摘要
功能性消化不良(FD)是一种常见的脾胃疾病,其反复持续的上腹痛、上腹灼热感、早饱和餐后饱胀给患者带来心理负担,降低生活质量。中医认为FD与痞满病诊治有相通之处,中焦气机逆乱是其重要病理表现。李军祥教授传承董建华院士脾胃“通降论”,创立“太极升降论”,从人体气机升降的生理状态出发,针对肝胃郁热、脾胃升降失司、气机壅塞的病理特点,应用郁金-香附等药物“肝胃同调”“理气通降”,佐以浙贝母-蒲公英等药物“制酸泄浊”以通为顺,取得了良好的疗效。现代药理研究亦表明,郁金-香附、浙贝母-蒲公英等药对在一定程度上能改善胃肠道活力,调节免疫功能。在FD治疗中灵活使用这些药物能提高临床疗效。
Functional dyspepsia(FD)is a common clinical disease characterized by recurrent and persistent epigastric pain,burning sensation in the epigastrium,and early and post-prandial satiety,imposing psychological burden to the patients and reducing their quality of life.According to traditional Chinese medicine,FD has similarities with the diagnosis and treatment of distention and fullness,and the reversal of Qi in the middle is an important pathological manifestation of FD.Professor LI Junxiang inherited Academician Dong Jianhua's"Tongjiang theory"of the spleen and stomach and developed the"Tai Chi′s ascending and descending thinking".Starting from the physiological state of the body's Qi movement,regulating Qi to promote its flow is the key way to treating this disease.This approach is based on the pathological characteristics of the spleen and stomach's dysfunction and Qi congestion.Professor LI Junxiang applied the herbs of Yujin and Xiangfu to"clearing heat from the liver","harmonizing stomach for descending adverse Qi",and used the medicines of Zhebeimu and Pugongying to"inhibiting acid regurgitation and dissipating phlegm".Modern pharmacological studies have shown that Yujin-Xiangfu and Zhebeimu-Pugongying can improve gastrointestinal vitality and regulate gastrointestinal function to a certain extent.Flexible use of these drugs in FD treatment has been found to improve clinical efficacy.
作者
胡俊聪
张阳
张黎明
杨安琪
李泳妍
林杨哲
刘骐瑞
马新辉
毛堂友
李军祥
HU Juncong;ZHANG Yang;ZHANG Liming;YANG Anqi;LI Yongyan;LIN Yangzhe;LIU Qirui;MA Xinhui;MAO Tangyou;LI Junxiang(Beijing University of Chinese Medicine,Beijing,100029,China;Medical Department,the Second Affiliated Hospital of Anhui University of Chinese Medicine;Department of Gastroenterology,Dongfang Hospital,Beijing University of Chinese Medicine)
出处
《中国中西医结合消化杂志》
CAS
2024年第10期855-858,共4页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
基金
国家中医药管理局高水平中医药重点学科中西医结合临床(消化病学)(No:zyyzdxk-2023271)
中医药传承与创新“百千万人才工程岐黄学者——李军祥”(No:国中医药人教函[2018]284号)。
关键词
李军祥
临床经验
功能性消化不良
太极升降论
药对
LI Junxiang
clinical experience
functional dyspepsia
Tai Chi′s ascending and descending thinking
herbal pairs
