朱悦尔 张声生

    摘要 慢性腹泻属于中医“久泻”范畴，其病位在肠，病变脏腑在脾，并且与肝、肾相关。张声生教授主张“以静制动、动静结合”，在辨证的基础上精准用药，治疗慢性腹泻时运用动静药物，取得良好的临床疗效。将药物根据阴阳动静属性进行区分，以“静为主，动为辅”，在脾虚湿盛、脾肾阳虚、肝郁脾虚等证候中，静药可以发挥健脾益气、温阳涩肠、健脾柔肝等作用，动药多发挥化湿行气、通阳散寒、行气解郁等作用。“动静”药物的结合，实际上也是“动静”治法的结合，临床中应用广泛。深入学习、传承张声生教授“动静结合”的中医治疗思路，可以更好地理明疾病的病机及灵活掌握配伍用药，以提高临床疗效。

    关键词 慢性腹泻;久泻;动静结合; @ 张声生;经验

    Abstract Chronic diarrhea belongs to the category of lasting diarrhea in traditional Chinese medicine.The location of disease is in the intestines，and the pathological viscera is in the spleen，often related to the liver and the kidney.Professor Zhang Sheng-sheng received good curative effect on patients with chronic diarrhea with the therapy of ‘subduing activity with inertia and combining activity and inertia’，which is accurate medication based on syndrome differentiation and treatment.According to the properties of Yin and Yang，active and tranquil，TCM medicinal materials could be divided into different categories.In the syndromes of spleen deficiency and excess dampness，deficiency of spleen Yang and Kidney Yang，and liver-qi stagnation and spleen deficiency ......