连建伟教授治疗慢性泄泻经验

Professor LIAN Jianwei's Experience in Treating Chronic DIarrhea

[目的]总结连建伟名老中医治疗慢性泄泻的临证经验。[方法]通过跟师侍诊的方法,收集病例,对连建伟教授治疗慢性泄泻的理论及思路进行分析总结,并例举两验案予以佐证。[结果]连师擅用经方、时方治疗慢性泄泻,并根据泄泻的特点,辨病变之脏腑、寒热、虚实,灵活变通组方用药。脾胃虚弱者选用参苓白术散加减,益气健脾、渗湿止泻;肝郁脾虚者予痛泻要方抑肝扶脾;脾肾阳虚方选四神丸合四君子汤补益脾肾,固涩止泻;寒热错杂者予乌梅丸寒温并用,温胃补虚,临床疗效显著。[结论]连建伟教授治疗慢性泄泻的临证组方用药经验值得学习和总结。

[Objective]Summarize the clinical experience of famous veteran doctor LIAN Jianwei in treating chronic diarrhea. [Methods] With the method of following Professor LIAN, analyse and induce his experience in treating chronic diarrhea by collecting cases. [Results] Professor LIAN is good at using classical prescriptions and current prescriptions to treat chronic diarrhea. According to the characteristics of diarrhea, to identify the viscera, cold and heat, asthenia and sthenia and flexible combination of prescriptions. Weakness of the spleen and the stomach using Shenling Baizhu Powder to nourish qi to invigorate spleen;Patients of liver stagnation and spleen deficiency are treated by Tongxieyao Formula to repress liver and supporting spleen;Sishen pill and decoction of four mild drugs treatment of spleen and kidney yang-deficiency by invigorating spleen and kidney;Patients of coldheat complex are treated by Wumei Pill to warm and nourish the stomach. [Conclusion] Professor＇s experience in treating chronic diarrhea is well worth learning for it always gets outstanding effect.