文章摘要
徐素美,谢益文,张翔,等.从“气化”浅述国医大师葛琳仪运用风药治疗脾胃病之学术思想[J].浙江中医药大学学报,2024,48(5):548-552.
从“气化”浅述国医大师葛琳仪运用风药治疗脾胃病之学术思想
Brief Introduction of the Academic Thought of Master of Traditional Chinese Medicine GE Linyi’s Application of Wind Herbs in Spleen and Stomach Diseases from Gasification
DOI:10.16466/j.issn1005-5509.2024.05.004
中文关键词: 气化  风药  脾胃病  学术思想  国医大师  葛琳仪
英文关键词: gasification  wind herbs  spleen and stomach diseases  academic ideas  master of traditional Chinese medicine  GE Linyi
基金项目:浙江省卫生高层次人才培养计划项目(浙卫办﹝2022﹞32 号);浙江省自然科学基金项目 (LGF21H160019、LY21H270009); 浙江省中医药管理局项目(2021ZX005、2020ZZ009、2024ZF012、2022ZB125)
作者单位
徐素美 浙江中医药大学附属第一医院浙江省中医院 杭州 310006 
谢益文 浙江中医药大学附属第一医院浙江省中医院 杭州 310006 
张翔 浙江中医药大学附属第一医院浙江省中医院 杭州 310006 
徐王达 浙江中医药大学附属第一医院浙江省中医院 杭州 310006 
颜雯茜 浙江中医药大学附属第一医院浙江省中医院 杭州 310006 
黄琦 浙江中医药大学附属第一医院浙江省中医院 杭州 310006 
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中文摘要:
      [目的] 介绍国医大师葛琳仪教授(以下简称葛教授)分层次施用风药辨治脾胃病的临床特色及其临证经验。[方法] 通过理论溯源,跟师随诊,整理并分析葛教授基于气化理论运用风药治疗脾胃系疾病的临床医案,总结葛教授巧施风药辨治脾胃病的思路、心得和用药特色,并附医案一则加以佐证。[结果] 气化是生命的基本活动,气化异常是疾病产生的重要原因。葛教授指出,脾胃病的基本病机是“气化异常”,常从“气化”切入,巧施风药以调畅气机,恢复脾升胃降功能,维稳五脏气机,具体分为四个层次:以风药疏肝和脾、壮气运脾、燥湿健脾以及搜风通络养脾。常用的风药有柴胡、防风、黄芪、升麻、佛手、紫苏梗、苍术、娑罗子、桑叶、藿香、草果、厚朴、佩兰、徐长卿、炒僵蚕等及其组成的药对、药串。[结论] 葛教授临证精于辨证,从“气”切入,按不同层次巧施风药治疗脾胃病,特色鲜明,疗效显著,其学术思想值得临床借鉴和推广。
英文摘要:
      [Objective] To introduce the clinical characteristics and experience of Professor GE Linyi (hereinafter referred to as Professor GE), a master of traditional Chinese medicine, in the treatment of spleen and stomach diseases with wind herbs at different levels.[Methods] Through the theoretical traceability, following up with teachers, it summarizes Professor GE’s ideas and experiences in the skillful use of wind herbs for the differentiation and treatment of spleen and stomach diseases based on the theory of gasification, as well as the characteristics of her medication, and provides a medical case as evidence. [Results] Gasification is a fundamental activity of life, and abnormal gasification is an important cause of disease, In terms of the diagnosis and treatment ideas, Professor GE believes that“gasification failure” is the basic pathogenesis of spleen and stomach diseases. In clinical practice, Professor GE treats spleen and stomach diseases from“ gasification”,to regulate Qi movement and maintain the function of spleen ascending and stomach descending, and skillfully applies wind herbs to soothe the liver with wind, strengthen Qi with wind, dry dampness with wind, and search wind and dredge collaterals. The commonly used wind herbs are Bupleurum chinense, Saposhnikoviae Radix, Astragali Radix, Cimicifugae Rhizoma, Citri Sarcodactylis Fructus, Perillae Radix, Atractylodes Rhizome, Aesculi Rhizoma, Morus alba Linn., Agastache rugosa, Amomum tsaoko,Magnolia officinalis, Eupatorium fortunei, Cynanchum paniculatum, Bombyx Batryticatus and herb strings, herb pairs. [Conclusion] Professor GE is good at syndrome differentiation in clinical practice, skillfully applies wind herbs to regulate Qi according to different levels in treating spleen and stomach diseases. The academic thought has distinct characteristics and remarkable curative effect, which is worthy of clinical reference and promotion.
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