杨小军教授从肝脾论治痞满临床经验

Clinical Experience of Professor Yang Xiaojun in Treating Stuffiness and Fullness from Liver and Spleen

总结杨小军教授从肝脾论治痞满的临床经验。杨教授认为,肝郁气滞、脾胃亏虚是痞满的关键病机之一,临证之时常重视调肝运脾,调和气血,升清降浊,醒脾化湿,并善用调理气机的药对以恢复中焦斡旋功能,常用药对有柴胡和白芍、枳实和白术、桔梗和枳壳、木香和槟榔、紫苏梗和旋覆花、桔梗和沉香。同时强调饮食和情志调养并重,以减少复发。

An introduction to Professor Yang Xiaojun’s clinical experience in the treatment of stuffiness and fullness from liver and spleen was summarized.According to Professor Yang,liver depression and qi stagnation,as well as spleen-stomach weakness,are one of the key pathomechanism of stuffiness and fullness.In clinical practice,emphasis is often placed on regulating the liver and moving the spleen,harmonizing the qi and blood,ascending the clear and descending the turbid,and enlivening spleen and resolving dampness.Professor Yang makes good use of qi-regulating couplet medicinal to restore the mediating function of the middle energizer.Commonly used couplet medicinals include Chaihu(Bupleuri Radix)and Baishao(Paeoniae Radix Alba),Zhishi(Aurantii Fructus Immaturus)and Baizhu(Atractylodis Macrocephalae Rhizoma),Jiegeng(Platycodonis Radix)and Zhiqiao(Aurantll Fructus),Muxiang(Aucklandiae Radix)and Binlang(Arecae Semen),Zisugeng(Perillae Caulis)and Xuanfuhua(Inulae Flos),Jiegeng(Platycodonis Radix)and Chenxiang(Aquilariae Lignum Resinatum).Professor Yang also stresses the importance of both dietary and emotional regimen to reduce recurrence.