陈颖异治疗慢性腹泻经验

CHEN Ying-yi's experience in treating chronic diarrhea

文章总结了陈颖异主任医师治疗慢性腹泻的经验,认为该病主要病机为肝脾不调,每多及于肾,故治疗从肝脾立论,调肝健脾为要。健脾应有补气温阳益阴之别,调肝需察肝之疏泄太过与不及。久泄及肾,损其肾阳者,温补督脉以振奋肾阳,损其肾阴者,寓养阴于补阳中。并介绍了治疗慢性腹泻的经验方及其加减化裁及临床运用,启示后学。

The article summed up the experience of CHEN Ying-yi in treating chronic diarrhea.Chen held that the main pathogenesis of chronic diarrhea were the disharmony between the liver and the spleen,commonly impairing the function of kidney,therefore the treatment principle should focus on regulating the liver and invigorating the spleen. Invigorating the spleen should distinguish replenishing qi,tonigying yin and warming yang.Regulating the liver had to discriminate the excess and defi ciency of liver＇s conveyance and dispersion.Long-time diarrhea will impair the function of kidney.If it damaged the kidney-yang,we should warm up Governor Vessel to lift the kidney-yang.If it damaged the kidney-yin,we should nourish kidney-yin by replenishing kidney-yang.In this article,the author listed the basic prescription of CHEN Ying-yi in treating chronic diarrhea and his clinical experience,which can be used as references in clinic practice.