杨霖健脾调中法治疗胃肠病经验举隅-专业网站制作.pdf

中医临床研究 2016 年第 8 卷 第 15 期 -1- 杨霖健脾调中法治疗胃肠病经验举隅 Experiences of Yang Lin in treating gastrointestinal disease by invigorating spleen and regulating middle-jiao 杨雪峰 （海门市第六人民医院，江苏 海门，226152 ） 中图分类号：R249.2 文献标识码：A 文章编号： 1674-7860（2016）15-0001-02 证型 ：IDGB 【摘 要】慢性萎缩性胃炎、肠易激综合征等胃肠病是内科临床常见多发病，目前西医的诊疗效果较为一般。杨霖老中医认 为脾胃虚弱、升降失常，是中医内科胃肠病的主要病机，治疗当以健脾调中为法。实践证明，该法在中医内科胃肠病的治疗中能 取得较为满意疗效。 【关键词】胃肠病；健脾调中法；杨霖 【Abstract 】Chronic atrophic gastritis, gastrointestinal diseases such as irritable bowel syndrome are common conditions in clinical internal medicine, currently, the western medicine diagnosis and treatment are not very satisfactory. Yang Lin, an experienced practicer of traditional Chinese medicine holds that weakness of the spleen and stomach, disorder of qi movement are the main pathogenesis of TCM internal medicine gastrointestinal disease, therefore, the treatment should focus on invigorating spleen and regulating middle-jiao. Practice has proved that the method has obtained a satisfactory curative effect in traditional Chinese medicine treatment of gastrointestinal diseases; 3selected cases would be introduced. 【Keywords 】Gastrointestinal disease; Invigorating spleen and regulating middle-jiao; Yang Lin doi:10.3969/j.issn.1674-7860.2016.15.001 杨霖副主任中医师是南通市名中医，他幼承家学，中医理 认为本病病机错综复杂，常易现虚实相兼证候，其病程较长，脾 论功底深厚，从医 50 余载，学验俱丰。临床中他重视经典， 胃正气最为损伤，故脾胃虚弱为其本，胃气不和，气机不畅，升 精于辨证，擅用经方治疗各科疑难杂症，对于中医脾胃病的治 降失序，气、瘀、湿诸邪壅滞为其标。本例药用六君子汤补气健 疗尤有独到之处。土为万物之母，人以脾胃为本。杨老认为脾 脾助运，四逆散宽中理气和胃；伍以木香、砂仁、荷叶、厚朴燮 胃虚弱、升降失序，是中医内科胃肠病的主要病机，治疗当以 理中焦气机，以除痞满；根据“久病必瘀”的理论，在补气药中 健脾调中为法。笔者侍诊左右，深受教诲，现择杨老治疗胃肠 配以莪术行气、化瘀、消积，