段迎喜老师临床运用半夏厚朴汤的经验总结

Clinical Experience Summary of Professor Duan Yingxi’s Application of Banxia Houpu Decoction

Abstract: Professor Duan Yingxi, a senior traditional Chinese medicine (TCM) practitioner, has long been engaged in the TCM treatment of spleen and stomach diseases, with particular expertise in the application of Banxia Houpu Decoction. His treatment regimen is distinctive and achieves excellent clinical effects. In clinical practice, Professor Duan addresses the cold-dry climatic characteristics of the Inner Mongolia region by focusing on the core pattern of “mixed cold-heat”. He flexibly modifies Banxia Houpu Decoction, optimizing the proportional compatibility of Pinellia ternata (Banxia), Zingiber officinale (Ganjiang), and Coptis chinensis (Huanglian) to balance medicinal properties. He emphasizes the principle of treatment based on time, location, and individual constitution, adjusting the prescription in response to the changes of the four seasons—for example, tonifying the kidney and nourishing essence in winter, soothing the liver and relieving stagnation in spring, clearing heat and eliminating dampness in summer, and replenishing qi and moistening dryness in autumn. Targeting spleen-stomach weakness, he differentiates between yang deficiency and qi deficiency, adopting methods such as tonifying the spleen and stomach, and pungent opening and bitter descending, which profoundly embodies the essence of TCM syndrome differentiation and treatment. Combined with recent research reports on the modified application of Banxia Houpu Decoction in the treatment of gastroesophageal reflux and related dysfunctions, this paper attempts to explain its potential mechanisms in improving symptoms such as epigastric fullness, acid regurgitation, and belching from aspects including “promoting gastrointestinal motility, regulating gastrointestinal hormones, improving intestinal flora, and enhancing mucosal barrier repair”, thereby enhancing the scientificity and communicability of the experience summary. Professor Duan Yingxi’s clinical experience in applying Banxia Houpu Decoction provides detailed, region-specific reference for the treatment of chronic gastritis and other related spleen and stomach diseases.