國醫(yī)大師顏德馨辨治鼓脹的經(jīng)驗(yàn)及啟示

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關(guān)鍵詞：鼓脹；國醫(yī)大師；溫腎助陽以復(fù)氣化；健運(yùn)中州；疏通氣機(jī)；顏德馨

中圖分類號：R256.42 文獻(xiàn)標(biāo)志碼：A 文章編號：1007-3213（2025）05-1244-06

DOI：10.13359/j.cnki.gzxbtcm.2025.05.029

Experience ofTraditional Chinese Medicine Master Yan Dexin in Differentiating and Treating Abdominal Distention and Its Enlightenment

CHEN Shishi'，YAN Xin2 （1.Dept.of IntegratedTraditional Chineseand Western Medicine，ShanghaiPublicHealth ClinicalCenter，Shanghai201508， China；2.Institute of Traditional Chinese Medicine，Tongji University，Shanghai 2Ooo92，China）

Abstract：Thisarticle summarized the clinical experience of Yan Dexin，a master of traditional Chinese medicine，indifferentiating and treating abdominal distention，interms of itspathogenesis，therapeutic principles，diffrentiation of syndrome types and treatment.Master Yan believes that the pathogenesis of abdominal distention ischaracterized bydeficiency inorigin and excess insuperficiality.Its fundamental pathogenesis is due to the dysfunction of liver，spleen and kidney，which results into the accumulation of qi （20 stagnation，blood stasis，and fluid retention in the abdomen.Thesyndromediffrentiation of abdominal distention can be mainly categorized into damp-heat accumulation type，cold-damp retention and accumulation type，and internal obstruction of stasis and stagnation type.The therapeutic principle is to warm kidney yang for therecovery of qi transformation，invigorate middleenergizerand promoting qi movement.Forthe treatmentofabdominal distention of damp-heat accumulation syndrome type，therapies of clearing heat and draining dampness，suppressing the liverand strengthening the spleen are suggested；for the treatment of abdominal distention ofcold-damp retention and accumulation type，therapies of mediating middle-yang and eliminating cold-dampcan be adopted；for the treatment of abdominal distention of internal obstructionof stasis and stagnation type，therapies of activating blood to remove stasis，unblocking the collateralsand disipating mass are recommended.A proven medical case was presented for theanalysis of the inspiration of MasterYan’s thinking on the treatmentof abdominal distention.

Keywords：abdominal distention；traditional Chinese medicine master；warming kidney yang for the recovery of qi transformation；invigorating middle energizer； promoting qi movement；Yan Dexin

鼓脹是指腹部脹大如鼓的一類病證，臨床以腹大脹滿、繃急如鼓、皮色蒼黃、脈絡(luò)顯露為特征，為中醫(yī)“風(fēng)、勞、嚴(yán)、膈”四大難治證之一。（剩余9461字）