张觉人教授临床运用参苓白术散

摘要

参苓白术散出自宋代官修《太平惠民和剂局方》,临床主治脾虚夹湿证,是一首药物性味平和、温而不燥、补而不腻的临床常用方剂,其组方严谨、配方精当、疗效确切,受到历代医家的广泛重视.张觉人教授在长期的临床实践中善于从脾胃论治,运用参苓白术散化裁治疗各类疾患,辨证论治,古方新用,屡起沉疴,极大地扩大了该方的临床使用范围,逐步形成了“疗杂病尤重脾胃,治脾力推参苓白术散”的主张.文章选取张教授运用该方治疗围绝经期综合征、发热不退、慢性腹泻、胃癌术后、慢性阻塞性肺疾病的几个典型案例以论之.%Shenling Baizhu Powder comes from Prescriptions of peaceful benevolent dispensary that was the official codification of the Song Dynasty.Shenling Baizhu Powder is mainly used for the treatment of spleen deficiency with dampness.The nature of the drug is calm,warm and not dry,fill and not greasy.Prescription is rigorous,precise,effective,attention by doctors in past dynasties.Professor ZHANG Jueren is good at dealing with various diseases from the spleen and stomachand and using Shenling Baizhu Powder in long-term clinical practice.He is good at using the old to cure various diseases based on syndrome differentiation.And he expanded the prescription's scope of clinical use.Gradually formed the "treatment of difficult miscellaneous diseases emphasis on the spleen and stomach,spleen and stomach with Shenling Baizhu Power to treat"opinion.The article selects several cases that ZHANG uses Shenling Baizhu Powder to treat climacteric syndrome,fever,chronic diarrhea,postoperative gastric cancer,chronic obstructive pulmonary disease.