补中益气汤是李东垣为治疗脾胃损伤,元气不足,谷气下流而设的一首名方,笔者用该方扩大运用于治疗顽固性口腔溃疡,卫阳不固之汗出及五更泄泻,效果较为满意,特举验案如下: (一)顽固性口腔溃疡左某某,男,51岁,工人。 1985年3月5日初诊。反复口腔溃疡多年,一般月发1次,甚则半月一发,常服用维生素B_(12)、维生素C、多种维生素及中药等皆罔效。诊见溃疡复发,面色萎黄,倦怠乏力,纳呆,舌质淡红,溃疡面及周围呈嫩红色,局部灼热疼痛,脉缓无力。证属脾虚不运,气郁化热,治以甘温以 Buzhong Yiqi Decoction is a famous prescription for the treatment of spleen-stomach injury, lack of vitality, and downflow of valley gas by Li Dongyi. I use this method to expand the treatment of refractory oral ulcers, and the sweat of Weiyang is not solid and Wu Gengxi is discharged. Diarrhea, the effect is more satisfactory, special inspections are as follows: (A) stubborn oral ulcer left a certain, male, 51 years old, workers. March 5, 1985 was newly diagnosed. Repeated oral ulcers for many years, usually made once a month, even the first half of the month, often taking vitamin B_ (12), vitamin C, a variety of vitamins and Chinese medicine are all effective. He experienced recurrence of ulcers, pale complexion, fatigue, fatigue, poor appetite, pale pink tongue, red tenderness around the ulcer, and local burning pain, slow pulse weakness. The evidence is that the spleen is not transported, the gas is stagnation and heat, and the treatment is based on Gan Wen.