周丽雅运用“以通为补”法治疗慢性腹泻的经验

Zhou Liya’s experience in treating chronic diarrhea with the method of“tonifying by dredging”

周丽雅教授从事消化系统疾病的临床与教学工作30余年,对慢性腹泻的治疗有独到的见解。周老师认为慢性腹泻的主要病位在脾胃和大肠,但与肝肾密切相关。根据《内经》:"湿盛则濡泄"的理论,认为慢性腹泻的病机关键为湿邪内蕴,治疗首重祛除湿邪,邪去则正复,故运用"以通为补"治疗慢性腹泻。

Professor Zhou Liya has been engaged in the clinical and teaching work of digestive system diseases for more than 30 years,and has unique insights into the treatment of chronic diarrhea.She maintains though the major affected sites of chronic diarrhea are in the spleen,stomach and large intestine,the disease is actually closely related to the liver and kidney.According to the theory of"predominant dampness causing diarrhea"recorded in Huangdi Neijing,it is believed that the key pathogenesis of the disease is the internal accumulation of dampness pathogen,and its treatment should be first focused on removing the dampness accumulation.As the dampness is eliminated,vital qi will be strengthened and restored.Hence,the method of"supplementing by dredging"is applied to treat chronic diarrhea in clinic practice,usually with a satisfactory curative effect.