摘要
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 fl avours can lead to fl atulence,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 diff erentiation 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,offi cinal magnolia bark and dried tangerine peel.While the three medicines function together to eliminate dampness,atractylodes rhizome is good at invigorating the spleen,and offi cinal magnolia bark has the power of promoting qi movement and relieving fl atulence,while dried tangerine peel is good at regulating qi-fl owing 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.
作者
唐程
王涵
赵锡艳
TANG Cheng;WANG Han;ZHAO Xiyan(Changchun University of Chinese Medicine,Changchun 130117,China;Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《吉林中医药》
2021年第11期1432-1434,共3页
Jilin Journal of Chinese Medicine
基金
中国中医科学院优秀青年科技人才培养专项(ZZ13-YQ-030)。
关键词
燥脾湿
苍术
厚朴
陈皮
仝小林
eliminating spleen dampness
atractylodes rhizome
officinal magnolia bark
dried tangerine peel
Tong Xiaolin
