李果烈教授从“轻可去实”论治脾胃湿热型口臭

Professor Li Guolie Discusses the Treatment of Halitosis of Spleen and Stomach Damp-Heat Type from the Perspective of "Lightness Removing Excess"

  • 摘要: 阐述李果烈教授基于“轻可去实”理论辨治脾胃湿热型口臭的学术思想及临床经验,提出“轻”具有药性轻清、剂量轻灵、配伍精简、煎法轻取及治法轻巧五重含义; “实”则涵盖外感内伤之邪、气机闭阻及虚实夹杂之证候。脾胃湿热型口臭病位在中焦脾胃,涉及肺、肝、肾诸脏,病因与饮食、外邪、情志、劳倦密切相关,病性以实多虚少、湿热胶结为主,以中焦枢机不利、湿热浊气上犯为核心病机。以“轻可去实”理论指导湿热型脾胃病的治疗,提出“三焦分消、轻透达邪”的治疗原则,宣发上焦以启气化之枢,枢调中焦以复升降之机,渗利下焦以导浊邪外出,配合自拟“五香清浊饮”含漱以速祛标证浊邪,形成“轻剂调枢-巧法疏壅”的内外协同诊疗手段,为湿热型脾胃病的临床诊疗提供新的思路和理论依据。

     

    Abstract: This paper expounds Professor Li Guolie's academic thought and clinical experience in treating the halitosis of spleen and stomach damp-heat type based on the theory of "lightness removing excess". It is proposed that "lightness" has five meanings: light and clear medicinal properties, light dosage, concise compatibility, light decoction method and light treatment method; "excess" covers the syndromes of external and internal injuries, obstruction of qi mechanism and mixed deficiency and excess. The location of the halitosis of spleen and stomach damp-heat type is centered on the spleen and stomach in the middle energizer, involving the lungs, liver, and kidneys, with syndromes of mixed deficiency and excess; the core pathogenesis is the stagnation of qi mechanism in the middle energizer and the diffusion of damp-heat turbid evil in the triple energizers. The theory of "lightness removing excess" is used to guide the treatment of spleen and stomach diseases of damp-heat type, and the treatment principle of "triple energizers being divided and eliminated, and lightness being able to penetrate and reach the evil" is proposed. The upper energizer is promoted to activate the pivot of qi transformation, the middle energizer is adjusted to restore the mechanism of ascending and descending, and the lower energizer is penetrated to guide the turbid evil out. The self-made "Wuxiang Qingzhuo Yin" is used to gargle to quickly remove the turbid evil and symptoms, forming an internal and external coordinated diagnosis and treatment method of "light dosage to regulate the pivot, ingenious method to clear the obstruction", which provides new ideas and theoretical basis for the clinical diagnosis and treatment of spleen and stomach diseases of damp-heat type.

     

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