胡珂教授基于《黄帝内经》理论辨治泄泻经验

Experience of Professor Hu Ke in Treating Diarrhea with the Theory of the Huangdi Neijing

《黄帝内经》并无论述泄泻的专篇,但其相关内容散见于29篇中,涉及了泄泻的名称、病因、病机、表现及治疗等各方面。其中“怒则气逆,甚则呕血及飧泄”和“肾者胃之关”的精辟论述,切合临床实际,对后世泄泻的辨治有着深远影响。本文摘录胡珂主任医师在临床中运用柴胡汤类和四神丸加减治疗泄泻的验案2则,旨在与同道共飨胡师灵活多变的临床辨证思维。

There is no special article on diarrhea in the Huangdi Neijing,but its relevant contents are scattered in 29 articles,involving the name,cause,pathogenesis,performance and treatment of diarrhea.Among them,the incisive discussion of“anger is the inverse of qi,even vomiting of blood and excessive diarrhea”and“kidney is the key to stomach”is in line with clinical practice and has a profound influence on the syndrome differentiation and treatment of diarrhea in later generations.In this paper,two clinical cases of Chaihu decoction and Sishen pill in the treatment of diarrhea by Chief Physician Hu Ke are excerpted in order to share with colleagues Hu Ke’s flexible clinical syndrome differentiation thinking.