何迎春辨治老年慢性泄泻经验

Professor He Yingchun's Experience In Treating Elderly Chronic Diarrhea

[目的]总结继承导师何迎春治疗老年慢性泄泻的临床经验。[方法]通过长期跟师门诊抄方、教学面授、整理分析病例等方法,归纳总结导师何迎春对老年慢性泄泻的病机认识及临床治疗中用药特色。[结果]何迎春老师认为老年泄泻病机多为"脾虚",治疗以健脾祛湿为主,若兼有肝气郁滞或肾阳虚衰则辅以疏肝或补肾之法,方药喜用资生丸加减,屡获良效。[结论]何迎春老师对老年慢性泄泻的病理病机有深入的研究,治疗始终抓住健脾祛湿这一主线,根据具体病机辅以他法,临床上行之有效,值得医者借鉴。

[Objective]To conclude and inherit Professor He Yingchun＇s clinical academic experience.[Methods]Through long-term outpatient parties,the teaching methods of face-to-face,after clinically reading large number of cases to generalize the characteristic pathogenesis and treatment of elderly chromc diarrhea.[Results]The pathogenesis of elderly chronic diarrhea is ＂spleen deficiency＂,and the main treatment is fortifying the spleen and disinhibiting dampness.In addition,the treatment of soothing the liver or tonifyring kidney should be applied to the circumstances of stagnation of liver qi or kidney-yang deficiency.Professor He Yingchun always obtains good effects in the treatment by using Zi Sheng Wan.[Conclusion]Professor He Yingchun always grabs the main treating thread of fortifying the spleen and disinhibiting dampness and adds other treating methods according to the detailed pathogenesis.Her experience is effective and worthy of inheritance and promotion.