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黄明河辨治脾胃病临床经验
引用本文:冯春霞.黄明河辨治脾胃病临床经验[J].中医药临床杂志,2020(4):607-610.
作者姓名:冯春霞
作者单位:广州中医药大学深圳附属医院
基金项目:国家中医药管理局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[2018]134号)。
摘    要:黄明河主任从事中医脾胃病临床工作近60年,在长期的临床实践中积累了丰富的临床经验,并且逐渐形成了鲜明的个人诊治特色。其临床经验不但丰富了脾胃病的现代中医诊疗内容,而且为后学者提供了很好的学习方法。①以中医脏象学说为导向,重视各脏、腑的生理、病理特点,临床以脏腑辨证为主要手段,具体到脾胃病,临证时对脾、胃二脏分别辨证,使证型更加细化;②重视肾阳在脾胃病治疗中发挥的关键作用,一旦发现肾阳虚弱的端倪,及早着手温补肾阳,可起到事半功倍的效果;③宏观与微观辨证相结合治疗脾胃病,积极使用现代诊疗仪器,参考胃、肠镜检查结果、病理检查结果等,进行胃、肠病变的微观辨证,同时与中医传统望、闻、问、切宏观辨证相结合,提高了诊治的精准度。

关 键 词:脾胃病  脏腑辨证  宏观辨证  微观辨证

Clinical Experience of HUANG Minghe in Treating Spleen and Stomach Diseases
FENG Chunxia.Clinical Experience of HUANG Minghe in Treating Spleen and Stomach Diseases[J].Clinical journal of traditional chinese medicine,2020(4):607-610.
Authors:FENG Chunxia
Institution:(Shenzhen Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangdong Shenzhen 518033,China)
Abstract:Director Huang Minghe has been engaged in the clinical work of traditional Chinese medicine for spleen and stomach disease for nearly 60 years.He has accumulated rich clinical experience in long-term clinical practice,and gradually formed distinctive personal diagnosis and treatment characteristics.Its clinical experience not only enriches the modern Chinese medicine diagnosis and treatment of spleen and stomach disease,but also provides a good learning method for post-scholars.1.Guided by the theory of viscera in traditional Chinese medicine,attaching importance to the physiological and pathological characteristics of each viscera and palate,clinically taking viscera and palate as the main means,specific to spleen and stomach disease,and identifying the two spleen and stomach organs at the time of the syndrome,which makes the syndrome more Refinement;2.Pay attention to the key role played by kidney yang in the treatment of spleen and stomach disease.Once the signs of weakness of kidney yang are found,early warming up the kidney yang can achieve twice the result with less effort;3.Combination of macro and micro syndromes for the treatment of spleen and stomach disease Actively using modern diagnosis and treatment equipment,referring to the results of stomach,colonoscopy,pathological examination,etc.,to carry out microscopic differentiation of gastric and intestinal lesions,and at the same time,combine with traditional Chinese medicine to look,smell,ask,and cut macroscopic syndromes,improving the accuracy of diagnosis degree.
Keywords:Spleen and stomach disease  Differentiation of viscera  macro differentiation  Micro differentiation
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