国医大师徐景藩论治慢性腹泻经验

Experience of TCM master XU Jingfan in treating chronic diarrhea

慢性腹泻是一类病因复杂的症状群,其病理生理机制不同,临床表现也不同,但基本可概括为肠道对水分的吸收能力减少或分泌能力增加,大便粪质含水量增多导致腹泻。中医认为肠腑宜运宜降宜疏,临床以“运”字立法,治疗应从运、疏、通入手,国医大师徐景藩创新性地提出“五运法”(运脾泄浊、运肝疏风、运肠通瘀、运中补肾、运气提神)进行治疗,其在辨治慢性腹泻的独到见解和丰富的临床经验值得学习和推广。

Chronic diarrhea is a kind of complex etiology symptom group.Its pathophysiological mechanism is different and its clinical manifestations are also different.However,it can be summarized as the decrease of intestinal absorption capacity or increase of secretion capacity and increase of fecal water content,which leads to diarrhea.TCM holds that gut should be transported,reduced and sparsed.TCM master XU Jingfan has put forward a unique academic perspective of five movement therapy(invigorating spleen to relieve turbidity,invigorating liver and dispersing wind,invigorating intestines and dredging blood stasis,invigorating spleen and tonifying kidney invigorating qi and refreshing strength),which has obtained great clinical curative effect and worth to spread.