摘要
在中医经典学习和临床中医教学时,经常遇到关于"中满"与"痞满"概念的认识、理解与区别问题。历代医家论著中也常交互出现,有时难以分辨,给临证和教学带来困惑。依据对文献的归类整理分析,对此进行辨析,认为"痞满"的形成,在于脾胃功能失调,升降失司,胃气壅塞,病在心下,以胃脘处自觉胀满、触之无形、按之柔软、压之无痛为临床特点;"中满"的形成,在于脾气运化不利,中焦脾胃失调,病在脘腹部,以脘腹胀满、时伴有疼痛为临床特点。两者因病机相近,故治疗上有相关性,然在病位上并不相同,在发病与症状特点上也有区别,故在诊治上有差别,临证及教学研究中需加以区别与认识。
In learning of TCM classics and clinical teaching, the cognition, understand and differentiation of theconcepts of zhongman（fullness in the middle） and piman（stuffiness and fullness） are frequently encountered.These concepts often appear in works by doctors of all dynasties. They are difficult to distinguish and causeconfusion in teaching and clinical practice. The authors consider that piman（stuffiness and fullness） is induced byspleen-stomach dysfunction, uncontrolled upward and downward of qi and stomach-qi congestion, location ofdisease is below heart, and conscious symptoms are epigastric distention and fullness with the features of intangibleby touch and soft and painless by press. While zhongman（fullness in the middle） is induced by disorders of spleen-qi transportation, disharmony of spleen and stomach in the middle energizer, and symptoms are gastric andabdominal distention and fullness and constant pain as clinical features. They have similar pathogenesis, butdifferent locations and symptoms and signs, so diagnosis and therapies are different in teaching and clinicalpractice.
出处
《中医教育》
2017年第6期80-82,共3页
Education of Chinese Medicine
基金
北京市朝阳区中医药薪火传承工程项目(No.朝卫通字[2014]336号)
北京市中医管理局薪火传承"3+3"工程项目(No.2007-SZ-B-06)
国家自然科学基金项目(No.39770888)
关键词
中满
痞满
概念
辨析
zhongman （fullness in the middle）
piman （stuffiness and fullness）
concept
discrimination
