考希良治疗脾胃病验案六则

Six Cases of KAO Xiliang in Treatment of Spleen and Stomach Diseases

总结考希良治疗脾胃病的临床经验。选取六则临床诊治医案,从不同角度体现考希良临证思维。考希良在临床诊治中,结合六经辨证与脏腑辨证,兼顾患者自身体质;在遣方选药上以量宏力专、祛邪扶正,进而调和阴阳为特点,力求法捷效速。在病因病机方面,考希良基于《黄帝内经》中经络循行与脏腑联属的生理、病理关系,知常达变,以此认识与理解临床相关病因病机,按照对应的治则治法及方药进行施治,构建了传统中医诊疗思维。

This paper explores and summarizes the clinical experience of KAO Xiliang in treating spleen and stomach diseases.Six cases of clinical diagnosis and treatment are selected to reflect KAO Xiliang’s clinical thinking from different perspectives.In the clinical diagnosis and treatment,KAO Xiliang organically combines the syndrome differentiation of six channels and zang-fu organs,taking into account the patients’own constitutions.In the selection of prescriptions,KAO Xiliang achieves significant effect and strengthens healthy qi to eliminate pathogens,which characterizes in harmonizing yin and yang,and strives for the quick effect.In terms of etiology and pathogenesis,based on the physiological and pathological relationship between the meridian circulation of The Yellow Emperor’s Canon of Internal Medicine and the association of zang-fu organs,KAO Xiliang sticks to the principles and is flexible,he understands the clinical causes and mechanisms of diseases and treats them according to the corresponding treatment rules,methods,and prescriptions and constructs the diagnosis and treat⁃ment thinking of traditional Chinese medicine.