肠风飧泄探析

Exploration of Swill Diarrhea Due to Intestinal Wind

肠风飧泄为风邪入于肠胃引起的飧泄,致病原因为风邪,应区别于肝气上逆及肾志有余引起的飧泄。风邪由表入里,必须由虚风作用于正气不足之人身才能发病。肠风飧泄的主要表现为腹胀肠鸣时有气攻痛,矢气频频,痛则急登厕,泄则不畅,下多完谷不化,并伴劈劈有声,泄后痛减,脉多虚细,并有尺部浮缓。在治疗上,以治风为主,兼健脾和养护阴气,可用刘草窗所创之痛泻要方。

Swill diarrhea due to intestinal wind is a kind of diarrhea caused by the wind attack into the intestine and stomach. The pathogenic factor is wind pathogen,which should be distinguished from the swill diarrhea caused by upward liver-qi and excessive kidney will. The wind pathogen reaches the interior from the exterior. It is only the asthenic wind affecting the insufficient healthy qi in weak body that cause disease. The main manifestations of swill diarrhea due to intestinal wind include abdominal distension,borborygmus,periodical pain due to qi attack,frequent flatus,urgent need to defecate once pain occurring,unsmooth diarrhea with undigested food and slipping sound,pain relieved after diarrhea,weak and thready pulse and floating and slow pulse on Chi area.During treatment,treating wind should be given top priority,and strengthening spleen and nourishing yin qi should be combined.The Important Formula for Painful Diarrhea created by Liu Caochuang can be applied.