姜良铎教授应用疏通三焦法治疗脾胃病的临床经验

Professor Jiang Liangduo’s experience on spleen and stomach diseases with regulating sanjiao

脾胃病是临床常见病,其症状并不单纯地表现在消化系统,而是常常伴有全身症状,病症复杂多样,缠绵难愈,治疗上有一定的难度。姜良铎教授总结出"从状态论治"的辨证思路,他认为脾胃不和、气机不利、升降失常导致三焦气机不畅是脾胃病的基本病机,治疗时只有从三焦郁滞状态入手,以柴胡桂枝汤和四逆散为基本方,加减化裁,疏通三焦,调畅气机,健脾平肝和胃,方能取得比较好的临床疗效。

Spleen and stomach disease is a common clinical disease, and its symptoms are not simply manifested in the digestive system, but often accompanied by systemic symptoms. The symptoms are complex and diverse, and the lingering is difficult to heal, and the treatment has certain difficulty. Professor Jiang Liangduo summed up the dialectical thinking of "ruling from the state". He believes that the spleen and stomach are not harmonious, the qi movement is unfavorable, and the abnormal movement of the sanjiao is the basic pathogenesis of spleen and stomach disease. The treatment should be from stagnated state of Sanjiao. Chaihu Guizhi Decoction and Sini San are used as the basic prescription, addition or subtraction according to the different patients. Good effect could be achieved by regulating sanjiao and qi movement, as well as regulating the liver, spleen and stomach.