国医大师张志远从气机升降论治泄泻之经验

Master of Chinese Medicine ZHANG Zhiyuan’s Experience in Treating Diarrhea by Regulation of Qi Rising and Descending

泄泻是临床常见的消化系统疾病,张志远教授从气机升降角度论治泄泻,认为其核心病机为肺失宣肃、脾失健运、肾气不升,治疗从肺、脾、肾三脏入手,以宣上、畅中、温下三法调畅气机为切入点。张老治疗泄泻重视应用经方且巧于化裁,创制葛麻桂三开汤、香姜红糖散、五元汤等验方。其选择药物擅取其专长,如用葛根、麻黄、桂枝以发汗解表祛邪,白术、人参、黄芪以健脾益气固本,茯苓、猪苓、泽泻以利水渗湿止泻。附验案1则以佐证。