首页|裘生梁健脾祛湿兼补脾阳治疗痞满临床经验

裘生梁健脾祛湿兼补脾阳治疗痞满临床经验

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[目的]总结裘生梁主任中医师采用健脾祛湿兼补脾阳法治疗痞满的临床思路.[方法]通过日常跟诊学习及医案收集,结合相关资料,总结裘师从健脾祛湿兼补脾阳治疗痞满的经验,并附临床验案以佐证.[结果]因生活环境、工作节奏快及饮食不节的原因,现代人脾胃易损伤,导致中焦气机不利形成痞满,临床上裘师常采用健脾祛湿、兼补脾阳的方法治疗痞满,效果显著.文中所举医案中,患者因脘胀反复、大便黏滞前来就诊,裘师辨为脘痞之脾虚湿盛证,治以健脾祛湿、温运脾阳、消食安神之药,治疗后病情好转明显.[结论]裘师从健脾祛湿兼补脾阳法治疗痞满,治疗效果显著,值得临床分享学习.
QIU Shengliang's Experience on Treating Distention and Fullness by Dispelling Dampness to Simultaneously Fortify the Spleen and Tonify the Spleen Yang
[Objective]To summarize the thought process behind Chief QIU Shengliang's decision to dispel dampness in order to fortify the spleen and tonify the spleen Yang in clinical treatment of distention and fullness.[Methods]The clinical applications of the aforementioned dampness dispelling technique were compiled for future reference through experience gained via apprenticeship,gathered medical cases,Chief QIU's verbal account on the matter and relevant references.Proven clinical cases were also attached at the end of the report for verification.[Results]Living environment,fast-paced jobs and irregular diet nowadays are making people more prone to spleen-stomach dysfunction and inhibition of Qi movement throughout the middle-Jiao,which in turn leads to distention and fullness.Chief QIU often clinically treats distention and fullness using the aforementioned dampness dispelling technique,for which remarkable efficacy has been achieved.In the medical case reported in this study,the patient was admitted due to recurrent abdominal distension and frequent loose stool.the patient was diagnosed with abdominal distension featuring spleen deficiency and dampness excess by Chief QIU.After treated by strengthening the spleen,dispelling dampness,warming the spleen Yang,promoting digestion and tranquilizing the mind,the patient showed significantly improved condition.[Conclusion]Chief QIU treats distention and fullness by dispelling dampness with the view to fortify the spleen and tonifying the spleen Yang,whose therapeutic efficacy is worth extensive share and popularization.

distention and fullnessspleen deficiency and dampness excessinternal and external causesdispelling dampness to fortify the spleentonifying the spleen YangJianpi Qushi FormulaQIU Shengliang

程建林、贺雨婷、裘生梁

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浙江中医药大学第一临床医学院 杭州 310053

浙江省中医院(浙江中医药大学附属第一医院)

痞满 脾虚湿盛证 内外病因 健脾祛湿 温运脾阳 健脾祛湿方 裘生梁

浙江省中医药科学研究基金浙江省大学生科技创新活动计划(新苗人才计划)

2022ZA0562023R410006

2024

10.16466/j.issn1005-5509.2024.06.020

浙江中医药大学学报
浙江中医药大学

浙江中医药大学学报

CSTPCD
影响因子：1.049
ISSN：1005-5509
年,卷(期)：2024.48(6)
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