温启宗运用黄芪苦参汤加减治疗脾胃病经验举隅

Wen Qizong's experience in treating spleen and stomach diseases with modified Huangqi Kushen decoction

慢性脾胃病是常见病和多发病,临床以慢性胃炎和消化性溃疡较为常见,属于中医“胃痛”“痞满”“嘈杂”“久痢”等范畴,中医辨证治疗有一定的优势。温启宗教授认为临床中脾虚湿热型脾胃病最常见,且以脾虚为本、湿热内蕴为标。治疗时应明确病机演变规律,治病求本,以益气健脾治其本、活血清热治其标为治疗原则。临床辨证选用温老独创的黄芪苦参汤加减治疗脾胃病,取得了良好的临床疗效。笔者有幸跟师学习,受益颇多,将其经验初步总结如下。

Chronic spleen and stomach disease is a common disease and frequently-occurring disease.Chronic gastritis and peptic ulcer are the most common in clinical practice.They belong to the categories of"stomach pain","suffocation","noisy"and"long dysentery"in traditional Chinese medicine.There are certain advantages.Professor Wen Qizong believes that spleen-deficiency damp-heat type spleen and stomach disease is the most common clinically,and it is based on spleen deficiency and internal damp-heat as the standard.During treatment,the law of pathogenesis should be clarified,the roots of treatment should be sought,the roots should be treated by replenishing qi and spleen,and the symptoms should be treated by activating blood and clear heat.Therefore,in clinical differentiation,the original Huangqi Kushen decoction created by Master Wen was used to treat spleen and stomach diseases,and achieved good clinical effects.I was fortunate to learn from my teacher and benefited a lot.Here is a preliminary summary of my experience.