摘要
通过历代文献研究,追溯胸痞病因病机,认为其主要病因有情志失调、寒邪内袭、饮食失调、劳倦内伤、年迈体虚等方面。病机为五脏气化不利或痰浊、瘀血等内扰,或胸中大气下陷、不能贯心脉而行呼吸,导致胸中气机不畅,升降失常;胸中气机不畅是病机关键。胸痞证型分虚实两端,常见实证主要有气滞心胸证、心脉瘀阻证、痰浊闭阻证、心肺燥热证等证型;虚证主要有大气下陷证。其治疗以宽胸理气为总原则,补虚泻实兼顾,创制胸痞方进行治疗。
The etiology and pathogenesis of chest stuffiness was summarized by the study of previous literature;it is found that the main causes of the disease include emotional disorders, invasion of cold pathogen, eating disorders,overexertion and fatigue,inner damage,and body deficiency due to old age. The pathogenesis includes the disturbance of qi transformation,as well as the internal harassment of phlegm turbidity and stasis,or the sunken ancestral qi failing to serve as the dynamic force of blood circulation and respiration,resulting in inhibited qi movement as well as the dysfunction of upward and downward movement;the key pathogenesis lies in the inhibited qi movement. The syndrome types of chest stuffiness can be divided into two categories,namely deficiency,and excess. Common excess syndromes mainly include syndrome of qi stagnation in the chest, syndrome of heart blood stasis obstruction, syndrome of phlegm turbidity obstruction,and syndrome of heart-lung dryness-heat;deficiency syndrome mainly includes syndrome of sunken ancestral qi. Treatments of the diseases should follow the main principle of moving qi to soothe the chest,assisted by the method of treating deficiency by supplementation and treating excess by purgation. Thus,a prescription of chest stuffiness is invented for the treatment.
作者
李晓凤
张少强
杜武勋
LI Xiaofeng;ZHANG shaoqiang;DU Wuxun
出处
《新中医》
CAS
2021年第15期188-191,共4页
New Chinese Medicine
基金
天津市教委科研计划项目(2018KJ014,2019SK025)
国家自然科学基金项目(82004329)。
关键词
胸痞
病因病机
辨证分型
胸痞方
Chest stuffiness
Etiology and pathogenesis
Syndrome differentiation and treatment
Prescription of chest stuffiness
