张伯礼教授以“肺合皮毛”思路辨治黏膜病经验

Professor ZHANG Boli's experience in diagnosing and treating mucosal diseases by the theory of “lungs governing the skin and hair”

关键词:  消化道黏膜病  国医大师  辨治经验  张伯礼

Key words:  gastrointestinal mucosal diseases  Chinese medicine master  clinical treatment experience  ZHANG Boli

摘要:

消化道黏膜病是临床常见病、多发病。张伯礼教授指出消化道黏膜病的病机特征常为本虚标实，以肺脾不足为本，以气机失调、寒热错杂、痰瘀互结为标。根据“肺合皮毛”之说，采取从肺论治的策略；临证时强调辨清寒热虚实，兼夹邪气，注重扶正祛邪，标本兼顾；遣方用药从整体出发，肺脾同治、调畅气机、寒温并用、润燥相济。

Abstract:

Gastrointestinal mucosal diseases are prevalent and commonly encountered in clinical practice. Professor ZHANG Boli points out that the pathogenesis of gastrointestinal mucosal diseases often involves a combination of deficiency and excess. The fundamental principle lies in the inadequacy of lungs and spleen, while the symptomatic manifestation involves dysregulation of qi, cold and heat, phlegm and stasis. Drawing inspiration from the adage that "lungs governing the skin and hair", he embraces the therapeutic approach of targeting the lungs. During clinical diagnosis, it is crucial to distinguish between cold and heat, deficiency and excess, as well as the presence of pathogenic factors. Emphasis should be placed on supporting the body's vitality while expelling pathogenic factors, addressing both the root cause and the symptoms. When formulating prscriptions, we commence from a holistic perspective, seeking to harmoniously treat both the lungs and spleen, regulating qi, using a combination of warming, cooling, nourishing and desiccating herbs.