主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (1): 40-43.doi: 10.3969/j.issn.2095-6606.2021.01.009

• 名老中医经验 • 上一篇    下一篇

杨叔禹教授临床应用升阳益胃汤的经验*

林淑珍1,2, 李丽香1,2, 曾华蓉2, 赵能江3#   

  1. 1 福建中医药大学 福建 350122;
    2 厦门市中医院;
    3 厦门大学附属第一医院
  • 收稿日期:2020-04-27 出版日期:2021-01-30 发布日期:2021-02-02
  • 通讯作者: #赵能江,男,博士,副主任医师、副教授,E-mail:zhaonengjiang@163.com
  • 作者简介:林淑珍,女,在读硕士生
  • 基金资助:
    *国家重点研发计划项目资助(No.2018YFC1704400),第六批全国老中医药专家学术经验继承工作项目,福建省名老中医药专家传承工作室建设项目,厦门市科技局项目(No.3502z20189006)

Prof.Yang Shuyu's clinical experience in using Shengyang Yiwei Decoction*

Lin Shuzhen1,2, Li Lixiang1,2, Zeng Huarong2, Zhao Nengjiang3#   

  1. 1 Fujian University of Traditional Chinese Medicine, Fujian 350122;
    2 Xiamen Hospital of TCM, Fujian University of Traditional Chinese Medicine;
    3 The First Affiliated Hospital of Xiamen University
  • Received:2020-04-27 Online:2021-01-30 Published:2021-02-02

摘要: 升阳益胃汤由金元医家李东垣所创,记载于《内外伤辨惑论》,临床应用颇广,其组方特点体现了李东垣治疗脾胃病的思路——补脾胃、升清阳、泻阴火。杨叔禹教授认为现今人们脾胃内伤的现象是普遍存在的,脾胃失调的病因与“抑、溢、逸”的生活方式密切相关,病机在于中焦脾胃虚弱、气机升降失调。临床上他灵活运用升阳益胃汤,调阴阳畅气机治不寐,升清降浊治泄泻,阳中求阴治盗汗,形成了自己的辨治特点。结合临床病例,对杨教授运用升阳益胃汤的经验进行介绍。

关键词: 升阳益胃汤, 不寐, 泄泻, 盗汗, 名医经验, 杨叔禹

Abstract: Shengyang Yiwei Decoction, created by Li Dongyuan (a famous TCM physician from Jin-yuan Dynasty of China) and recorded in Clarifying Doubts about Damage from Internal and External Causes, has been widely used in the clinical practice. The characteristics of this prescription reflects Li Dongyuan's ideas of tonifying the spleen and stomach, lifting yang qi, and purging yin fire in the treatment of spleen and stomach diseases. Prof.Yang Shuyu thinks the spleen-stomach impairment is prevalent among modern people and this disease is closely related with the life-style of “suppress, spill-over, lack of exercises”. The pathogenesis for this disease is weakness in the Middle Energizer and disorder of qi movements. In clinical practice, Prof.Yang uses Shengyang Yiwei Decoction to regulate yin and yang, and qi movements, upbear the clear and downbear the turbid to treat sloppy stools, and treat night sweats, with his own characteristics of disease differentiation. Combined with clinical cases, this paper introdces Prof.Yang Shuyu's clinical experience in using Shengyang Yiwei Decoction.

Key words: Shengyang Yiwei Decoction, insomnia, diarrhoea, night sweats, experience, Yang Shuyu

中图分类号: 

  • R249