首页|胡斌名老中医舌诊脾胃病经验

胡斌名老中医舌诊脾胃病经验

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舌诊是中医望诊中最重要的组成部分,在辨证过程中对于证候性质的把控,特别是寒、热、虚、实的定性,具有重要的指导意义,另外通过五脏六腑在舌的不同反射区,舌诊对于疾病的定位也具有重要作用。胡斌教授在脾胃病的临床诊疗过程中特别重视舌诊的应用,认为舌诊是中医诊法的重要特色之一,舌象是临床诊病、辨证、判定病情轻重及预后等的重要依据,临床上通过舌象的改变,结合临床症状的变化指导药物加减,往往达到"望而知之"的效果。本文通过对胡斌教授 200 例脾胃病患者医案进行统计分析,探讨脾胃病科临床最常见疾病中慢性胃炎与慢性腹泻,通过舌象的诊断辨别疾病的属性,在基本方的基础上随证增加补气健脾、温中、清热等药物后,患者的舌象趋于正常,疾病也随之恢复。
Experience of the famous traditional Chinese medicine doctor Hu Bin in tongue diagnosis of spleen and stomach diseases
Tongue diagnosis is the most important component of traditional Chinese medicine inspection.The controlling of the nature of symptoms in the syndrome differentiation process,especially for determining the nature of cold,heat,deficiency,and excess,has important guiding significance.In addition,through the different reflex areas of the five viscera and six bowels in the tongue,tongue diagnosis also plays an important role in locating diseases.Professor Hu Bin attaches great importance to the application of tongue diagnosis in the clinical diagnosis and treatment of spleen and stomach diseases.He believes that tongue diagnosis is one of the important characteristics of traditional Chinese medicine diagnosis,and tongue image is an important basis for clinical diagnosis,syndrome differentiation,judgment of the severity of the condition,and prognosis.In clinical practice,changes in tongue image combined with changes in clinical symptoms are often used to guide the addition or subtraction of drugs,thus achieving the effect of"knowing by sight".This article conducts a statistical analysis of the medical records of professor Hu Bin's 200 patients with spleen and stomach diseases,exploring chronic gastritis and chronic diarrhea,the most common clinical diseases in the Department of Spleen and Stomach Diseases.Through the diagnosis of tongue images,the attributes of the disease are identified.Based on the basic formula,drugs tonifying qi and spleen,warming the middle,and clearing heat are added along with the syndrome.When the patient's tongue images tend to be normal,the disease recovers.

Spleen and stomach diseaseChronic gastritisTongue imageClinical experience

李海涛、张晓明、郭婷婷、鄢雪辉

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浙江中医药大学附属金华中医院,浙江金华 321017

脾胃病 慢性胃炎 舌象 临床经验

浙江省中医药科技计划浙江省金华市科技计划

2021ZB3212020-4-052

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(7)
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