国医大师路志正辨治腹痛经验

Experienc of TCM master LU Zhi-zheng in treating bellyache with syndrome differentiation

路志正教授在腹痛辨证中强调四诊合参,依据疼痛部位结合经脉循行辨别脏腑、气血、虚实,参以脉势、脉体、脉数判断病机。治疗中以温振脾阳为中心,辅以培土疏木,讲究治有缓急、酸甘化阴、缓急止痛为先,灵活使用通泄、祛寒、理血等法,特别在药性的把握上诸多变化。

In treatment with syndrome differentiation for bellyache, professor LU emphasizes that comprehensive analysis by the four examination methods differs the internal organs, the vita energy and blood, and deficiency and excess based on pain with meridians and judges pathogenesis according to situation of pulse. In therapy, he emphasizes that warm and restore yang of the middle-warmer is the center, reinforce the earth to check the wood is assistant; pays attention to emergency or not, nourishing yin with sour and sweet drugs in combination, stop pain first in emergency or not, and nimbly relax the bowels in order to eliminate the internal heat, relieve the cold, treat blood disorder. And he specially emphasizes on the change of character of herbs.