李培治疗久泄经验

Professor LI Pei's Experience on Chronic Diarrhea

李培老中医认为久泄首当责之脾虚。因脾虚不能运化水谷,反内生湿浊,湿浊困脾,清浊不分,升降失常,故致泄泻缠绵难愈,并常因饮食不洁或情志波动影响脾胃功能而致泄泻反复。治疗上自当以健脾助运为主,再视兼证化裁。临证中李老喜用七味白术散和参苓白术散二方为基础方加减治疗,疗效显著。

Professer LI Pei considers that the main pathogenesis of chronic diarrhea is insufficiency of the spleen. Since deficient spleen fails transporting water and grain, the wetness and dampness are produced which in return disturbing the spleen. The dampness impact the functions of the spleen such as separating clear and excreting turbid, rising and descending qi,thus causing the disease reappeared. The etiology such as irregular diet and emotional maladjustment can also contribute to the recurrence of the diarrhea. The therapy is tonifying spleen and regaining its function. Professer LI prefers using the Qiwei Baizhu San（七味白术散） and Shenling Baizhu San（参苓白术散） to treat this disease.