王邦才论治霉菌性食管炎经验介绍

Introduction to WANG Bangcai's Experience in Treating Mycotic Esophagitis

摘要:

介绍王邦才教授论治霉菌性食管炎的临床经验。霉菌性食管炎作为消化系统常见病之一，王邦才教授提出脾胃虚弱为本病的基础，湿阻气滞为发病关键，寒热错杂为进展要素。治疗当以健脾祛湿理气、平调寒热为法，即健脾护胃固本、祛湿理气治标，兼平调寒热以防病情反复，健脾益气固本常用香砂六君或参苓白术散；化湿泄浊以去邪常据时而定，或因人而异，多用分消三焦之法，方选三仁汤化裁；平调寒热常用经方小柴胡汤、半夏泻心汤等方化裁治疗，结合个体化差异，随证加减，获效良好。

Abstract:

Abstract：This paper introduces the clinical experience of Professor WANG Bangcai in the treatment of mycotic esophagitis. As one of the common digestive system diseases， mycotic esophagitis is considered by Professor WANG Bangcai to be based on spleen-stomach deficiency， with dampness obstruction and qi stagnation as the key pathogenesis， and intermingled cold and heat as the factor for disease progression. The treatment should follow the principles of strengthening the spleen，eliminating dampness，and regulating qi，as well as harmonizing cold and heat， that is，strengthening the spleen and protecting the stomach to consolidate the root cause，eliminating dampness and regulating qi to treat the branch，and harmonizing cold and heat to prevent recurrence. For strengthening the spleen and boosting qi to consolidate the root， Xiangsha Liujun Decoction or Shenling Baizhu Powder is commonly used. For eliminating dampness and resolving turbidity to expel pathogens，the treatment is determined according to the season or individual constitutions， mostly adopting the method of dispersing pathogens in the triple energizer， with modified Sanren Decoction selected. For harmonizing cold and heat， modified classical prescriptions such as Xiaochaihu Decoction and Banxia Xiexin Decoction are frequently applied. Combined with individual constitutions， modifications are made in accordance with syndromes，thus achieving satisfactory curative effects.