江杨清辨治久泻的经验(一)——温法的运用

江杨清老师认为,久泻病属阳气不振者占临床所见之大半。从大便质地、患者体质、泄泻时间、饮食诱发因素等方面入手,可以明确地辨识出久泻中属寒者。对寒证久泻,应当分清脾阳不振与肾阳亏虚,或两者兼挟之孰轻孰重。治疗上多以温法治之,常用附子理中丸、真人养脏汤、四神丸、参苓白术散等化裁。尤其是熟附片、肉桂、炮姜炭等辛热药,在提高久泻疗效中十分重要。

Experience of Doctor Jiang Yangqing in Treating Chronic Diarrhea-Application of Warming Therapy

Doctor Jiang Yangqing holds the point of view that more than half of the chronic diarrhea cases were caused by the hypoactivi -ty of Yang deficiency .The patients with cold type of chronic diarrhea were identified from the following aspects including texture of stool , constitution of patients , duration of diarrhea and diet-induced factors .For differentiation of chronic diarrhea due to cold syndrome , the distinction between hypoactivity of spleen yang and deficiency of kidney yang shall be distinguished clearly .For treatment of the chronic diarrhea due to cold syndrome , the warming therapy was suggested , and the common recipes were Fuzi Lizhong Pill , Zhenren Yangzang Decotion, Sishen Pill and Shenling Baizhu Powder .It was worthy of being mentioned that the herbs with property of warm and taste of pungency such as pieces of processed Fuzi , Rou gui, baked Rhizoma Zingiberis played an important role in improving the efficacy of chronic diarrhea .