| 白钰,任莉,陈永灿.陈永灿经方组合辨治脾胃病举隅[J].浙江中医药大学学报,2024,48(11):1396-1399. |
| 陈永灿经方组合辨治脾胃病举隅 |
| CHEN Yongcan’s Experience in Treating Spleen and Stomach Diseases with Combination of Classic Prescriptions |
| DOI：10.16466/j.issn1005-5509.2024.11.009 |
| 中文关键词: 经方 《伤寒论》 脾胃病 临证经验 生姜半夏汤 二陈汤 医案 陈永灿 |
| 英文关键词: classic prescriptions Treatise on Febrile Diseases spleen and stomach diseases clinical experience Shengjiang Banxia Decoction Erchen Decoction medical cases CHEN Yongcan |
| 基金项目:2022年全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)；第七批全国老中医药专家学术经验师承项目(国中医药人教函〔2022〕76号) |
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| 中文摘要: |
| [目的] 从经方组合运用的角度阐述陈永灿治疗脾胃病的临证经验。 [方法] 选取陈永灿门诊中能够体现其以经方组合为主诊治相关疾病的典型医案3则，即生姜半夏汤合二陈汤治小儿功能性呕吐、大黄附子汤合四磨饮子治顽固性便秘、桃花汤合葛根芩连汤治溃疡性结肠炎，详细介绍辨治思路，重点阐述对上述仲景方药的灵活运用和对《伤寒论》条文的独到见解。[结果] 生姜半夏汤为主，配合二陈汤，更好地发挥其降逆止呕、化饮和胃的作用，从而快速解决小儿呕吐；大黄附子汤加入四磨饮子，转换为温通的思路，突破了顽固型便秘的窘境；桃花汤合葛根芩连汤治疗溃疡性结肠炎，以清湿热、解毒滞、凉血热为辨治方向，疗效满意，并提出了桃花汤非温涩之剂的独特见解。 [结论] 陈永灿临证活用经方组合治疗脾胃病的经验，对当今医者中医药临床水平的提升有积极的借鉴意义。 |
| 英文摘要: |
| [Objective] To elaborate the clinical experience of CHEN Yongcan， a national expert in traditional Chinese medicine， in the treatment of spleen and stomach diseases， from the perspective of combination of classic prescriptions. [Methods] Select three medical cases from CHEN Yongcan’s outpatient clinic that can reflect the characteristics of his active use of traditional Chinese medicine， namely Shengjiang Banxia Decoction combined with Erchen Decoction for treating functional vomiting in children， Dahuang Fuzi Decoction combined with Simo Yinzi for treating stubborn constipation， Taohua Decoction combined with Gegen Qinlian Decoction for treating ulcerative colitis. Provide a detailed introduction for the differentiation and treatment approach， with a focus on the flexible use of the above-mentioned Zhongjing formulas and unique insights into the provisions of the treatise on Shanghan Lun. [Results] Shengjiang Banxia Decoction is mainly used， combined with Erchen Decoction， to better exert its effects of reducing reflux， stopping vomiting， resolving accumulation and stomach problems， thereby quickly solving vomiting in children；The addition of Dahuang Fuzi Decoction to Simo Yinzi has transformed the concept of warming and promoting digestion， breaking through the dilemma of stubborn constipation；Taohua Decoction combined with Gegen Qinlian Decoction treats ulcerative colitis with the direction of clearing dampness heat， detoxifying stagnation and cooling blood heat. The therapeutic effect is satisfactory， and the unique insight that Taohua Decoction is not a warm and astringent agent is proposed. [Conclusion] CHEN Yongcan is adept at using traditional Chinese medicine formulas to treat spleen and stomach diseases， which has positive reference significance for the improvement of the clinical level of traditional Chinese medicine among today’s doctors. |
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