摘要
胃强脾弱是一种以脾虚为本、胃亢为标的慢性脾胃疾病中的疑难病证。此证发生时,脾胃功能失调,其提供精微物质、濡养全身的复合功能减低,进而使得其他功能失调,多个脏腑受损,累及全身各部。基于五行学说,我们对胃强脾弱证的病机进行了探赜和解读,认为胃强脾弱证是以“土”行为中心的五行功能异常、关系紊乱的综合征,明确胃强脾弱证的4种基础分型和相关辐辏治法,在主治“土”行的基础上,对其他四行功能加以综合调节。在临床实践中,将辐辏治法与传统的健脾和胃治法联合应用,进行整体化治疗,明显提高疗效,为相关理论研究和临床实践提供了新思路。
Stomach excess and spleen deficiency is a chronic and knotty pattern of the system of spleen and stomach,which is based on deficiency of the spleen and hyperfunction of the stomach.When this pattern occurs,the relationship between the spleen and stomach is disordered,and their complex function of providing nutrition for the whole body is reduced;then,the other viscera are damaged and dysfunctional,affecting all parts of the body.Based on five elements theory,we explored and interpreted the pathogenesis of stomach excess and spleen deficiency pattern,and put forward that stomach excess and spleen deficiency is a pattern of abnormal function and a disordered relationship of the five elements at the center of the earth.Then,we established the four basic classifications of the pattern of stomach excess and spleen deficiency and the related method of convergence therapy,regulating the other four functions comprehensively on the basis of treating the earth function.In clinical practice,combining convergence therapy with the traditional therapy of invigorating the spleen and regulating the stomach can improve the curative effect,which provides a new idea for related theoretical research and clinical practice.
作者
解维健
朱晓林
王太然
薛晔
张云松
XIE Weijian;ZHU Xiaolin;WANG Tairan;XUE Ye;ZHANG Yunsong(College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250014,China;First School of Clinical Medicine,Shandong University of Traditional Chinese Medicine,Jinan250014,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2023年第4期496-501,共6页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金青年科学基金项目(No.81904128)
齐鲁医派中医学术流派传承项目(No.鲁卫函[2022]93号)。
关键词
五行学说
胃强脾弱
疑难病证
辐辏治法
five elements theory
stomach excess and spleen deficiency
knotty pattern
convergence therapeutic method
