张珍玉辨治脾胃病经验
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国家中医药管理局张珍玉名老中医传承工作室建设项目(2010-112);中医经典名方治疗基层消化内科常见病(胃痛、痞满、泄泻、痢疾、便秘)诊疗指南制定项目(2019-0966);山东省重点研发计划项目(2016GSF202024)


Zhang Zhenyu's Experience in Differentiating and Treating Spleen and Stomach Diseases
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    摘要:

    脾胃病为临床常见病。张珍玉先生总结历代医家关于脾胃生理功能及病理特点等理论,结合自身临床经验,形成了自己的学术思想。张老认为脾胃病为本虚标实、虚实夹杂之证,病位在脾胃,与肝密切相关,推崇通过调动、激发人体固有的愈病能力来治疗疾病。在脾胃病的治疗中,应治病求本、标本兼顾,注重脾胃气机升降,调肝以治脾,处方用药量小力宏。针对具体疾病主张辨病辨证相结合,在基本方的基础上根据辨证加减用药。

    Abstract:

    Spleen and stomach diseases are common clinical diseases.Mr.Zhang Zhenyu summarized the theories of previous medical experts regarding the physiological functions and pathological characteristics of the spleen and stomach,and combined it with his own clinical experience to form his own academic ideas.Mr.Zhang believed that spleen and stomach diseases are characterized by asthenia in origin and sthenia in superficiality and deficiency-excess in complexity,with the disease site located in the spleen and stomach and closely related to the liver.He advocated for mobilizing and stimulating the body's inherent healing ability to treat diseases.In the treatment of spleen and stomach diseases,it is necessary to treat both the root cause and the symptoms,pay attention to the ascending and descending of the spleen and stomach qi,treat the spleen by regulating the liver,and prescribe small doses of medicine with a broad therapeutic effect.For specific diseases,he advocated for combining disease differentiation with syndrome differentiation,and modifying prescriptions based on syndrome differentiation on the basis of basic formulas.

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郭祖正,魏凤琴,王钰,曹志群.张珍玉辨治脾胃病经验[J].世界中医药,2023,(09).

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  • 收稿日期:2021-09-02
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  • 在线发布日期: 2023-05-22
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