张雅丽教授治疗肝郁脾虚、湿热内蕴型 胁痛释要

Professor Zhang Yali’s Interpretation of Key Points for Treating Hypochondriac Pain Caused by Stagnation of Liver Qi and Spleen Deficiency and Endoretention of Damp Heat

摘要: 张雅丽教授认为胁痛之病，包含“郁”“湿”“热”“瘀”之实，以及“阴”“血”“气”之虚，诸邪可单独或相合为病。临证之际，当以条畅气机为基，益气扶正、养血柔肝、滋阴清热、温阳散寒、活血化瘀、清热利湿等法酌情而用。张教授认为肝郁脾虚、湿热内蕴型胁痛，当以理气健脾、清热利湿、活血祛瘀为治则，并根据多年临床经验总结理气清热汤治疗该证，效果颇佳。

Abstract: Professor Zhang Yali believes that hypochondriac pain encompasses various syndromes such as “depression”, “dampness”, “heat”, and “blood stasis”, as well as deficiency syndromes like “Yin”, “blood”, and “qi”. They can occur independently or in combination. In the face of disease, we should take the method of smoothing qi machine as the basis, nourishing blood and softening liver, nourishing Yin and clearing heat, warming yang for dispelling cold, promoting blood circulation and removing stasis, clearing heat and dampness and other methods according to the condition. Professor Zhang believes that the treatment principles should be to regulate qi and strengthen the spleen, clear heat and promote diuresis, activate blood circulation and remove blood stasis. According to many years of clinical experience, he concluded that liqi and clearing heat decoction has a good effect on the treatment of this syndrome.