尉中民教授从脾虚失运辨治眩晕经验

Experience of Professor Wei Zhongmin in the Treatment of Vertigo from Dysfunction of Spleen in Transportation

尉中民教授临床辨治疾病,强调“百病脾为先”,治疗中以调理脾胃为切入点。如肝病要培土荣木;上下交病,求治于中;虚劳,气血阴阳虚损,重视脾胃的补益;肝郁不疏,水湿不运,宜养血调肝、健脾利湿等。此文所述尉中民教授辨治眩晕,即从“脾虚失运”切入,脾失于运化水谷及水湿,髓海失养而眩晕,在病程的不同阶段,抑或不同的病机发展阶段,分步辨证,运用补脾益气、健脾祛湿、清化痰浊痰热及清热和胃等方法,用药上灵活加减,取得甚佳疗效。

Professor Wei Zhongmin emphasizes that“the interior impairment of the spleen and stomach would bring about the occurrence of various diseases”.In clinical diagnosis and treatment of diseases,the treatment takes the recuperation of spleen and stomach as the starting point.For example,liver disease should supplement the spleen and cultivate the wood;when the upper and the lower both impair,treat the middle jiao,when the stagnation of liver qi and internal stagnation of fluid-dampness,it is appropriate to nourish blood for regulating the liver,invigorate the spleen and drain dampness,and so on.This article differentiates and treats vertigo,that is,from“dysfunction of spleen”.The spleen lost in transporting cereal,leads to dampness and deficiency of essence,as well as the vertigo appeared.With the development of the disease,or with different pathogenesis development,syndrome differentiation is carried out step by step.By using the methods of tonifying spleen and replenishing qi,invigorating spleen and removing dampness,resolving phlegm-heat,clearing heat and harmonizing stomach,etc.,the prescription can be applied flexibly for the more effective treatment in clinical practice.