刘尚义治疗痰湿思路

LIU Shangyi's Opinions in Treating Phlegm-dampness

总结刘尚义临证治疗痰湿的经验。针对痰湿停滞的部位,因势利导、分而消之;针对痰湿的性质,灵活运用疏表化湿、芳香化湿、苦温(苦寒)燥湿、健脾利湿、淡渗利湿、温阳利湿、清热利湿、祛风胜湿治痰八法。根据痰湿停滞的部位、演变转归以及患者的体质、病程等情况,或一方一法,或合方使用,使顽痰浊邪难以停滞。疑难顽症多以痰瘀立论,治痰湿当注意治血,亦不忘调畅气机,气顺则津液亦随气而顺矣。

This article summarizes LIU Shangyi＇s experiences in treating phlegm-dampness. According to the locations where the phlegm-dampness stagnates,physicians could correspondingly guide their direction and disperse them. According to the characteristics of the phlegm-dampness,physicians could flexibly use the following eight phlegm-treating methods,including dredging the exterior and removing dampness,removing dampness with aromatic drugs,drying dampness with bitter-warm（ or bitter-cold） drugs,fortifying the spleen and draining dampness,percolating and draining dampness with bland drugs,warming yang and removing dampness,clearing heat and draining dampness as well as dispelling wind and overcoming dampness. According to the location where the phlegm-dampness stagnates,the development and prognosis of the disease,and the constitution of the patient,physicians could use one prescription,one method,or combine them together to make it difficult for the stubborn phlegm and turbid pathogen to stagnate. Difficult diseases are always thought to be caused by phlegm and stasis,so when treating phlegm-dampness,physicians should also pay attention to the blood. Qi movement should be also focused on,because the fluid could flow smoothly along with Qi if Qi does so.