安欣欣老师调理脾胃法临床应用举隅

Examples of AN Xinxin Emphasizing Spleen-stomach Regulating Method

通过医案3则,将安欣欣老师临证重视调理脾胃的经验,从脾胃虚证,甘温补脾;益气升阳,不忘滋阴;肝脾同治,重在健脾;脾胃久病,兼以化瘀;它脏疾病,重视调脾5个方面加以论述,指出脾胃虚证,治以温阳健脾;温阳药物,容易伤阴,温阳勿忘滋阴;肝主疏泄,脾主运化,两者关系密切,肝脾同病,治疗应补中兼疏;脾胃病久,亦多兼瘀,治疗时宜配伍活血化瘀之品;它脏有病也可累及脾胃,临证应重视调脾。

AN Xinxin＇s experience of emphasizing spleen-stomach regulating method was stated in three cases from five aspects： tonifying spleen with drugs of sweet and warm nature in treating the deficiency of spleen-stomach; invigorating Qi and Yang, at the same time nourishing Yin; invigorating spleen was the keypoint in the treatment of liver and spleen; long-term disease of spleen-stomach was usually complicated with resolving stasis; the treatment for the disease of other viscera should emphasize regulating spleen, it was pointed our that the deficiency of spleen-stomach should be treated with the method of warming Yong and invigorating spleen; the drugs of wanning Yang were apt to damage Yin, therefore, Yin should be nourished when Yang was warmed; liver governed soothing, spleen governed transportation and transformation, both were closely related, the treatment for simultaneous diseases of liver and spleen should be invigorating the middle and soothing; long-term disease of spleen-stomach was usually complicated with blood stasis, it should be given with the drugs of activating the blood and eliminating the stasis; the diseases of other viscera could involve spleen-stomach and the treatment should lay stress on regulating spleen.