国医大师杨春波辨治脾胃湿热证胃肠病经验

National TCM Master YANG Chunbo’s Experience in Treating Syndrome of Dampness-heat of Spleen and Stomach with Qinghua Decoction

杨春波教授为全国第3届国医大师,擅长运用“脾胃湿热”理论诊治胃肠系统疾患。杨老认为,脾胃湿热由内外因素共同作用而成,应从“三因制宜”角度辨识脾胃湿热证胃肠病的个体化病因病机及临床特征。针对脾胃湿热证胃肠病的辨治用药,杨老以清化湿热、调气舒络为总治则,创制“清化饮”为基本方,并结合辨析寒热、分利三焦、顾护正气、扶正防邪等辨治心得立方。作者结合杨老临床验案,阐述杨老辨治脾胃湿热证胃肠病的临证经验,以期对指导临床诊治有所裨益。

Professor YANG Chunbo is the third national master of traditional Chinese medicine.He is good at using the theory of“spleen and stomach dampness and heat”to diagnose and treat gastrointestinal system diseases.YANG believes that spleen and stomach damp-heat are caused by internal and external factors,and the individualized etiology,pathogenesis and clinical characteristics of gastrointestinal diseases with spleen and stomach damp-heat syndrome should be identified from the perspective of“Three Factors”.In view of the diagnosis and treatment of gastrointestinal diseases caused by spleen and stomach dampness and heat,Mr.YANG takes the general treatment principle of clearing away dampness and heat,regulating Qi and relaxing collaterals,and creates“Qinghua Yin”as the basic prescription,which combines the differentiation of cold and heat,the differentiation of triple energizer,and the protection of healthy Qi strengthening the body and preventing evil,etc.The experience of differentiation and treatment is cubed.Based on Yang Lao’s clinical cases,the author expounds YANG clinical experience in treating gastrointestinal diseases with spleen and stomach dampness-heat syndrome,hoping to be helpful in guiding clinical diagnosis and treatment.