王济梅主任运用升阳益胃汤治疗肺脾气虚型肺系疾病的理论探析

Theoretical analysis of teating lung diseases of deficiency of lung-spleen Qi type with the Shengyang Yiwei decoction by Director WANG Jimei

升阳益胃汤作为补土派医家李杲(号东垣)创制的千古名方,临床疗效极佳。本方主治肺脾气虚、湿热内蕴、阳气不得升达之证,临床大夫常用此方治疗消化系统疾病,而对肺系疾病的治疗涉猎不足,忽略了李杲“肺脾同治”的本意。本文通过分析升阳益胃汤的证治机制、治疗大法以及论述导师对肺脾气虚型肺系疾病的认识、治疗,旨在探析升阳益胃汤治疗此类疾病的理论支撑,为临床肺脾气虚型肺系疾病的治疗提供新的思路。

The Shengyang Yiwei decoction(升阳益胃汤),as a famous prescription created by LI Gao,a physician of Bu tu school(补土派),shows excellent clinical efficacy.The Shengyang Yiwei decoction mainly treats the syndrome of lung-spleen Qi(气)deficiency,dampness and heat accumulation,and Yangqi(阳气)cannot rise,and digestive system diseases by clinical doctors.The treatment of lung diseases is insufficient,because of ignoring the original meaning of Dongyuan’s“lung-spleen are treated together”.By analyzing the syndrome treatment mechanism and treatment method of the Shengyang Yiwei decoction,and discussing the teacher’s understanding and treatment of lung system diseases of deficiency of lung-spleen Qi type,this paper aims to explore the theoretical support of Shengyang Yiwei decoction in the treatment of such diseases,and provide a new way of thinking for the treatment of lung system diseases of deficiency of lung-spleen Qi type in clinic.