王常绮名老中医治疗久泄的经验总结

A summary of Wang Changqi's experience in treating chronic diarrhea

总结名老中医王常绮治疗久泄的临床经验与用药特色,王老认为久泄的主要病机为脾虚湿蕴,脾虚则无以运化水湿,湿浊内生,混杂而下,发生泄泻,病位主要在脾,脾虚与湿盛互为因果,相互影响,表现为本虚表实、虚实夹杂之侯;治疗应重视健脾益气、化湿渗湿,标本兼顾,用药应灵活变通,补泻并用,使补而不滞,塞而不塞;湿邪重着黏滞,易阻碍气机,故用药过程中尤为注重调畅气机、并喜用枳壳、厚朴等调理升降之品;高原高海拔地区气候寒冷,居民平素多食牛羊肉之品,故应结合高原地区地理环境的影响,注重体重、饮食、情志等的调理;并提倡未病先防,认为只有"正气存内,邪不可干",才能防止疾病的发生、发展。

A summary of the experience of the famous veteran practioner of TCM Wang Changqi in the treatment of chronic diarrhoea is made.Wang believes that the pathogenesis of chronic diarrhoea is due to too much humidity of the spleen.The spleen is deficient and fails to transport endogenous water wet,which leads to diarrhea,The disease is mainly in the spleen and the treatment should pay attention to tonify spleen and resolve dampness,relieve the symptoms and eliminate the root causes.The medication should be flexible,considering both the reinforcing and reducing,tonifying without causing stagnation,cleaning the organ without plugging;It should also combine the impact of geographical environment in the plateau with paying attention to diet and emotional conditioning.In order to prevent the occurrence and development of the disease,the disease prevention should be advocated.