瓜蒌皮轻宣痰热、紫苏叶与荷叶宣化湿滞、玫瑰花和绿萼梅轻疏肝郁等。“灵以化滞”即以具有生发、芳香之性的灵动之品通食积、湿邪之滞,常用大豆黄卷与麦芽、藿香与佩兰等;以宣散、通利并举拨动气机,常用香苏散、黄芩滑石汤等方。“平以复衡”即详察脾胃升降纳化之候,精准把握辛开运脾与苦降和胃的分寸,调复平衡。“和以调中”即用药缓和、润燥相济,且注重柔肝和中、调和气血。This article expounds TANG Xudong's prescription style in terms of‘light,dynamic,balanced,and harmonious'.Professor TANG advocates that it's essential to unblock and descend stomach qi and to balance the functions of intaking and transforming when treating spleen and stomach diseases,the strategy for which can be summarized as‘light,dynamic'and‘balanced,harmonious'respectively.To be exact,‘light'is to release excessive pathogens with light herbs.‘Dynamic'is to unblock the stagnation with herbs that maintain the dynamic of qi,and to regulate qi with a strategy that combines releasing and unblocking therapies.‘Balanced'is to precisely restore the balance between functions of intaking and transforming,based on detailed consultation.‘Harmonious'is to harmonize the contradiction between moistness and dryness,liver depression and spleen deficiency,and between qi dificiency and blood deficiency.

关 键 词：轻灵平和 调中复衡 脾胃病 名医经验 唐旭东 

分 类 号：R256.3[医药卫生—中医内科学]