南京中医药大学附属医院,江苏省南京市秦淮区汉中路155号,210029
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收稿:2024-10-23,
修回:2025-02-06,
纸质出版:2025-06-02
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刘奕序,余烨清,虎兰兰等.徐景藩运用紫苏治疗脾胃病经验[J].中医杂志,2025,66(11):1099-1103.
LIU Yixu,YU Yeqing,HU Lanlan,et al.Experience of XU Jingfan in Using Zisu (Perillafrutescens) for Spleen and Stomach Diseases[J].Journal of Traditional Chinese Medicine,2025,66(11):1099-1103.
刘奕序,余烨清,虎兰兰等.徐景藩运用紫苏治疗脾胃病经验[J].中医杂志,2025,66(11):1099-1103. DOI: 10.13288/j.11-2166/r.2025.11.003.
LIU Yixu,YU Yeqing,HU Lanlan,et al.Experience of XU Jingfan in Using Zisu (Perillafrutescens) for Spleen and Stomach Diseases[J].Journal of Traditional Chinese Medicine,2025,66(11):1099-1103. DOI: 10.13288/j.11-2166/r.2025.11.003.
总结徐景藩教授运用紫苏治疗脾胃病的临证经验。根据疾病特点选用紫苏不同部位,认为紫苏叶功善轻宣发散、疏理气机,善治外感又可行内伤郁滞,痞满呕吐用之有良效;紫苏梗功善宽胸利膈、顺气畅中、通行十二经,可治气滞诸症,尤适于咽喉、食管、胃等部位痞胀之症;紫苏子功善降气消痰、润肠通便,可运用于痰气互结之病症,并肺肠合治,治疗长期便秘者。临床常用黄连-紫苏叶辛开苦降,宣通气机,治疗呕恶不止;香附-紫苏梗理气宽中,顺气疏肝,运用于气滞诸证;火麻仁-紫苏子肃肺利气,润肠导下,治疗慢性便秘。并灵活加减化裁古方,常以半夏厚朴汤加减治疗梅核气、食管疾病,以补中益气汤合香苏散加减治疗胃下垂,自拟急性吐泻方治疗急性泄泻,泄泻外治方治疗慢性寒湿泄泻。
This paper summarized Professor XU Jingfan's clinical experience of using Zisu (
Perillafrutescens
) for the treatment of spleen and stomach diseases. According to the disease characteristics, Professor XU flexibly selected the different parts of Zisu. It is believed that the leaf of Zisu is good at dispersing, dredging
qi
movement, and good at treating external contraction as well as internal damage due to depression or stagnation, and being effective in relieving abdominal lumps and fullness with vomiting; its stem is good at widering chest and diaphragm, smoothing
qi
and the middle, and dredging the twelve meridians, which can treat
qi
stagnation, especially suitable for distention and fullness in the midline of body like throat, esophagus, and stomach. Perilla seed is good at depressing
qi
and eliminating phlegm, loosening bowels to relieve constipation, which can be used in diseases of combined phlegm and
qi
, and combined treatment of lung and intestines to treat long-term constipation. In clinic, Huanglian (
Coptis chinensis
)- Zisu leaf is often used as pungent dispersing and bitter descending, promoting
qi
movement to treat persistent nausea and vomiting; Xiangfu (
Cyperi Rhizoma
)-Zisu stem is employed
as regulating
qi
to smooth the middle, soothing
qi
to disperse liver stagnation for various syndromes of
qi
stagnation; Huomaren (
Cannabis Fructus
)-Zisu seed is utilized to clear the lungs and benefit
qi
, and moisten intestines by purgation for chronic constipation. The original ancient formulas are flexibly modified and tailored, so usually modified
Banxia Houpo Decoction
(半夏厚朴汤) is used to treat plum-stone
qi
(globus hystericus) and esophageal disorders, while modified
Buzhong Yiqi Decoction
(补中益气汤) combined with
Xiangsu Powder
(香苏散) is used to treat gastroptosis, then self-prescribed
Jixing Tuxie Formula
(急性吐泻方) is used for acute diarrhea, and
Xiexie Waizhi Formula
(泄泻外治方) is applied for chronic cold-dampness diarrhea.
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