李德新教授从脾论治痹证经验

Professor LI Dexin's experience in treating Bi-syndrome by invigorating spleen

总结了李德新教授从脾论治痹证的学术思想。其在对痹证病因、病机的认识方面,认为正虚、湿邪、痰瘀在痹证的发病中有重要意义;在对痹证的治疗方面,重视整体观念,强调五脏并调,认为脾胃健运有利于提高人体正气,痹证的治疗必须扶正祛邪兼顾;在遣方用药方面,辨证选方,灵活化裁,善用经方及小方。

The paper summarized professor LI Dexin＇ academic ideas about treatment of Bi-syndrome （ar- thralgia） from the spleen. In understanding the etiology and pathogenesis of Bi-syndrome, professor LI thinks that deficiency of vital qi, dampness, phlegm and blood stasis play an important role in the pathogenesis of arthralgia. In the course of treatment, LI put stress on the coordination of five internal organs based on concept of wholism. He believes that normal functioning of spleen and stomach can improve vital qi, so consideration also should be given in strengthening vital qi to eliminate pathogenic factor. In selecting prescriptions and medicating, LI is good at using classical and mid prescriptions with syndrome differentiation and flexible modification.