泄瀉的辨證與治療

Diagnosis and Treatment of Diarrhea

王興華(WANG Xing-hua) ； 王光耀(WANG Guang-yao)

《台灣中醫臨床醫學雜誌》 22卷1期 (2016/06) Pp. 56-58

https://doi.org/10.6968/TJCCM.201606_22(1).0008

摘要

泄瀉是臨床常見病症，原因複雜，既有外感風寒濕熱，又有七情不遂、飲食失當，並與先天體質有關，甚至有遺傳傾向，瞭解家庭成員情況以及直系親屬病譜，有利於判斷疾病的發生、發展與預後、轉歸。辨證屬於外感寒濕，治以解表散寒，芳香化濁；濕熱內阻，治以清熱燥濕，利腸止瀉；食滯不化，治以消食導滯，運脾和胃；肝脾失調，治以抑肝扶脾，緩急止瀉；中虛失運，治以健中助運，化濕厚腸；脾腎陽虛，治以溫補脾腎，固澀止瀉。

關鍵字

泄瀉 ； 中醫藥療法 ； 辨證論治 ； 臨床經驗

並列摘要

Diarrhea is a common clinical condition, the causes of which include complicated aspects, such as exogenous wind, cold, dampness and heat, or improper emotional changes and diet habits, as well as individual constitution, or even could be genetic predisposition related. Collecting information of family members’ condition and diseases spectrum is beneficial for estimating the happening, development, transferring and prognosis of the disease. Diarrhea that is exogenous damp-cold in syndrome differentiation should be treated with relieving superficies, dissipating cold, eliminating dampness with aromatics; damp-heat accumulating inside should be treated with clearing away heat, drying dampness and stopping diarrhea; food retention should be treated with abductive dispersion of food stagnation, invigorating spleen and harmonizing stomach; disharmony of liver and spleen should be treated with inhibiting liver, supporting spleen and stopping diarrhea; deficient of middle failing to invigorate should be treated with tonifying the spleen to assist transportation and transformation, resolving dampness and recovering bowel function; deficient of spleen and kidney yang should be treated with warming and tonifying spleen and kidney, consolidating to cease diarrhea.

並列關鍵字

Diarrhea ； Chinese medicine treatment ； Syndrome differentiation ； Clinical experience