池晓玲辨治黄疸经验

CHI Xiao-Ling’s Experience in Differentiating and Treating Jaundice

总结池晓玲教授辨治黄疸的经验。池晓玲教授认为黄疸的病机是在肝脾不调的基础上出现的湿瘀为患,辨证时可参合五运六气与五行体质。具体辨治可根据黄疸病情的演变情况,将黄疸分为黄疸前期、黄疸期、恢复期3期;肝脾不调按层次分为肝郁、肝火、肝寒、肝瘀、肝阴血亏及脾运不及、脾气呆滞、脾气亏虚等不同;湿邪为患按层次可分为湿阻、湿滞、湿蕴等不同。其治法总以调和肝脾、祛湿退黄为法,根据其阶段、层次的不同,可分别采用疏肝、清肝、温肝、散肝、柔肝、运脾、醒脾、健脾及化湿、利湿、运湿等治法。

The experience of Professor CHI Xiao-Ling in differentiating and treating jaundice was summarized.Professor CHI Xiao-Ling believes that the pathogenesis of jaundice is due to the affection of dampness and stasis developing from the disharmony between the liver and spleen.During the syndrome differentiation,the theory of five circuit phases and six climatic factors and five-element body constitution can be taken into account.For the differentiation of jaundice,staging differentiation of jaundice prophase,jaundice phase,and recovery stage can be performed firstly.And then the disharmony between the liver and spleen can be stratified into liver stagnation,liver fire,liver cold,liver stasis,insufficiency of liver yin and blood,spleen failing in transportation,spleen qi stagnation,and spleen qi deficiency,and the dampness pathogen can be stratified into dampness blockage,dampness stagnation,and dampness accumulation.For the treatment of jaundice,the therapeutic principles aim at regulating the liver and spleen,and dispelling damp to relieve jaundice,and the methods of soothing liver,clearing liver,warming liver,dispersing liver,softening liver,activating spleen,awakening spleen,invigorating spleen as well as resolving dampness,draining dampness,and transporting dampness can be used on the basis of staging syndrome differentiation and stratified syndrome differentiation.