文章对谢晶日教授运用调畅气机法治疗疑难病的医案进行了整理。谢师认为,疾病的形成大多与气机的调达不畅关系密切,气是构成人体的本源物质,五脏六腑以气相求、互用相荣。然气机逆乱,五脏健运失司,传变相损,诸脏之病理产物日久交错必生疑难痼疾。谢师强调辨证治疗当以调畅气机为核心,兼顾未病之脏腑,见微知著;临证用药当以经方、时方为根基,明察药物之别,方可如桴应鼓。本文摘录谢晶日教授诊疗验案三则,以示恩师临证经验之一斑。
Prof. Xie Jingri's experiences in the treatment of miscellaneous diseases with the therapy for regulating qi activity were collected. Prof. Xie believes the occurrence of disease is closely related to the retarded qi circulation. Qi is the origin in the composition of human body and act on five zang and six fu or-gans. The disturbance of qi activity results in dysfunction of five zang organs and injuries. The interaction of the pathological products of zang organs leads to the miscellaneous diseases. Prof. Xie stresses on regulating qi activity as the main principle of treatment,combined with the protection of the related organs. The classical formulas and the current prescriptions should be the basis and the differences in the drugs be identified. In the paper,three medical cases were collected to explain Prof. Xie's experiences in clinical treatment.