《脾胃论》饮食过伤临证解析

Parsing to“the Theory of Spleen and Stomach”Treat“Diet Injury”

[目的]分析《脾胃论》治疗饮食过伤的相关理论,探讨其对临床治疗饮食过伤引致内伤疾病的指导意义。[方法]通过对饮酒过伤、饮食过伤头晕、食伤失眠等3则医案诊治过程的分析,解析《脾胃论》治疗饮食过伤的论证思路、组方用药原则及注意事项等。[结果]明确《脾胃论》治疗饮食过伤的相关理论,其具体治则为发汗、利小便、助消化,其中包括了《伤寒论》的临证发挥,如五苓散在饮食伤脾中的应用,葛花解酲汤、枳术丸、和中丸在饮酒过伤中的应用:五苓散、葛花解酲汤发汗利小便上下分消以导湿,枳术丸、和中丸等健脾开胃以消滞。所选诊治3则医案,临床疗效满意。其中饮酒过伤案首诊中配合中成药以达到和胃止呕、上下分消化酒气之目的,复诊中用葛花解酲汤在上下分消酒湿时,注意中病即止之重要性;头晕案中五苓散合半夏枳实丸化湿消食同用而效现;失眠案中以"小口频服"之服药方法与"安养心神调治脾胃"之法的配合运用而显效。[结论]临床运用《脾胃论》中饮食过伤的相关理论,治疗因饮食伤所致内伤疾病,辨证准确,疗效满意,值得临床推广运用。

[Objective]Analysis of related theory that ＂the theory of spleen and stomach＂treats ＂diet injury＂, to explore principle-method-recipe-medicines＇ guiding significance for treatment of internal injuries caused by＂diet injury＂to explore the related theory＇s guiding significance for treatment of internal injuries caused by＂diet injury＂（This is the related theory to＂the theory of spleen and stomach＂treating＂diet injury＂）.[Method]Through the process of diagnosis and treatment of three cases analysis（They are＂drinking wound＂case, dizziness case and insomnia case）, expound the argumentation thinking to＂the theory of spleen and stomach＂treating＂diet injury＂, principle of prescription medication, and matters needing attention, etc. Through the analysis of diagnosis and treatment process, expound the argumentation thinking to＂the theory of spleen and stomach＂treating＂diet injury＂, principle of prescription medication, and matters needing attention. Including the prescription of treatise on febrile disease ——Wuling powder＇s application in the＂diet injury＂,Gehuajiejiu soup, Zhishu pill, Hezhong pill＇s application in the＂drinking wound＂.[Result] Understand related theory that the＂the theory of spleen and stomach＂treats ＂diet injury＂, specific therapeutic principle for sweating, the urine and digestion. Including the prescription of treatise on febrile disease—Wuling powder＇s application in the ＂diet injury＂,Gehuajiejiu soup, Zhishu pill, Hezhongpill＇s application in the ＂drinking wound＂,Wuling powder, Gehuajiejiu soup are dehumidification by sweating and the urine, Zhishu pill, Hezhong pill,etc are helping digestion.＂The theory of spleen and stomach＂treating ＂diet injury＂,prescription and symptoms are consistent. Clinical efficacy of three consilias is satisfaction. Among them,drinking wound, shares proprietary Chinese medicine medicinal properties to achieve and anti-nausea, points up and down digestive purpose of alcohol.Gehuajiejiu soup points up and down digestive purpose of alcohol warning patients at the same time; The dizziness, Wuling powder and Banxiazhishu pill wet Xiaoshi with use and effect; Insomnia, emphasis will be placed on the medication method of small amount many times, and＂Nursing mind modulation spleen and stomach＂, cooperating with use, treatment effect is obvious. [Conclusion]Using the related theory of＂the theory of spleen and stomach＂is worth clinical exploration to treatment of clinical disease caused by the＂diet injury＂, because it is dialectical correctly, curative effect is better.