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中国医药导刊 ›› 2023, Vol. 25 ›› Issue (6): 592-595.

• 中医中药 • 上一篇    下一篇

从肝气论治上腹痛综合征经验浅析

江芝琴1, 周文博2*   

  1. 1.福建中医药大学, 福建 福州 350000;  2.漳州市中医院, 福建 漳州 363000
  • 收稿日期:2023-05-19 修回日期:2023-06-04 出版日期:2023-06-28 发布日期:2023-06-28
  • 基金资助:
    福建省漳州市科技计划项目(项目编号:ZZ2016J07;项目名称:从MTL和CCK水平探讨加味香砂六君子汤治疗脾湿气滞型上腹痛综合征的作用机制)

The Experience of Treating Epigastric Pain Syndrome from Liver-Qi

  1. 1.Fujian University of Traditional Chinese Medicine, Fujian Fuzhou 350000, China;
    2.Zhangzhou Hospital of Traditional Chinese Medicine, Fujian Zhangzhou 363000, China
  • Received:2023-05-19 Revised:2023-06-04 Online:2023-06-28 Published:2023-06-28

摘要: 上腹痛综合征是消化内科常见的疾病之一,以上腹痛或上腹部灼热感为典型临床表现,临床上发病率较高,且严重影响患者生活质量。根据中医疾病命名特点,将其归属祖国医学“胃脘痛”范畴,气机郁滞为致病的关键因素,“治胃病不理气非其治也”。周师认为上腹痛综合征虽为脾胃病,却与肝密切相关,“百病皆生于气”,肝调畅一身之气机,若肝失于疏泄,则脾胃运化失司,则病始生。受王泰林三纲辨证思想启发,周师从肝气论治本病,临证时抓住脾胃分治的原则,首辨肝与脾胃的先后顺序,次辨虚实,结合理论基础以及临床辨证用药,详细阐述了病机、治法、方药。周师临床上做到整体联系,辨证论治,分清主次,为广大医者治疗上腹痛综合征提供新的治疗思路与方法。
    

关键词: font-size:medium, ">肝气论治; 上腹痛综合征; 临床经验

Abstract: Epigastric pain syndrome (EPS)is one of the common diseases in the department of gastroenterology. Upper abdominal pain or upper abdominal burning sensation is the typical clinical manifestation of EPS, which has a high clinical incidence and seriously affects the quality of life of the patients.According to the naming characteristics of diseases in traditional Chinese medicine, it belongs to the category of “epigastric pain” in Chinese medicine. Qi stagnation is the key factor causing the disease, and “treating gastric diseases without treating Qi is not treating them”. Dr.Zhou believed that although EPS is a disease of the spleen and stomach, it is closely related to the liver. “All diseases are born in Qi”, and liver regulates Qi of the body. Disharmony of liver Qi will lead to spleen and stomach disfunction,and cause the disease.Inspired by Wang Talin′s “three principles of syndrome differentiation”, Dr.Zhou treated the disease from liver Qi, and grasped the principle of separate treatment of spleen and stomach, first to distinguish the sequence of liver and spleen and stomach in the treatment, then distinguish the deficiency and excess, combined with theoretical basis and clinical syndrome differentiation and medication, elaborated the pathogenesis, treatment methods and prescriptions.In clinical practice, Dr. Zhou has achieved integral connection, treatment based on syndrome differentiation, and differentiation of primary and secondary, providing new treatment ideas and methods for the doctors to treat EPS.

Key words: font-size:medium, ">Treatment from liver Qi; Epigastric pain syndrome; Clinical experience

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