连建伟教授运用补中益气汤治疗九窍不利证验案浅析

Professor Lian Jianwei's Applying Buzhong Yiqi Decoction to Treat Detrimental Nine Orifices

[目的]总结连建伟教授运用补中益气法调理后天脾胃治疗九窍不利证临床经验。[方法]追述中医经典脾胃与九窍之关系的相关文献以及对连教授3则中短期疗效明显病案详细分析加以按评。[结果]连建伟教授认为,从脾胃论治五官、九窍的疾病不失为一王道之法,具有较大的临床指导意义,所举案例也取得较好的疗效。[结论]金元著名医家李东垣对《素问·通评虚实论》篇"头痛耳鸣,九窍不利,肠胃之所生"进一步阐述和广泛运用与发挥,后世传承较少,连建伟教授实用补益脾胃之法,使胃气强健,阳气升举,中焦脾胃本气归其原位,有利于九窍趋于自利,对东垣脾胃学说有所实践与拓展,对学习补中益气法在脾胃病以外的运用具有启发意义。

[Purpose] This paper aims to summarize the clinical practice of using Buzhong Yiqi Decoction to treat the obstructed nine orifices. [Approach]After explaining Li Dongyuan＇s theory that those obstructed nine orifices reflecting headaches and tinnitus are caused by intestines and stomach diseases,which is in his Suwen On Deficiency and Excess and analyzing several simple cases of using buzhong yiqi decoction to treat the obstructed nine orifices,this paper tries to trace the theoretical origin of Prof. Lian＇s practice and present the practical experience of flexible usage of Buzhong Yiqi Decoction. [Result] The outcome of several patients under treatment shows that the short-and-mid-term treatment is very effective. [Conclusion] Prof.Lian＇s philosophy of traditional Chinese medicine reflects his attitude that ＂those patients suffering from insufficiency of primordial Qi and clear Yang failing to distribute＂or ＂clear Yang coming out of stomach＂ask for strengthening the spleen and stomach so their stomach recovers to the healthy state.As a result,their Yang Qi has been greatly improved,the spleen and stomach in the middle energizer have returned to their original place,reaching the autonomous regulation of the nine orifices,which has shed some light on the usefulness of Buzhong Yiqi on treatment diseases other than those of spleen and stomach.