益气升阳三方辨治经验

Experience of treating chronic gastritis byYiqi Shengyang Decoctions

补中益气汤、升阳益胃汤、升阳散火汤是李东垣益气升阳理论的代表方,均可用于治疗慢性胃炎脾胃气虚证。然各方运用症状轻重、证机、治法却略有不同。文章总结认为:补中益气汤,气虚程度较重,证属脾胃气虚,清阳下陷,热不显,治疗重在补中升阳;升阳益胃汤,气虚程度较前轻,证属脾胃气虚,湿热中阻,湿热兼见,治疗偏于祛湿清热;升阳散火汤,气虚程度最轻,证属脾胃气弱,气郁化火,内热明显,治疗偏于升散郁火。

Buzhong Yiqi Decoction,Shengyang Yiwei Decoction and Shengyang Sanhuo Decoction are the representative prescriptions of LI Dongyuan’s theory of invigorating qi and strengthening yang,which can be used to treat chronic gastritis with deficiency of spleen and stomach qi.However,the severity of symptoms,syndrome,and treatment is slightly different.It is considered that Buzhong Yiqi Decoction,the degree of qi deficiency is heavy,the syndrome is spleen and stomach qi deficiency,qingyang depression.Heat is not obvious,the treatment is mainly in the treatment of invigorating and raising yang; Shengyang Yiwei Decoction,the degree of qi deficiency is lighter than before.The syndrome is spleen and stomach qi deficiency,dampness and heat resistance,dampness and heat both,the treatment is partial to dispelling dampness and clearing away heat; Shengyang Sanhuo Decoction,the degree of qi deficiency is the lightest,and the syndrome is spleen and stomach qi is weak,stagnated qi transforming into fire.The internal heat is obvious,and the treatment is partial to rising and dissipating depression fire.