仝小林运用苍术、厚朴、陈皮燥脾湿、行脾运经验
Tong Xiaolin’s experience in using atractylodes rhizome, officinal magnolia bark and dried tangerine peel to eliminate the spleen dampness and promote the spleen transportation
DOI:10.13463/j.cnki.jlzyy.2021.11.009
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1.长春中医药大学,长春 130117
2.中国中医科学院广安门医院,北京 100053
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唐程, 王涵, 赵锡艳. 仝小林运用苍术、厚朴、陈皮燥脾湿、行脾运经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2021.11.009
TANG Cheng, WANG Han, ZHAO Xiyan. Tong Xiaolin’s experience in using atractylodes rhizome, officinal magnolia bark and dried tangerine peel to eliminate the spleen dampness and promote the spleen transportation[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2021.11.009
唐程, 王涵, 赵锡艳. 仝小林运用苍术、厚朴、陈皮燥脾湿、行脾运经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2021.11.009 DOI:
TANG Cheng, WANG Han, ZHAO Xiyan. Tong Xiaolin’s experience in using atractylodes rhizome, officinal magnolia bark and dried tangerine peel to eliminate the spleen dampness and promote the spleen transportation[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2021.11.009 DOI:
肥胖、高胰岛素血症、糖耐量异常等一系列早期代谢紊乱状态促进了慢性代谢性疾病的发生和发展。饮食不节,多食肥甘厚味导致中满,日久可生湿,湿邪进一步影响脾之健运功能。仝小林院士认为,此类疾病的辨治要点在于紧抓疾病起始阶段的“壅、滞、郁”等主要矛盾,同时兼顾燥湿、行气、健脾三大治疗原则。以苍术、厚朴、陈皮为基础方,在合三药之力共同燥湿的同时,苍术功在健脾,厚朴力在行气除满,陈皮长于理气化痰,三药合用,共燥脾湿,行脾运。方中苍术的临床常用剂量为9~30 g,厚朴为15~30 g,陈皮为9~15 g。
A series of early metabolic disorders such as obesity, hyperinsulinemia, and impaired glucose tolerance promote the occurrence and development of chronic metabolic diseases. Improper diet, eating too much food with the greasy, sweet and surfeit flavours can lead to flatulence, which can cause dampness over time, and the dampness pathogen will further affect the normal transportation function of the spleen. Academician Tong Xiaolin believes that the key point of the syndrome differentiation and treatment of such diseases is to pay close attention to the main contradictions of "congestion, stagnation and depression" in their initial stage, and to take into account the three major treatment principles of eliminating dampness, promoting qi movement and invigorating the spleen. He uses a basic prescription for the treatment of chronic metabolic diseases, which comprises the ingredients of atractylodes rhizome, officinal magnolia bark and dried tangerine peel. While the three medicines function together to eliminate dampness, atractylodes rhizome is good at invigorating the spleen, and officinal magnolia bark has the power of promoting qi movement and relieving flatulence, while dried tangerine peel is good at regulating qi-flowing and eliminating phlegm. The combination of the three drugs can meet the purpose of eliminating the spleen dampness and promote the spleen transportation function. The common clinical dosage ranges of them are 9-30 g,15-30 g and 9-15 g respectively.
燥脾湿苍术厚朴陈皮仝小林
eliminating spleen dampnessatractylodes rhizomeofficinal magnolia barkdried tangerine peelTong Xiaolin
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