庞国明治疗黄疸经验

Professor Pang Guoming's Experience in the Treatment of Jaundice

庞国明教授认为,黄疸之发病多因湿热邪气侵犯肝胆,使肝失疏泄,胆汁排泄不畅,或瘀血内阻,肝脾不和,脾失健运,不能运化,导致湿邪内生。病变部位在中焦肝胆脾胃,是在气分还是在血分,是在表还是在里,是脏腑传变还是六经传变,均需详辨。庞老师认为,治黄需保肝,肝健黄自安;治黄先治血,血和黄易灭;治黄需利水,黄随水自去;治黄需清热,热散黄自愈;治黄宜健脾,脾健黄自已;急黄需守神,神守黄散尽。

Professor Pang Guoming thinks that the occurrence of jaundice is mostly caused by the intrusion of heat-damp and pathogenic Qi into liver and gall.As a result,liver is incapable of controlling conveyance and dispersion,bile excretion is unsmooth,or blood stasis is obstructed,liver and spleen are in disharmony due to damp pathogen,spleen is not functioning well and cannot transform damp pathogen.Pathological changes are in middle Jiao,liver,gall,spleen and stomach;however,whether the pathogenic changes are in Qi tier or blood tier,in exterior or interior,in all Zang and Fu organs or in all the six meridians,this requires detailed differentiation.Treatment methods include：to cure jaundice,protect liver first-jaundice will extinguish naturally when liver is vigorous;to cure jaundice,treat the blood first,jaundice will be easily removed when blood is in harmony;to cure jaundice,diuresis is required-jaundice goes with urine;to cure jaundice,heat removing is required-jaundice will heal by itself when heat is dispersed;to cure jaundice,it＇s advised to invigorate spleen-jaundice will extinguish when spleen is sound;to cure jaundice,keep a good mindset-jaundice will be dispersed when mindset is sound.