[1]宋 健,孟凯强,雷根平,等.名中医沈舒文基于“甘守津还”学术理论治疗脾胃病临床用药经验撷英[J].陕西中医,2025,46(2):254-258.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.023]
　SONG Jian,MENG Kaiqiang,LEI Genping,et al.Practitioner SHEN Shuwen in treating spleen and stomach disorders based on the academic theory of “Gan Shou Jin Huan”[J].,2025,46(2):254-258.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.023]
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名中医沈舒文基于“甘守津还”学术理论治疗脾胃病临床用药经验撷英
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年2期
页码:
254-258
栏目:
名中医经验
出版日期:
2025-02-05

文章信息/Info

Title:
Practitioner SHEN Shuwen in treating spleen and stomach disorders based on the academic theory of “Gan Shou Jin Huan”
作者:
宋 健1; 孟凯强1; 雷根平1; 韦永红1; 惠建萍1; 王捷虹1; 沈舒文1; 李向文1; 许 鹏2
(1.陕西中医药大学,陕西 咸阳 712046; 2.陕西省中医医院,陕西 西安 710003)
Author(s):
SONG Jian1; MENG Kaiqiang1; LEI Genping1; WEI Yonghong1; HUI Jianping1; WANG Jiehong1; SHEN Shuwen1; LI Xiangwen1; XU Peng2
(1.Shaanxi University of Chinese Medicine,Xianyang 712046,China; 2.Shaanxi Hospital of Traditional Chinese Medicine,Xi'an 710003,China)
关键词:
甘守津还;  脾胃病;  气阴两虚;  脾胃虚弱;  临床用药
Keywords:
Gan Shou Jin Huan;  Spleen and stomach disorders;  Qi and yin deficiency;  Spleen and stomach weakness;  Clinical medication
分类号:
R 256.3
DOI:
DOI:10.3969/j.issn.1000-7369.2025.02.023
文献标志码:
A
摘要:
本文总结了陕西省名中医沈舒文基于“甘守津还”理论治疗脾胃病临床用药经验荟萃。沈舒文沿袭温病大家叶天士“甘守津还”学术思想,遵循中医药学基础理论,并将脾胃病治疗中常用的沙参、麦冬、天冬、石斛、生地、玉竹、天花粉、生甘草、山药、莲子、芡实、北沙参、茯苓、党参、太子参、黄精,16 种“甘”味中药,按照药性分为甘寒和甘平两大类。甘寒的中药可以滋养脾胃之津液,用于治疗脾胃阴虚、津液不足之证,需注意脾胃虚弱、食少便溏者,不宜使用; 甘平中药可以补气健脾、和中缓急止痛,用于治疗脾胃气虚,脾阳虚的病证,故临床痰湿内盛、气滞腹胀、大便干结者不宜使用。总结名老中医临床用药经验,一方面,有利于中医药事业的传承与发展,另外一方面,可以进一步丰富中医药知识理论体系。
Abstract:
This paper summarizes the clinical medication experience of SHEN Shuwen,in treating spleen and stomach disorders based on the academic theory of “Gan Shou Jin Huan”(“Sweetness Preserves and Returns Fluids”).SHEN Shuwen follows the academic thinking of YE Tianshi,a master of warm diseases,in adopting the “Gan Shou Jin Huan” theory,adhering to the basic theories of TCM,and classifies 16 commonly used “sweet”-flavored Chinese medicinal herbs in spleen and stomach disorder treatment into two major categories:sweet-cold and sweet-neutral.The sweet-cold herbs nourish the fluids of the spleen and stomach and are used to treat syndromes of spleen and stomach yin deficiency and fluid insufficiency.It should be noted that these herbs are not suitable for patients with spleen and stomach weakness,poor appetite,and loose stools.The sweet-neutral herbs replenish qi,strengthen the spleen,harmonize and alleviate urgent symptoms and pain,and are used to treat syndromes of spleen and stomach qi deficiency and spleen yang deficiency.Therefore,they are not suitable for patients with clinical manifestations such as excessive internal damp-phlegm,qi stagnation with abdominal distension,and dry and hard stools.Summarizing the clinical medication experience of renowned old TCM practitioners is beneficial for the inheritance and development of the TCM industry on the one hand,and can further enrich the theoretical system of TCM knowledge on the other.

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备注/Memo

备注/Memo:
[基金项目]全国名老中医药专家传承工作室建设项目[国中医药人教发(2016)42号]; 第六批全国老中医药专家学术经验继承工作项目[国中医药人教发(2017)29号]; 陕西省科技厅自然科学基础研究计划项目(2024JC-YBMS-739); 陕西省高校黄大年式教师团队项目[陕教函(2023)668号]
更新日期/Last Update: 2025-02-08