中医杂志

总结王建民教授从“甘守津还”论治泻药性结肠经验。认为泻药性结肠病机关键为津伤肠燥，包括脾土之阴耗伤，津液化生乏源；肾中水火不济，津液布聚失常；肺肝之气闭郁，津液流转无力。治疗上以“甘守津还”为原则，用药以甘味为主，佐酸、淡、辛之味，临证自拟理脾生津汤、温肾润肠汤、开肺顺肠汤、柔肝通便汤等基本方。以奏甘淡理脾阴，复气生津；甘温益水火，化气布津；辛甘开肺郁，降气流津；酸甘柔肝体，行气转津之功。

To summarize Professor WANG Jianmin's experience in cathartic colon from "keeping sweet to return liquid". It is believed that the key to the pathogenesis of cathartic colon is fluid consumption and intestinal dryness, including yin depletion of spleen earth, and lack of sources for body fluids production; discordance of water and fire in kidneys, and irregular distribution of body fluids; and closure of the lungs and liver leads to inability of the flow of fluids. The treatment is based on the principle of "keeping sweet to return liquid", using sweet medicinals mainly, assistant with sour, bland and acrid medicinals, and self-prescribed Lipi Shengjin Decoction（ 理脾生津汤）, Wenshen Runchang Decoction（ 温肾润肠汤）, Kaifei Shunchang Decoction（ 开肺顺肠汤）, Rougan Tongbian Decoction（ 柔肝通便汤） could be used to regulate spleen yin by the sweet and bland, and establish qi and promote fluid production; the sweet and warm medicinals can replenish water and fire, transform into qi, and distribute body fluids; the acrid and sweet can open lung depression, descend qi, and flow the body fluids; the sour and sweet can emolliate liver, move qi, and transform fluids.