[目的]研究新安医家孙一奎《孙文垣医案》中4则泄泻验案,揭示孙一奎泄泻辨治方药特色。[方法]以《孙文垣医案》中泄泻验案4则为例,结合《内经》、《伤寒论》、《金匮要略》、命门学说、丹溪学术思想等相关论述论著与孙氏学术思想,阐释孙氏泄泻验案,综合分析其辨治方药特色。[结果]孙一奎秉命门学说与丹溪学术思想,临证治泄,实者多责之痰湿、食积,虚者多属脾虚、下元不足,特别强调肾阳不足,临证擅长运用保和丸、二陈汤、益胃升阳渗湿汤、六君子汤等方剂加减治疗。[结论]《孙文垣医案》所载泄泻医案特色突出,疗效显著,后学若能结合经典和孙氏论著对相关医案进行深入研究,可以拓展临证治泄思路,有助于提高临床辨治泄泻的能力。
[Objective] To study the Xin'an doctor Sun Yikui "Sun Wenyuan basis" four diarrhea cases, in order to reveal Sun Yikui diarrhea syndrome differentiation syndromes characteristics. [Method] With "Sun Wenyuan basis of diarrhea four proven cases as example, the combination of Neijing, Treatise on Febrile Disease, the Synopsis," Mingmen theory, Danxi academic ideas and related works and academic thoughts of Sun's, interpretation of Sun's diarrhea cases, comprehensive analysis of the syndrome differentiation syndromes characteristics. [Results] From the Sun Wenyuan basis "diarrhea in four cases to know Sun Yikui grasp of vital theories and Danxi academic thoughts, clinical cure, the doer phlegmy wet, dyspepsia, the accountability of virtual are of pixu(defieient spleen), kidney deficiency, with particular emphasis on the pathological factors of kidney Yang deficiency, the author was good at using insurance and pills, Erchen Decoction, Benefit-stomach Shengyang Moisture-penetration soup, Liujunzi Decoction and revised prescriptions. [Conclusion] Sun Wenyuan basis contained diarrhea basis, Sun's clinically curing diarrhea with outstanding characteristics, the curative effect is distinct, we should combine classical and Sun's works to conduct the thorough research to the related basis, broaden the clinical cure drainage, help to improve the ability of clinical treating diarrhea.