| 金子然,陈佳丽,夏永良.夏永良运用逍遥散验案五则[J].浙江中医药大学学报,2022,46(1):86-89. |
| 夏永良运用逍遥散验案五则 |
| Five Medical Cases of Director XIA Yongliang‘s Clinical Experience in Using Xiaoyao Powder |
| DOI：10.16466/j.issn1005-5509.2022.01.015 |
| 中文关键词: 逍遥散 慢性胃炎 疲劳综合征 腹泻型肠易激综合征 特应性皮炎 乳腺结节 夏永良 医案 |
| 英文关键词: Xiaoyao Powder chronic gastritis fatigue syndrome diarrhea-predominant irritable bowel syndrome atopic dermatitis breast nodules XIA Yongliang medical cases |
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| 中文摘要: |
| [目的] 总结夏永良主任临床应用逍遥散的经验。[方法] 通过跟随夏师临证，选取夏师治疗慢性胃炎、疲劳综合征、腹泻型肠易激综合征、特应性皮炎、乳腺结节验案共5则，并结合历代名家的相关论述和现代药理研究，从病因病机、辨证论治、用药特点等方面，分析总结夏师应用逍遥散的学术观点及临床经验。[结果] 夏师认为，运用逍遥散需抓住肝气郁滞，兼夹脾虚或血弱的病机，临床常将逍遥散与六味地黄丸、痛泻要方、升降散、桃红四物汤等方合用。只要辨证准确，逍遥散治疗慢性胃炎能减轻胃胀的症状，治疗疲劳综合征可以改善疲劳，治疗腹泻型肠易激综合征可以减少大便次数，治疗特应性皮炎可以减少皮疹、止痒；治疗乳腺结节可以缩小肿块。[结论] 夏师围绕肝郁血虚脾弱这一病机，灵活运用逍遥散治疗各类疾病，取得显著的临床疗效，其经验值得学习与推广。 |
| 英文摘要: |
| [Objective] To sum up the experience of Director XIA Yongliang in clinical application of Xiaoyao Powder. [Methods] By following Director XIA’s clinical work， selecting five medical records of chronic gastritis， fatigue syndrome， diarrhea-predominant irritable bowel syndrome， atopic dermatitis and breast nodules， combined with the related exposition of past masters and modern pharmacological research， this paper analyzed and summarized Director XIA’s academic point of view and clinical experience in applying Xiaoyao Powder from the aspects of etiology， pathogenesis， treatment based on syndrome differentiation and medication characteristics. [Results] Director XIA regards that the clinical application of Xiaoyao Powder should grasp the pathogenesis of stagnation of the liver Qi combined with deficiency of the spleen or blood weakness， and he often combines Xiaoyao Powder with Liuwei Dihuang Pill， Tongxie Yaofang， Shengjiang Powder and Taohong Siwu Decoction， etc. Director XIA believes that as long as the syndrome differentiation is accurate， Xiaoyao Powder can relieve the symptoms of gastric distension in the treatment of chronic gastritis， relieve fatigue by treating fatigue syndrome， reduce the frequency of defecation in treating diarrhea-predominant irritable bowel syndrome， reduce skin rash and relieve itching in treating atopic dermatitis， and shrink the mass in the treatment of breast nodules. [Conclusion] Based on the pathogenesis of stagnation of liver Qi， deficiency of the spleen and blood weakness， Director XIA flexibly applies Xiaoyao Powder to treat all kinds of diseases. His experience has achieved considerable clinical effect， which is worthy of reference. |
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