张东岳治疗脾肾阳虚型泻剂结肠经验  

ZHANG Dongyue’s Experience in Treating Cathartic Colon of Spleen-Kidney Yang Deficiency Type

作　　者：安敬文 常艺 刘静 许钰婷 周艳阳[2] 李阳 张相安[2] AN Jingwen;CHANG Yi;LIU Jing;XU Yuting;ZHOU Yanyang;LI Yang;ZHANG Xiang’an(The First Clinical Medical College,Henan University of Chinese Medicine,Zhengzhou 450003,China;Department of Proctology,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450003,China)

机构地区：[1]河南中医药大学第一临床医学院,河南郑州450003 [2]河南中医药大学第一附属医院肛肠科,河南郑州450003

出　　处：《山东中医杂志》2024年第9期1011-1014,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：河南省中医药科学研究专项课题(编号:2021JDZY041,2022JDZX010)。

摘　　要：总结张东岳教授诊治脾肾阳虚型泻剂结肠的临证经验。张老认为长期应用苦寒泻剂耗气伤阳为本病的主要发病因素,脾肾阳虚为其核心病机,久病入络,虚气留滞,呈现一派虚实夹杂之象。临证治疗当以温补脾肾为基础,以补为通,拟“畅尔舒方”加减化裁;同时遵循“外治之理即内治之理”思想,灵活运用内外之法,配以中药硬膏贴热贴敷关元穴,效如桴鼓。附验案一则佐证。This article summarizes the clinical experience of Professor ZHANG Dongyue in treating cathartic colon of spleen and kidney yang deficiency type.Master ZHANG believes that long-term application of bitter,cold and purging medicinal is the main pathogenic factor of the disease,spleen and kidney yang deficiency is its core pathogenesis,chronic disease entering collaterals leads to deficiency-qi stagnation,and the syndrome is mainly manifested as intermingled deficiency and excess.The treatment principle is based on warming the kidney and notifying the spleen,combined with the idea of obstruction-removing as tonifying therapy and the self-made modified Changershu Formula(畅尔舒方)is prescribed.At the same time,following the idea of“external treatment is internal treatment”,flexible application of the internal and external treatment combined with Chinese medicine paste hot patching at Guanyuan(CV4)acupoint is given,which has significant effect.One test case is attached.

关 键 词：泻剂结肠 脾肾阳虚 畅尔舒方 中药硬膏贴 内外兼治 

分 类 号：R259.746.2[医药卫生—中西医结合]