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张简斋辨治胃脘痛经验撷菁
Clinical Experience of Zhang Jianzhai in Treating Epigastric Pain
【摘要】 胃脘痛是临床常见且多发的一种消化系统疾病,本文通过系统回顾张简斋先生关于胃脘痛的诊治病案,分析总结先生治疗胃脘痛的用药思路和经验,发现先生临证辨治注重调护脾胃之时,兼顾肝肾,治法上活用八法,胃有瘀污痰浊者,自拟清胃豁痰方以清胃豁痰;肝胃两病者,自拟和畅疏化方疏肝和胃;肝木凌胃者,予刚柔复方柔肝养胃;中阳不足者,以小建中汤建中化气。简斋先生深谙药性,用药精当,对现今临床颇多启示。
【Abstract】 Epigastric pain is a common and frequent digestive system disease in clinical practice. This paper systematically reviewed the medical records of Zhang Jianzhai on the diagnosis and treatment of epigastric pain and summarized his medication ideas and experience in the treatment of epigastric pain. It is found that Zhang Jianzhai has paid attention to the protection of the spleen and stomach in clinical syndrome differentiation and treatment and taken into account the liver and kidney. In addition, he used eight methods flexibly in the treatment. For those with blood stasis and phlegm turbidity in the stomach, a self-made Qingwei Huotan prescription was used to clear the stomach and eliminate phlegm. For patients with liver and stomach diseases, a self-made Hechang Shuhua prescription could soothe the liver and stomach; for patients with liver-muling stomach, a rigid-flexible compound prescription was used to soften the liver and nourish the stomach; for those with insufficient middle Yang, Xiaojianzhong Decoction was used to build middle. Qi. Zhang Jianzhai is versed in drug properties and medication precision, providing inspiration for current clinical practice.
- 【文献出处】 基层中医药 ,Basic Traditional Chinese Medicine , 编辑部邮箱 ,2025年03期
- 【分类号】R256.33;R249
- 【下载频次】23