首页|刘永丰主任医师辨证治疗罕见少阳虚证腹痛经验浅析

刘永丰主任医师辨证治疗罕见少阳虚证腹痛经验浅析

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腹痛为中医内科常见疾病,其病因复杂,证型多变,辨证尤为重要.文章以刘永丰主任医师接诊一例腹痛病为例,探讨总结刘永丰主任医师治疗腹痛的临床经验.刘老在诊治过程中以六经辨证为主,结合八纲及脏腑辨证,诊断为较为罕见的少阳虚证,其病机变化为早期少阳枢机不利,升降失常,中期正气亏虚,余邪留恋,后期气阴两虚提出早期斡旋气机,和解少阳,祛急为主,中期补虚复正,兼去旧邪,后期固护脾胃,养阴益气,不忘后天之本的治疗思想,并根据患者病机变化在不同阶段分别予小柴胡汤、人参败毒散、沙参麦冬汤等方化裁,收效显著.文章结合此例医案,分析、还原诊疗思路及经过、解析具体方药,体会刘老应用六经辨证的诊疗思路,体现其调和脏腑枢机、重视审证求因、临证化裁、顾护气血津液的治疗思想,为腹痛诊疗开阔了辨证思路,提供了临床经验,希望更好地指导临床,应用于患者.
An analysis of Chief Physician LIU Yongfeng's experience in treating rare abdominal pain of the Shaoyang deficiency syndrome based on syndrome differentiation
Abdominal pain is a common disease in traditional Chinese medicine,with a complex etiology and variable syndrome types,making syndrome differentiation particularly important.This article takes one case of abdominal pain treated by Chief Physician LIU Yongfeng as an example to explore and summarize the clinical experience in treating abdominal pain.During the diagnosis and treatment process,LIU Yongfeng mainly diagnosed Shaoyang(少 阳)deficiency syndrome based on the Six meridians differentiation,combined with the eight principles and viscera differentiation.It is believed that the pathogenesis changes include unfavorable Shaoyang axis,abnormal ascending and descending in the early stage,deficiency of healthy Qi(气)in the middle stage,excessive evil lingerling,and deficiency of both Qi and Yin(阴)in the later stage.It is proposed to mediate the Qi mechanism,reconcile Shaoyang,dispel urgency as the main focus in the early stage,supplement deficiency and restore healthy Qi in the middle stage,and also eliminate old evil factors.In the later stage,it is recommended to strengthen the spleen and stomach,nourish Yin and replenish Qi,and not forget the essence of acquired nature.And according to the changes in the patient's pathogenesis,prescriptions such as the Xiaochaihu decoction(小柴胡汤),Renshen Baidu San(人参败毒散),and the Shashen Maidong decoction(沙参麦冬汤)were administered at different stages,with significant results.This article combines this medical case to analyze and reappear the diagnosis and treatment ideas and processes,analyze specific prescriptions,and experience LIU's diagnosis and treatment approach of using the six meridians syndrome differentiation.It reflects the treatment ideas of reconciling the visceral axis,emphasizing the examination of causes,clinical differentiation,and caring for Qi,blood,and body fluids.It broadens ideas for the diagnosis and treatment of abdominal pain,provides clinical experience,and better guide clinical practice and serve patients.

The Shaoyang deficiency syndromeAbdominal painExperience

赵爱玲、卫明、李彦龙、刘雅琴

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甘肃省中医院,甘肃 兰州,730050

少阳虚证 腹痛 经验

甘肃省自然科学基金

21JR11RA205

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(8)
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