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"轻灵平和"治疗脾胃病经验浅析

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文章从"轻灵平和"的角度总结唐旭东教授治疗脾胃病的用药特点.唐教授认为治疗脾胃病时燮理升降需"轻灵"乃达,调和纳化宜"平和"乃安.具体而言,"轻以去实"即以味薄质轻之品宣达实邪,常以瓜蒌皮轻宣痰热、紫苏叶与荷叶宣化湿滞、玫瑰花和绿萼梅轻疏肝郁等."灵以化滞"即以具有生发、芳香之性的灵动之品通食积、湿邪之滞,常用大豆黄卷与麦芽、藿香与佩兰等;以宣散、通利并举拨动气机,常用香苏散、黄芩滑石汤等方."平以复衡"即详察脾胃升降纳化之候,精准把握辛开运脾与苦降和胃的分寸,调复平衡."和以调中"即用药缓和、润燥相济,且注重柔肝和中、调和气血.
Prescription style of'light,dynamic,balanced and harmonious'for treating spleen and stomach diseases
This article expounds TANG Xudong's prescription style in terms of'light,dynamic,balanced,and harmonious'.Professor TANG advocates that it's essential to unblock and descend stomach qi and to balance the functions of intaking and transforming when treating spleen and stomach diseases,the strategy for which can be summarized as'light,dynamic'and'balanced,harmonious'respectively.To be exact,'light'is to release excessive pathogens with light herbs.'Dynamic'is to unblock the stagnation with herbs that maintain the dynamic of qi,and to regulate qi with a strategy that combines releasing and unblocking therapies.'Balanced'is to precisely restore the balance between functions of intaking and transforming,based on detailed consultation.'Harmonious'is to harmonize the contradiction between moistness and dryness,liver depression and spleen deficiency,and between qi dificiency and blood deficiency.

Light,dynamic,balanced,and harmoniousHarmonizing the center to restore balanceSpleen and stomach diseasesFamous doctors'experienceTANG Xudong

刁云皓、张佳琪、张北华、马祥雪、唐旭东

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北京中医药大学研究生院,北京 100029

中国中医科学院西苑医院脾胃病研究所,北京 100091

轻灵平和 调中复衡 脾胃病 名医经验 唐旭东

国家自然科学基金重点项目中华中医药学会青年人才托举工程项目

81830118CACM-2021-QNRC1-02

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(5)