脾胃病是临床常见疾病,其中不乏寒热错杂于一身者,因此寒热并用法成为该类疾病的基本治疗原则。本文对刘长发教授寒热并用治疗脾胃病经验进行总结,认为寒热可分属不同脏腑,临床辨证治疗应区分仔细,使寒热药物能够药中病所,从而收获满意的临床疗效。从“寒在脾胃,热在脾胃”、“寒在脾胃,热在肝胆”、“寒在脾胃,热在心”等方面分别进行论述,并举案例予以分析。病案中根据每个患者寒热所在的不同,给予不同方剂,并随证加减。Spleen and stomach diseases are common clinical diseases, many of which are mixed with cold and heat, so the combination of cold and heat has become the basic treatment principle of this kind of diseases. This article summarized the experience of Professor Liu Changfa in the combined treatment of cold and heat diseases of spleen and stomach, and concluded that cold and heat can be classified into different viscera, and clinical differentiation and treatment should be carefully distinguished, so that cold and heat drugs can be used in medicine, so as to obtain satisfactory clinical effect. From the aspects of “cold in the spleen and stomach, heat in the spleen and stomach”, “cold in the spleen and stomach, heat in the liver and gallbladder”, “cold in the spleen and stomach, heat in the heart”, respectively, give cases to analyze. According to the different location of cold and heat of each patient, different prescriptions were given in the medical records, the increase and decrease with the syndrome.
