“轻灵平和”治疗脾胃病经验浅析

Prescription style of‘light,dynamic,balanced and harmonious'for treating spleen and stomach diseases

文章从“轻灵平和”的角度总结唐旭东教授治疗脾胃病的用药特点。唐教授认为治疗脾胃病时夑理升降需“轻灵”乃达,调和纳化宜“平和”乃安。具体而言,“轻以去实”即以味薄质轻之品宣达实邪,常以瓜蒌皮轻宣痰热、紫苏叶与荷叶宣化湿滞、玫瑰花和绿萼梅轻疏肝郁等。“灵以化滞”即以具有生发、芳香之性的灵动之品通食积、湿邪之滞,常用大豆黄卷与麦芽、藿香与佩兰等;以宣散、通利并举拨动气机,常用香苏散、黄芩滑石汤等方。“平以复衡”即详察脾胃升降纳化之候,精准把握辛开运脾与苦降和胃的分寸,调复平衡。“和以调中”即用药缓和、润燥相济,且注重柔肝和中、调和气血。

This article expounds TANG Xudong's prescription style in terms of‘light,dynamic,balanced,and harmonious'.Professor TANG advocates that it's essential to unblock and descend stomach qi and to balance the functions of intaking and transforming when treating spleen and stomach diseases,the strategy for which can be summarized as‘light,dynamic'and‘balanced,harmonious'respectively.To be exact,‘light'is to release excessive pathogens with light herbs.‘Dynamic'is to unblock the stagnation with herbs that maintain the dynamic of qi,and to regulate qi with a strategy that combines releasing and unblocking therapies.‘Balanced'is to precisely restore the balance between functions of intaking and transforming,based on detailed consultation.‘Harmonious'is to harmonize the contradiction between moistness and dryness,liver depression and spleen deficiency,and between qi dificiency and blood deficiency.