王垂杰教授治疗功能性腹泻经验总结  

Professor WANG Chuijie's experience in treating functional diarrhea

作　　者：曹子薇 李玉锋[2] 王垂杰[2] CAO Ziwei;LI Yufeng;WANG Chuijie

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中医临床研究》2024年第30期43-47,共5页Clinical Journal Of Chinese Medicine

基　　金：国家中医药管理局项目(国中医药办人教函[2022]1号);国家中医药管理局项目(国中医药办人教函[2022]75号)。

摘　　要：功能性腹泻(Functional Diarrhea,FDr)为临床上常见的消化系统疾病,症状以排便次数增多、粪便稀溏甚或水样,且不伴有较为明显的腹胀或腹痛为主。王垂杰教授认为脾虚湿盛为本病的病因病机关键,正所谓“无湿无虚不成泻”,本病外因多以湿邪为主,而脾虚则与内因关联最大,所以在辨证时应细辨内因、外因,内因多为饮食所伤、情志不调、肝失疏泄,或脾、肝、肾等方面不足,外因多为六淫邪气侵袭,外感寒、湿、暑邪伤及脾胃。王教授治疗本病时重主症、抓兼症,细辨三因,据实调方,坚持以固护脾胃之气为主、调理气机升降为辅,临证以健脾化湿为重,以健脾和胃方为基础方,根据病情变化加减药物治疗本病。FDr在不同阶段有不同的症状,辨证时应对症治疗,例如久泻宜健脾益气,提升中阳;暴泻应采用健脾化湿之法,运湿为重,分利兼之等。中医药治疗本病疗效显著,标本兼治,不良反应小,在改善病变方面具有明显优势。而王教授在中医辨证论治及用药方面也会参考病理变化和中药药理,常将中医辨证与病理、药理相结合,灵活用药,以增强诊疗。王教授治疗FDr的方法为临床提供了新的思路,启发临床诊治。文章着重介绍王垂杰教授治疗FDr的经验。Functional diarrhea(FDr) is a common disease of the digestive system in clinical practice. It is characterized by increased frequency of defecation, loose stool or watery stool, and is not accompanied by obvious abdominal distension or abdominal pain. Professor WANG Chuijie believes that spleen deficiency and excessive dampness is the key to the etiology and pathogenesis of the disease. As the saying goes, ‘If there is no dampness or no deficiency, there would be no diarrhea'. The external cause of this disease is mainly dampness, while spleen deficiency is most closely related to internal causes. Therefore, in syndrome differentiation, it is necessary to carefully distinguish the internal and external causes. The internal causes are mostly damage caused by improper diet, emotional disturbance, liver dysfunction, or deficiency in spleen, liver, kidney and other aspects. The external causes are mostly the invasion of the six evil Qi( 气), and exogenous cold, dampness and summer-heat pathogenic injury to the spleen and stomach. In term of the treatmeent of the disease, Professor WANG focuses on the main symptoms and pays attention to the concurrent symptoms. The Professor carefully identifies the three causes and adjusts the prescriptions based on the actual situation. The Professor insists on strengthening the Qi of the spleen and stomach as the main focus, and regulating the rise and fall of the Qi circulation as the auxiliary. In clinical practice, the emphasis is on strengthening the spleen and transforming dampness, and the basic prescription is based on strengthening the spleen and stomach. The Professor adds or subtracts drugs according to the changes to treat this disease. FDr has different symptoms at different stages, and symptomatic treatment should be taken during syndrome differentiation, such as strengthening the spleen and tonifying Qi for prolonged diarrhea, and enhancing the middle Yang( 阳);Severe diarrhea should be treated by the method of strengthening the spleen and dissipating dampness, em

关 键 词：功能性腹泻 中医临床 经验总结 

分 类 号：R256.3[医药卫生—中医内科学]