白长川从脾阴虚辨治学龄期儿童慢性腹泻

BAI Changchuan(白长川)from the Treatment of School-Age Children with Spleen Yin Deficiency Syndrome of Chronic Diarrhea

白长川教授认为"脾阴不足,不能敷布,聚而为湿,形成腹泻"是小儿慢性腹泻、久泻不愈的重要病机。阴亏为本,阳损为标,小儿"脾常不足"常先不足于阴,次不足于阳。临证白长川教授尊"甘守津还""甘淡驱湿"之法,常用甘淡之扁豆、生山药、生白术、太子参、茯苓等治疗脾阴不足,甘寒之石斛、麦冬、玉竹、沙参治疗胃阴不足,强调"甘"可使津液得以化生,体内湿气得以驱除;明确指出滋补脾胃阴甘药均可生津,祛除湿气却是滋补脾阴的甘淡之药,非滋补胃阴甘寒之药。白长川教授认为学龄期儿童慢性腹泻为"脾气阴两虚而生湿邪",结合明清诸家脾阴学说,参考"参苓白术散"遣方用药,将原方甘温之炒山药换甘凉之生山药,将偏补脾气的人参改用滋阴补气生津性缓的太子参,酌用生苡仁既可祛湿又可滋阴,五味子收敛滋阴,配以藿香芳香化湿,木香舒理湿气所阻滞气机。不知饥,口干不欲饮,大便溏泄黏腻,生山药、生苡仁、太子参、茯苓滋脾祛湿益气,甘药滋补脾气阴为主;脘腹痞胀满,鸡内金、隔山消除胀消痞;久泻不止,补骨脂、乌梅、诃子温中涩肠止泻,同时配用双歧杆菌乳杆菌三联活菌片(金双歧)调节胃肠道菌群。强调"阴无骤补之法",泄泻久矣须补阴,且要缓补。

Professor white ChangChuan think ＂born temper Yin deficiency of origin＂ is infantile diarrhea not more important pathogenesis of chronic diarrhea, long. The mechanism is that ＂spleen Yin deficiency, cannot compress, gather for wet, form the diarrhea＂ professor white ChangChuan reverence of deficiency ＂GanShouJin also＂ ＂wet＂ gan light flooding method, commonly used f light of lentils, yam, atractylodes, radix pseudostellariae, poria cocos, such as treatment of spleen Yin deficiency, f the healing stone cold welcome, dwarf lilyturf, jade bamboo, straight ladybell treatment stomach Yin deficiency, emphasize ＂gan＂ can be used to im fluid, gan light of medicine can make the moisture inside body to expel, moral is the ＂wet＂ gan light flooding; Clear nourishing spleen and stomach Yin medicine are fluid, removing moisture is nourishing spleen Yin light of medicine, the nourishing stomach Yin of cold medicine. In this paper, the first part discusses the ＂theory of clinical significance of spleen Yin deficiency＂, the second part mainly is professor white ChangChuan is given priority to with ＂three atractylodes ginseng powder＂ side effects for experience, embodies the dialectical thinking and add and subtract compatibility, the third part of spleen Yin deficiency in the position in the future clinical application. Through this article more prominent highlights the name old doctor of traditional Chinese medicine in clinical diagnosis and treatment in traditional Chinese medicine ＂classic＂ and ＂difficult point＂ the theoretical basis of further play and.