下焦积聚类病分期辨治特点

Syndrome difffferentiation and treatment strategies for diseases characterized by lower-jiao accumulation

历代医家对下焦积聚的发生形成了不同病因理论,结合不同的病程阶段与病人体质,提出各种治疗理念,积之始起属寒,当顺气通络化痰瘀、平调寒热解恶气、解毒调血散固结,用辛暖药物消导之。积若久化为热,用辛凉药以推之,并鼓舞胃气、固护真阴,攻消补散,因势利导。若积病新起,正气未伤,当以积聚为急,速功为宜,若积久伤元,当以恢复元气为要,缓行其法。临床分期拟定其治则治法,达到扶正固本祛邪等目的。

Medical practitioners have developed various etiological theories regarding the accumulation syndrome in the lower energizer,having proposed diverse treatment philosophies based on the different stages of disease progressions and patients'constitutions.In its initial stage,which is characterized by a cold syndrome,the treatment strategy involves promoting the flow of qi,unblocking collaterals,eliminating phlegm and stasis,regulating cold and heat,resolving evil qi,detoxifying,regulating blood,and dispersing solid masses by using pungent and warm medicinal substances to facilitate digestion.If the accumulation turns into heat over time,pungent and cool medicines are used to expel it,while also invigorating stomach qi,safeguarding genuine yin,and employing tactics of attacking,dissolving,supplementing,and dispersing according to specific situations.In cases where an accumulation disorder just occurs and the vital energy is not yet harmed,it is critical to address the accumulation urgently and to seek a swift efficacy.Conversely,if the accumulation has long harmed the primordial qi,the focus should be on restoring vital energy and employing gentler methods.In clinical practice,therapeutic strategies and approaches are devised in accordance with progression stages,to achieve the goals of strengthening and consolidating the body resistance and expelling pathogenic factors.