摘要
胃脘痛由外感寒邪、饮食所伤、情志不遂等诸多原因所致,初病多以实证为主,不通则痛为其共有病机,临床常分为寒邪客胃、饮食停滞、肝气犯胃、肝胃郁热、脾胃湿热等。三合汤以良附丸、百合乌药汤、丹参饮3方组合,调理肝、脾、胃气机为主,兼以活血止痛,治疗心腹诸痛。加失笑散即成四合汤,四方同用,集理气调中、和胃醒脾、补血活血、化瘀止痛、温阳散寒、清热解郁等药于一炉,治疗久治不愈胃脘痛,疗效显著。三合汤、四合汤水煎后再次浓缩,以成人100m L/次,300m L左右/d,疗效更佳。临床当以方内加减、不增新药为佳;确需方外加减,也不可过多,喧宾夺主;"治胃病药多服亦伤胃",服本方时应暂停其他胃药。附胃脘痛(阳虚血瘀,兼有阴虚气滞;阴虚血瘀,兼阳虚肝郁;慢性浅表性胃炎)验案二则。
Epigastric pain is caused by coldness, improper diet and bad mood. Early disease predominantly empirical. Stagnation leading to pain is the pathogenesis. It uaually has the syndromes of coldness to the stomach, indigestion, incoordination between the liver and the stomach, Sstagnation-heat in liver and stomach, spleen-stomach damp-heat. Sanhe decoction is composed of Liangfu pills, Baihe Wuyao decoction and Danshen decoction, which mainly recuperates liver, spleen and stomach, and at the same time promoting blood circulation to relieve pain, curing all kinds of stomach and abdomen pain. If add shixiao power, then it is the sihe decoction, four prescription used together is effective in treatment of long-lasting epigastric pain, by regulating energy, warming stomach and refreshing spleen, enriching blood and activating blood, dispersing blood stasis and relieving pain, driving away the coldness, clearing heat and dispelling melancholy.
作者
刘毅
张卓
LIU Yi1, ZHANG Zhuo2(Suizhou Hospital of Hubei Medical College：a.Department of Traditional Chinese Medicine,b.Department of Science and Education,Suizhou 441300,Hubei,Chin)
出处
《实用中医内科杂志》
2018年第2期66-67,共2页
Journal of Practical Traditional Chinese Internal Medicine
关键词
胃脘痛
三合汤
四合汤
良附丸
百合乌药汤
丹参饮
阳虚血瘀
阴虚气滞
阴虚血瘀
阳虚肝郁
慢性浅表性胃炎
焦树德
中医药治疗
epigastric pain
Sanhe decoction
Sihe decoction
Liangfu pills
Baihe Wuyao decoction
Danshen decoction
Yangxu Xueyu
Yinxu Qizhi
Yin xu Xueyu
Yangxu Ganyu
chronic superficial gastritis Jiao shude
traditional Chinese medicine therapy
