从温药和之论治慢性腹泻  

Diagnosis and Treatment of Chronic Diarrhea with Theory of Harmonization with Warm Medicinals

作　　者：刘玉 史默怡 韩燕[1] 周扬 LIU Yu;SHI Moyi;HAN Yan;ZHOU Yang(Department of Preventive Treatment,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院治未病科,上海200437

出　　处：《新中医》2024年第10期159-163,共5页New Chinese Medicine

基　　金：上海市进一步加快中医药传承创新发展三年(2021年-2023年)行动计划项目(ZY[2021-2023]-0104-01,ZY[2021-2023]-0104-02-JS-18,ZY[2021-2023]-0204-12);上海市中医药事业发展三年(2018年-2020年)行动计划项目(ZY[2018-2020]-ZWB-1001)。

摘　　要：探讨以温药和之论治慢性腹泻的临证思路。慢性腹泻病位在大肠,涉及肝脾两脏,尤其与脾胃功能密切相关。各种原因导致脾阳不振,是泄泻反复发作的重要病机。治疗上,除调和肝脾、健脾和胃祛湿之外,宜温药和之,或温通,或温补。This article discussed the clinical approach to treating chronic diarrhea with the theory of harmonization with warm medicinals.The disease location of chronic diarrhea lies in the large intestine,involving both the liver and spleen,especially closely related to the spleen and stomach function.Various reasons lead to the devitalized spleen yang,which is an important pathogenesis of recurrent diarrhea.In terms of the treatment,in addition to harmonizing the liver and spleen,fortifying the spleen and harmonizing the stomach,and dispelling dampness in the stomach,it is advisable to use warm medicinals for harmonization,either warming and unblocking and warming and supplementing.

关 键 词：慢性腹泻 温药和之 肝脾不调 脾胃虚弱 脾阳不振 

分 类 号：R249[医药卫生—中医临床基础] R574.5[医药卫生—中医学]