张声生教授运用寒热并用法治疗脾胃病的临床经验

Clinical Experience of Professor Zhang Sheng-sheng in Treating Spleen-stomach Diseases with the Therapy of Cooling and Warming Combination

寒热并用法为中医治疗大法之一,属"和法"的范畴[1]。寒热并用法是指将寒凉药与温热药配伍使用,两者性味相反而功用协同,从而达到治疗作用的方法。张声生教授认为脾胃易寒易热、多因致病,脾胃病反复发作、缠绵难愈,导致临床上脾胃病多表现为虚实夹杂、寒热错杂的证候。张声生教授临证强调治疗脾胃病应当首辨其寒热虚实、结合病变脏腑,并根据疾病的特点常采用相应寒热并用法,如温中清胃法、温中清肝法、暖肝清胃法、清上温下法、温上清下法等,往往取得良好的临床疗效。

The therapy of Cooling and Warming combination is one of therapeutic methods in TCM, belonging to the harmonization method. This therapy refers to the combined application of cold and warm herbs. By using its opposite nature and flavor but cohe- sive function, diseases could be treated. Professor Zhang Shengsheng considers spleen-stomach is susceptible to the pathogenic fac- tor of cold and heat, which can result in the recurrence and complexity of spleen-stomach diseases. Therefore, the syndromes of ＂intermingled deficiency and excess＂ and ＂intermingled heat and cold＂ are commonly seen clinically. Professor Zhang Shengsheng emphasizes that the combination of heat, deficiency or excess and visceral syndrome differentiation are critical in the treatment of spleen-stomach diseases. The adoption of this therapy includes Wenzhong Qingwei method, Wenzhong Qinggan method, Nuangan Qingwei method, Qingshang Wenxia method, and Wenshang Qillgxia method. Based on the characteristics of the diseases and syn- drome differentiation, these methods can achieve sound clinical curative effect.