蔡柏辨证治疗结合体质调理在慢性泄泻防治中的应用
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R256.34;R249

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Clinical Application of CAI Bai's Syndrome Differentiation and Treatment Combined with Constitutional Regulation in Prevention and Management of Chronic Diarrhea
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    摘要:

    蔡柏教授提出慢性泄泻的防治应遵循“体质-证型-治法”三位一体的诊疗思路,强调在辨证论治 的同时进行体质调理,以达到增强疗效、纠正偏颇体质的双重目的。慢性泄泻常见脾胃虚弱、肾阳不足、肝气 乘脾、痰湿困脾及寒热错杂等中医证型,分别对应气虚质、阳虚质、气郁质、痰湿质、上热下寒体质。针对不 同证型的患者,蔡柏教授主张采用健脾益气、温阳固涩、抑肝扶脾、健脾化痰及寒热并用等治疗原则精准施 治。针对不同体质的患者,主张采用饮食调养、运动导引、穴位保健及情志疏导等方法进行日常调养、瘥后 防复。

    Abstract:

    Abstract:Professor CAI Bai proposes that the prevention and treatment of chronic diarrhea should follow a trinity diagnostic and treatment approach of “constitution-syndrome-therapy,” emphasizing the integration of syndrome differentiation and treatment with constitutional regulation, which aims to enhance therapeutic efficacy and correct constitutional imbalances. Commonly-seen traditional Chinese medicine syndromes of chronic diarrhea include spleenstomach deficiency,insufficiency of kidney yang,liver qi attacking the spleen,phlegm-damp disturbing the spleen, and cold and heat in complexity. These respectively correspond to qi deficiency constitution, yang deficiency constitution, qi stagnation constitution, phlegm-damp constitution, and upper heat-lower cold constitution. For patients with different syndromes,Professor CAI advocates precise treatment principles such as strengthening the spleen and boosting qi,warming yang and inducing astringency,suppressing the liver and supporting the spleen,fortifying the spleen and dissolving phlegm, and simultaneously treating cold-heat. For patients with distinct constitutions, he recommends dietary adjustments,exercise guidance,acupoint health preservation,and emotional counseling for daily

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陈平,江铭,周少林,指导:蔡柏.蔡柏辨证治疗结合体质调理在慢性泄泻防治中的应用[J].新中医,2025,57(14):184-189

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  • 在线发布日期: 2025-07-26
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