吕文亮运用湿热伏邪理论治疗慢性脾胃病临床经验
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摘要
吕文亮教授擅长运用温病理论论治内伤疑难杂病,尤其对慢性脾胃病的治疗颇有心得。临证挖掘出"湿热伏邪"理论,认为"湿热伏邪"具有郁热、耗阴、瘀阻、潜伏、缠绵的特点,是导致慢性脾胃病病情反复的关键。针对慢性脾胃病"湿热羁伏、脾胃失运"的病机特点,确立扶正、透邪、除邪的治疗原则,发病期治以清透湿热,佐以活血通络,扶正透邪;缓解期注重扶助正气,治以健脾养胃,酌情清热化湿,理气活血;结合四时阴阳变化加减化裁,使久羁深伏之湿热外出清解。
Professor LYU Wen-liang specializes in using the theory of warm disease to treat internal difficult and complicated diseases, especially the chronic spleen and stomach diseases. Professor LYU have excavated ‘dampness-heat insidious pathogen theory', and it is considered as the characteristics of stagnated heat, stagnant blockade of blood, latent and lingering, which are the key to lead the recurrence of chronic spleen and stomach diseases. Dampness-heat hiding, dysfunction of spleen and stomach in transportation and transformation are pathogenic characteristics of chronic spleen stomach diseases,based on this character, he establishes the therapeutic principles of strengthening body resistance, expelling pathogenic factors and eliminating pathogenic factors. During onset period, the treatment are clearing away dampness-heat, promoting blood and activating collaterals, and strengthening body resistance and expelling pathogenic factors. During remitting stage, he focuses on strengthening body resistance, as invigorating the spleen and nourishing the stomach, combining with clearing heat and promoting diuresis, regulating qi for activating blood circulation, based on differentiation of syndromes. Combined with the change of yin and yang in four seasons, it can clear away the long-standing dampness-heat and bring a cure.
Professor LYU Wen-liang specializes in using the theory of warm disease to treat internal difficult and complicated diseases, especially the chronic spleen and stomach diseases. Professor LYU have excavated ‘dampness-heat insidious pathogen theory', and it is considered as the characteristics of stagnated heat, stagnant blockade of blood, latent and lingering, which are the key to lead the recurrence of chronic spleen and stomach diseases. Dampness-heat hiding, dysfunction of spleen and stomach in transportation and transformation are pathogenic characteristics of chronic spleen stomach diseases,based on this character, he establishes the therapeutic principles of strengthening body resistance, expelling pathogenic factors and eliminating pathogenic factors. During onset period, the treatment are clearing away dampness-heat, promoting blood and activating collaterals, and strengthening body resistance and expelling pathogenic factors. During remitting stage, he focuses on strengthening body resistance, as invigorating the spleen and nourishing the stomach, combining with clearing heat and promoting diuresis, regulating qi for activating blood circulation, based on differentiation of syndromes. Combined with the change of yin and yang in four seasons, it can clear away the long-standing dampness-heat and bring a cure.
引文
[1]任继学.伏邪探微.长春中医药大学学报,2005,21(1):4-5
[2]李连成.湿阻的流行病学调查.中医杂志,1992,33(6):44-45
[3]杨春波,黄可成,肖丽春.脾胃湿热证的临床研究——附400例资料分析.中医杂志,1994,35(7):425-427
[4]国家技术监督局.GB/T16751.2-1997中华人民共和国国家标准中医临床诊疗术语:证候部分.北京:中国标准出版社,1997
[5]万莹,吕文亮,高清华,等.慢性胃炎脾胃湿热证的胃镜像特点.中国中西医结合消化杂志,2015,23(10):690-692
[6]中华中医药学会脾胃病分会.慢性胃炎中医诊疗专家共识意见(2017).中华中医药杂志,2017,32(7):3060-3064
[2]李连成.湿阻的流行病学调查.中医杂志,1992,33(6):44-45
[3]杨春波,黄可成,肖丽春.脾胃湿热证的临床研究——附400例资料分析.中医杂志,1994,35(7):425-427
[4]国家技术监督局.GB/T16751.2-1997中华人民共和国国家标准中医临床诊疗术语:证候部分.北京:中国标准出版社,1997
[5]万莹,吕文亮,高清华,等.慢性胃炎脾胃湿热证的胃镜像特点.中国中西医结合消化杂志,2015,23(10):690-692
[6]中华中医药学会脾胃病分会.慢性胃炎中医诊疗专家共识意见(2017).中华中医药杂志,2017,32(7):3060-3064