张志远运用赭石治疗胃病经验
ZHANG Zhiyuan's Experience in Treating Gastric Diseases with Daizheshi(Haematitum)
韦美岐 1刘桂荣1
作者信息
- 1. 山东中医药大学中医文献与文化研究院,山东省济南市长清区大学路4655号,250355
- 折叠
摘要
总结国医大师张志远运用赭石治疗胃病的经验.认为治疗胃病以恢复胃气肃降为要,赭石为降胃气、降逆气的要药,尤适用于胃病的治疗.常以赭石配伍柴胡、吴茱萸以解郁降逆,配伍大黄、瓜蒌以消痰降气,配伍沉香以调气畅中,配伍人参以开壅补虚.对于肝胃不和者,在疏肝理气药中加入赭石可以降肝平冲,恢复胃气的通降之性;对于胆胃不和者,在利胆化痰药中加入赭石可使痰浊下降,胆火达胃,胆之清气自可升发;对于脾胃不和者,在健脾温胃药中加入赭石可以镇逆安中,使虚可受补;对于肺胃不和者,在润肺清胃药中加入赭石可以降胃和阴,直折亢火,佐金肃气,培土生金,助化津液.
Abstract
This paper summarized the experience of ZHANG Zhiyuan,a master of traditional Chinese medicine,in treating gastric diseases with Daizheshi(Haematitum).It is believed that the treatment of gastric diseases should focus on restoring the purification and descent of stomach qi,and Daizheshi,as the essential medicine for directing stomach qi and counterflow downward,is especially suitable.Commonly,Daizheshi is used in combination with herbal medici-nals Chaihu(Radix Bupleuri)and Wuzhuyu(Fructus Evodiae)to relieve constraint and direct counterflow downward,with Dahuang(Radix et Rhizoma Rhei)and Gualou(Fructus Trichosanthis)to disperse phlegm and direct qi down-ward,with Chenxiang(Lignum Aquilariae Resinatum)to regulate qi and unblock the center,and with Renshen(Radix et Rhizoma Ginseng)to open congestion and supplement deficiency.For the syndrome of disharmony between the liver and stomach,the addition of Daizheshi to liver soothing and qi regulating medicinals can lower liver Qi and calm Chong Qi(冲气),restore the unblock and purge nature of stomach qi.For the syndrome of disharmony between the gallbladder and stomach,adding Daizheshi to the medicinals for gallbladder function promoting and phlegm resolv-ing can direct phlegm turbidity downward,and promote gallbladder fire to reach the stomach,permitting the clear qi of the gallbladder rising naturally.For spleen and stomach disharmony syndrome,adding Daizheshi to the medicinals for spleen fortifying and stomach warming can calm the counterflow and the center,allowing the deficiency can be replenished.For lung and stomach disharmony,the addition of Daizheshi to medicinals for lung moistening and stomach clearing can directing stomach qi downward and harmonizing yin,direct repulsion of hyperactive fire,assist metal to purify qi,bank up earth to generate metal,and help with transformation of body fluids.
关键词
赭石/胃病/名医经验/张志远Key words
Daizheshi(Haematitum)/gastric diseases/experience of famous doctors/ZHANG Zhiyuan引用本文复制引用
基金项目
国家中医药局国医大师传承工作室建设项目(国中医药人教发[2018]119号)
齐鲁医派中医学术流派传承项目(鲁卫函[2022]93号)
出版年
2024
国家科技期刊平台
NSTL
万方数据