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国医大师徐景藩从湿论治胃病学术思想及临证经验总结OA

A summary of academic thinking and clinical experience of National Chinese Medicine Master Xu Jingfan in treatment of gastric diseases from the perspective of dampness

中文摘要英文摘要

介绍国医大师徐景藩教授(以下尊称"徐老")从湿论治胃病的学术思想及临证经验.徐老提出胃病夹湿源于胃气不和、津失布散,胃阳不足、温化无权及胃阴亏虚、津伤液滞,致体用失常、湿浊内生,治疗以温化、清化、淡渗为核心,辛、甘、苦药并用,坚持以理气贯穿始终,并辅以风药胜湿;临证善用藿香、石菖蒲、草果、薏苡仁等化湿和胃,据证配伍,兼顾养阴与燥湿、清热与化湿,防其偏颇.本文结合寒湿、湿热、阴虚夹湿的典型病案,总结徐老从湿论治胃病的病因病机、治则治法与用药经验,系统梳理其辨证思路与配伍规律,为临床诊治胃病夹湿提供借鉴与思路.

This article introduces the academic thinking and clinical experience of National Chinese Medicine Master Professor Xu Jingfan(hereinafter respectfully referred to as"Master Xu"),in the treatment of gastric diseases from the perspective of dampness.Master Xu proposed that gastric diseases complicated by dampness orig-inate from disorder of stomach Qi,failure of fluid distribution,insufficiency of stomach Yang,loss of warming and transforming function,stomach-Yin deficiency,and fluid impairment and stagnation,leading to impairment of body function and internal generation of damp turbidity.Core treatment principles included warming and resolving,clearing and resolving,and bland permeation,with a combination of traditional Chinese medicine drugs with pungent,sweet,and bitter tastes.Master Xu insisted on regulating Qi throughout the entire process and applied wind drugs to overcome dampness.In clinical practice,Master Xu used Agastache rugosa,Acorus tatarinowii,Amomum tsaoko,and coix seed to resolve dampness and harmonize the stomach,and he combined different drugs according to the specific syndrome and gave consideration to the balance between yin-nourishing and dampness-drying and between clearing heat and resolving dampness,so as to prevent any partiality.With reference to the typical cases of cold-dampness,damp-heat,and Yin deficiency with dampness,this article summarizes the etiology,pathogenesis,treatment principles,treatment methods,and medication experience of Master Xu in the treatment of gastric diseases from the perspective of damp-ness,as well as his thinking in syndrome differentiation and drug combination,in order to provide a reference and insights for the clinical diagnosis and treatment of gastric diseases complicated by dampness.

崔松香;陆为民;雎学强

南京市浦口区中医院,江苏 南京,211899江苏省中医院,江苏 南京,210029南京市浦口区中医院,江苏 南京,211899

医药卫生

胃病胃气不和从湿论治国医大师临证经验徐景藩

gastric diseasesdisorder of stomach Qitreatment from the perspective of dampnessmaster's expe-rienceXu Jingfan

《湖南中医杂志》 2026 (4)

1-7,7

国家中医药管理局"国医大师徐景藩学术经验传承研究室"建设项目(国中医药人教发[2010]59号)江苏省中医药管理局中医重点专科建设项目(苏中医医政[2023]5号)

10.16808/j.cnki.issn1003-7705.2026.04.001

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