司国民基于疏肝-通腑法治疗慢性胃炎经验及常用药对举隅  

Professor Si Guomin s Experience in Treating Chronic Gastritis with the Method of“Soothing the Liver and Unobstructing the Bowels”and Examples of Commonly Used Herb Pairs

作　　者：孙正浩 司国民 SUN Zhenghao;SI Guomin(Shandong University of Traditional Chinese Medicine,Jinan Shandong 250355,China;Shandong Provincial Hospital,Jinan Shandong 250021,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东第一医科大学附属省立医院,山东济南250021

出　　处：《四川中医》2024年第10期7-10,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家中医药管理局齐鲁伤寒流派传承工作室建设项目(编号:LPGZS2012~34);山东省名老中医药专家司国民传承工作室(鲁卫函[2019]92号);山东省中医药科技发展计划项目(编号:2021Q115)。

摘　　要：司国民教授基于“疏肝-通腑”的学术思想,从肝、脾、胃三者动态关系出发认识慢性胃炎,指明“胃病多肝郁”,并认为“通阳不止于利小便,通腑即是通阳气”,以疏肝、通腑、和胃为治则,善用药对治疗。常用药对有青蒿-黄芩,厚朴-枳实-竹茹,柴胡-枳壳,黄柏-知母,陈皮-砂仁,白术-茯苓-生姜,鸡内金-神曲。临证特色药对有黄芪-知母,蒲公英-元胡。附医案一则。Professor Si Guomin based on the academic thought of“soothing the liver and unobstructing the bowels”,recognizes chronic gastritis from the dynamic relationship between the liver,spleen and stomach,points out that“gastric diseases are mostly caused by liver depression”,and believes that“unobstructing the bowels is unobstructing the yang qi”.He treats it with the principles of soothing the liver,unobstructing the bowels and harmonizing the stomach,and is good at using pairs of herbs to treat diseases.The commonly used pairs of herbs include Qinghao-Huangqin,Houpo-Zhishi-Zhuru,Chaihu-Zhiqiao,Huangbo-Zhimu,Chenpi-Sharen,Baizhu-Fuling-Shengjiang,and Jinejin-Shenqu.The characteristic pairs of herbs in clinical practice include Huangqi-Zhimu,and Pugongying-Yuanhu.One medical case is attached.

关 键 词：慢性胃炎 疏肝-通腑 药对 肝郁 腑气不通 

分 类 号：R249[医药卫生—中医临床基础] R573.3[医药卫生—中医学]