史载祥辨治顽固性腹胀经验撷英

发布时间：2018-05-20 17:01

本文选题：名医经验 + 史载祥　；参考：《中国中医药信息杂志》2017年05期

【摘要】：顽固性腹胀是指合理应用调和肝脾、理气除胀等治疗而无明显疗效之腹胀。史载祥教授认为,在肝脾不调基础上,顽固性腹胀尚存在脾阳不升、脾胃失和之病机,治宜升举清阳、补中益气、实卫固表,方选补中益气汤加减,小其制投药;对瘀血留滞、络脉瘀阻证之腹胀,宜活血化瘀、理气行滞、通利血脉,方选膈下逐瘀汤合大黄?虫丸;对肺失宣降、肃降不能之腹胀,宜宣肃肺气、润燥滑肠、行气消胀,方选温白丸加减;对沉寒痼冷、阳损寒凝之腹胀,宜温通逐寒、温补脾肾、温里助阳,可选九转玉壶丹;对奇经受累、阴阳俱损之腹胀,宜通补奇经、温补阴阳、补益肝肾,方选肉苁蓉丸加减。治疗顽固性腹胀需整体辨证、变通施治。
[Abstract]:Obstinate abdominal distension is a kind of abdominal distension without obvious effect. Professor Shi Zexiang believes that on the basis of the non-regulation of the liver and the spleen, the stubborn abdominal distension still has the pathogenesis of spleen yang not rising and spleen and stomach disharmony. It is appropriate to treat the disease by raising the clear yang, supplementing the middle and supplementing the qi, the solid Wei Gu table, and selecting the prescription to supplement the middle and replenish the qi, so as to make the medicine small; and to leave the blood stasis behind. The abdominal distension of the syndrome of collaterals stasis is suitable for promoting blood circulation and removing blood stasis, regulating qi and moving stagnation, communicating blood vessels, and choosing the decoction for removing blood stasis under the diaphragm and rhubarb? Chong Pill; for the lung loss, purge can not be abdominal distension, should be Xuanzuo lung qi, dry smooth intestines, do Qi expandable, Fang Xuan Wen Bai Wan add and subtract; to Shen cold, Yang damage cold condensation of abdominal distension, should be warm by cold, warm spleen kidney, warm Li to help Yang, Can choose nine turn Yubu Dan; Qijing involved, Yin and Yang damage of abdominal distension, should be through Qi Jing, warm Yin Yang, tonifying liver and kidney, Cistanche pill plus or minus. The treatment of obstinate abdominal distension needs integral differentiation of symptoms and signs, alternative treatment.
【作者单位】：北京燕化医院消化科;中日友好医院;
【分类号】：R249;R256.3

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