刘铁军运用“下法”治疗脾胃病
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摘要
刘铁军教授从事中医内科临床、教学、科研40余载,创建了以"下法"为主的治疗肝脾胃病的学术思想,尤其在脾胃病的临床应用中,屡验奇效,体现了"六腑以通为用"的学术思想,刘铁军教授认为在脾胃病的论治中,"下法"不仅在阳明腑实证中应用,这只是狭义的下法,在虚证、虚实夹杂证中,通过中医辨证,给予健脾、益气、滋阴、化痰、祛瘀等多种辨证调护过程中亦少量应用,调节全身气血,将"下法"更广泛的应用于临床治疗脾胃病,同时通过中医传承辅助平台,总结刘铁军教授运用大黄治疗脾胃病的规律,指导临床潜方用药。
Professor Liu Tiejun has been engaged in clinical practice, teaching and scientific research of internal medicine of traditional Chinese medicine for more than 40 years. He has established the academic thought of treating liver, spleen and stomach diseases mainly by purgative method. Especially in the clinical application of spleen and stomach diseases, he has repeatedly proved miraculous effects, and embodied the academic thought of "the six fu viscera must keep its unobstructed". Professor Liu Tiejun thinks that the treatment of spleen and stomach diseases is not only in the application of the syndrome of excess of Yangmingfu-viscera, but also in a narrow sense, in the deficiency syndrome, deficiency and excess mixed syndrome. Through TCM syndrome differentiation, to give spleenstrengthening, qi-tonifying, yin-nourishing, phlegm-resolving, stasis-removing and other dialectical nursing process is also a small amount of application, regulating the whole body qi and blood, will be more widely used in the clinical treatment of spleen and stomach diseases. At the same time, through the auxiliary platform of traditional Chinese medicine inheritance, summarized Professor Liu Tiejun's use of Dahuang(rhubarb) in the treatment of spleen and stomach diseases, guiding the clinical use of latent prescriptions.
Professor Liu Tiejun has been engaged in clinical practice, teaching and scientific research of internal medicine of traditional Chinese medicine for more than 40 years. He has established the academic thought of treating liver, spleen and stomach diseases mainly by purgative method. Especially in the clinical application of spleen and stomach diseases, he has repeatedly proved miraculous effects, and embodied the academic thought of "the six fu viscera must keep its unobstructed". Professor Liu Tiejun thinks that the treatment of spleen and stomach diseases is not only in the application of the syndrome of excess of Yangmingfu-viscera, but also in a narrow sense, in the deficiency syndrome, deficiency and excess mixed syndrome. Through TCM syndrome differentiation, to give spleenstrengthening, qi-tonifying, yin-nourishing, phlegm-resolving, stasis-removing and other dialectical nursing process is also a small amount of application, regulating the whole body qi and blood, will be more widely used in the clinical treatment of spleen and stomach diseases. At the same time, through the auxiliary platform of traditional Chinese medicine inheritance, summarized Professor Liu Tiejun's use of Dahuang(rhubarb) in the treatment of spleen and stomach diseases, guiding the clinical use of latent prescriptions.
引文
[1]冷炎,常玲,刘彦晶.腑气不降状态下的脾胃病论治[J].中国民间疗法, 2016(1):11-12.
[2]张景洲,霍丹丹,张莹.刘铁军教授运用中医下法治疗肝病的经验探讨[J].时珍国医国药, 2007, 18(1):248-249.
[3]刘铁军.中医下法治疗肝病体会[J].吉林中医药, 2007,27(1):11-12.
[4]刘铁军,王立颖,李敏,等.下法与肠肝循环的关系及在肝性脑病中的应用[J].中西医结合肝病杂志, 2002, 12(6):186.
[5]江苏新医学院.中药大辞典[M].上海:上海科学技术出版社, 1999.
[6]曲华玲,付毅敏,邹勇.试论“下法”理论源流及在中医临床应用[J]. 2013, 11(6):614-616.
[7]刘铁军,侯丽颖,周志益.“通因通用”与“肠肝循环”的关系及在治疗慢性肝病泄泻中的应用[C]//第十三次全国中西医结合肝病学术会议论文汇编,北京:2003(9):74.
[8]刘铁军.“郁证”与消化系统心身疾病及从肝论治的思考[J].世界最新医学信息文摘, 2014(30):277-278.
[9]徐俊冕.医学心理学[M].上海:上海医科大学出版社,1999, 83.
[10]刘铁军.中西医结合治疗肝病思路探析[J].中西医结合肝病杂志, 2010, 20(4):193-196.
[11]潘洪峰,曾强,梁佳,等.论中医学和现代医学心身疾病观[J].临床心身疾病杂志, 2007, 13(3):193-194.
[12]刘铁军,杨世忠,王晓萍,等.中医调气学派与肝病心理治疗[J].长春中医药大学学报, 2000(2):5-6.
[13]邵金阶.略论中医对心身疾病的认识[J].湖北中医杂志,2002, 24(2):9-10.
[14]王汉.刘铁军教授治疗慢性肝病应用“治未病”思想初探[J].医药卫生(文摘版), 2015(9):272.
[15]郭晓莉,赵霞.重视中医药在消化系统心身疾病领域内的应用[J].中医研究, 2003, 16(6):2-3.
[16]孙维斌.下法在临证中的意义及应用探析[J].中华中医药学刊, 2004, 22(8):1556.
[17]刘舒音,张景洲.刘铁军教授运用通腑疗法治疗消化病的经验总结[J].吉林中医药, 2011, 31(8):720.
[18]吉兴旺,刘彦晶.刘铁军教授应用“对药”治疗肝病的经验[J].中西医结合肝病杂志, 2009, 19(2):109-111.
[19]贾桂芝,李敏,王立颖.刘铁军教授治疗肝病学术思想概要[J].长春中医学院学报, 2001, 17(2):8-10.
[20]梅明,郭丽.下法的调理气机作用浅谈[J].中国医药学报,2003, 18(3):162-164.
[2]张景洲,霍丹丹,张莹.刘铁军教授运用中医下法治疗肝病的经验探讨[J].时珍国医国药, 2007, 18(1):248-249.
[3]刘铁军.中医下法治疗肝病体会[J].吉林中医药, 2007,27(1):11-12.
[4]刘铁军,王立颖,李敏,等.下法与肠肝循环的关系及在肝性脑病中的应用[J].中西医结合肝病杂志, 2002, 12(6):186.
[5]江苏新医学院.中药大辞典[M].上海:上海科学技术出版社, 1999.
[6]曲华玲,付毅敏,邹勇.试论“下法”理论源流及在中医临床应用[J]. 2013, 11(6):614-616.
[7]刘铁军,侯丽颖,周志益.“通因通用”与“肠肝循环”的关系及在治疗慢性肝病泄泻中的应用[C]//第十三次全国中西医结合肝病学术会议论文汇编,北京:2003(9):74.
[8]刘铁军.“郁证”与消化系统心身疾病及从肝论治的思考[J].世界最新医学信息文摘, 2014(30):277-278.
[9]徐俊冕.医学心理学[M].上海:上海医科大学出版社,1999, 83.
[10]刘铁军.中西医结合治疗肝病思路探析[J].中西医结合肝病杂志, 2010, 20(4):193-196.
[11]潘洪峰,曾强,梁佳,等.论中医学和现代医学心身疾病观[J].临床心身疾病杂志, 2007, 13(3):193-194.
[12]刘铁军,杨世忠,王晓萍,等.中医调气学派与肝病心理治疗[J].长春中医药大学学报, 2000(2):5-6.
[13]邵金阶.略论中医对心身疾病的认识[J].湖北中医杂志,2002, 24(2):9-10.
[14]王汉.刘铁军教授治疗慢性肝病应用“治未病”思想初探[J].医药卫生(文摘版), 2015(9):272.
[15]郭晓莉,赵霞.重视中医药在消化系统心身疾病领域内的应用[J].中医研究, 2003, 16(6):2-3.
[16]孙维斌.下法在临证中的意义及应用探析[J].中华中医药学刊, 2004, 22(8):1556.
[17]刘舒音,张景洲.刘铁军教授运用通腑疗法治疗消化病的经验总结[J].吉林中医药, 2011, 31(8):720.
[18]吉兴旺,刘彦晶.刘铁军教授应用“对药”治疗肝病的经验[J].中西医结合肝病杂志, 2009, 19(2):109-111.
[19]贾桂芝,李敏,王立颖.刘铁军教授治疗肝病学术思想概要[J].长春中医学院学报, 2001, 17(2):8-10.
[20]梅明,郭丽.下法的调理气机作用浅谈[J].中国医药学报,2003, 18(3):162-164.