摘要
辨证论治是临床诊治疾病的基本法则,异病同治是在辨证论治的基础上,不同的疾病在其发展过程中,出现了相同的病机,因而可以采用相同的治疗方法。该文全面分析补中益气汤的健脾和胃以益气的治法,温、和、调、养的温补法的治疗原则,同时从全方用药,明确了补气健脾以治气虚之本,升提下陷阳气,以求浊降清升、脾胃和调,水谷精气生化有源,脾胃气虚诸症自愈的功效。最后从补中益气汤的临床应用进行了案例总结,确定在痛经、眩晕、不寐、燥痹患者不同症状相同病机时,运用补中益气汤的具体用药经验、治疗思想理念,强调异病同治的重要性,证实结合患者整体情况,调整方药治疗兼夹证,可取得理想临床效果。
Diagnosis and treatment based on syndrome differentiation is the basic principle for clinical diagnosis and treatment of diseases.The same treatment for different diseases is based on differentiation and treatment,and in the process of their development,the same pathogenesis has emerged,so the same treatment method can be used.This article comprehensively analyzed the treatment principles of Buzhong Yiqi decoction,which is based on strengthening the spleen and stomach to replenish qi,as well as the warming,harmonizing,regulating,and nourishing methods.At the same time,from the perspective of the entire prescription,it clarified the essence of tonifying qi and strengthening the spleen to treat qi deficiency,elevating and lifting the sinking yang qi,in order to reduce turbidity and clear up.Therefore,the spleen and stomach can be harmoniously regulated,and the essence of water and grain can be biochemical active,and all symptoms of spleen and stomach qi deficiency can self heal.Finally,a case study was conducted to summarize the clinical application of Buzhong Yiqi decoction.It was determined that the specific medication experience and treatment philosophy of Buzhong Yiqi decoction should be used when dysmenorrhea patients and dizziness patients have different and the same pathogenesis.The importance of treating different diseases simultaneously was emphasized,and it was confirmed that adjusting the prescription treatment and combination of symptoms and signs based on the overall situation of patients could achieve ideal clinical results.
作者
郭旭
GUO Xu(Department of Traditional Chinese Medicine,Guangning Community Health Service Center of Shijingshan District,Beijing 100041,China)
出处
《光明中医》
2024年第1期157-159,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
痛经
眩晕
不寐
燥痹
补中益气汤
异病同治
dysmenorrhea
dizziness
insomnia
Sjogren’s syndrome
Buzhong Yiqi decoction
treating different diseases with the same therapy
