李国徽基于脾虚湿盛分期论治梅尼埃病经验

Li Guohui's Experience of Treating Meniere's Disease with Spleen Deficiency and Dampness Excess by Stages

李国徽教授认为,“痰”为梅尼埃病主要致病物质,脾虚湿盛为主要病因,治疗重点为“补虚泄实”,即补“脾虚”泄“痰实”,以“化痰通窍”为治疗总则,分“饮”“痰”“瘀”三期论治梅尼埃病。梅尼埃病早期治“饮”,祛湿健脾;中期治“痰”,温脾化痰;晚期治“瘀”,祛瘀化痰。李教授自拟定眩方为基础方治疗该病,在早期治“饮”,可以加山药、薏苡仁、砂仁以增强祛湿健脾之功效;中期治“痰”,可以加天南星、白附子、旋覆花等加强燥湿化痰的功效;后期治“瘀”,可以加白芥子、山慈菇、海浮石等加强祛瘀化痰的功效。

Professor Li Guohui believes that"phlegm"is the main pathogenic substance of meniere's disease(MD),and"spleen deficiency and dampness excess"is the main etiology.The treatment focus is to"supplement deficiency and expel excess",that is,to supplement"spleen deficiency"and expel"phlegm excess".Taking"removing phlegm and dredging orifices"as the general principle of treatment,Professor Li divides the treatment of MD into three stages:"retention","phlegm"and"stasis".In the early stage of MD,the focus is to treat"retention"to eliminate dampness and invigorate the spleen.In the middle stage of MD,the focus is to treat"phlegm"to warm the spleen and resolve phlegm.In the late stage of MD,the focus is to treat"stasis"to remove blood stasis and resolve phlegm.Professor Li has formulated Dizziness-Removing Decoction by himself.In the early stage of MD focusing on"retention",Shanyao(Rhizoma Dioscoreae),Yiyiren(Semen Coicis)and Sharen(Fructus Amomi)are often added to enhance the effect of eliminating dampness and invigorating the spleen.In the middle stage of MD focusing on"phlegm",Tiannanxing(Rhizoma Arisaematis),Baifuzi(Rhizoma Typhonii)and Xuanfuhua(Flos Inulae),etc.are often added to enhance the effect of drying dampness and resolving phlegm.In the late stage of MD focusing on"stasis",Baijiezi(Semen Sinapis),Shancigu(Pseudobulbus Cremastrae seu Pleiones)and Haifushi(Pumex),etc.are often added to enhance the effect of eliminating stasis and resolving phlegm.