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慢性肠炎,属于中医学泄泻的范畴,其病变部位主要在脾胃与大小肠。其病因主要是湿盛。如张景岳所说:“泄泻之本,无不由于脾胃”。又“治泻不利小水,非其治也”。以补脾运中除湿为基本治疗法则。但李士材在《医案必读》中提出的:淡渗,升提,清凉,疏利,甘缓,酸收,燥脾,温肾,固涩等治法,也应随证而施。笔者常以参苓白术散,藿香正气散,四苓散,胃苓汤,升阳除湿汤等为通治方剂,辩证灵活运旧,常可收到满意效果。
Chronic enteritis belongs to the category of diarrhea in Chinese medicine. Its lesions are mainly located in the spleen and stomach, and in the small intestine. The etiology is mainly wet. As Zhang Jingyue said: “The diarrhea of this, all due to the spleen and stomach.” Also, “treating diarrhoea is not conducive to small water, nor is it treated as it is.” Decoction in the spleen transport is the basic treatment. However, Li Shicai proposed in the “Medical Case Study” that: light infiltration, lifting, cool, Shuli, slow, acid, dry spleen, kidney, Guse and other governing methods, but also with the card and Shi. I often take ginseng ginseng Baishu powder, Huoxiang Zhengqi powder, Siyu powder, stomach soup, Shengyang dewetting soup, etc. for the treatment of prescription, dialectical and flexible transport of the old, often can receive satisfactory results.