基于脾主运化水液理论探讨功能性消化不良症状的产生  

Onset of Functional Dyspepsia Symptoms Based on the Theory of Spleen Governing Body Fluid Transportation and Transformation

作　　者：吕林[1] 王静[2] 唐旭东[3] 王凤云[3] 黄穗平[2] 陈婷[4] 马祥雪 程正义[4] 

机构地区：[1]中国中医科学院博士后流动站,北京市东直门内南小街16号100700 [2]广东省中医院 [3]中国中医科学院西苑医院 [4]中国中医科学院研究生院 [5]北京中医药大学研究生院

出　　处：《中医杂志》2016年第6期470-472,共3页Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划("973"计划)(2013CB531703)

摘　　要：功能性消化不良临床症状与中医学"痞满""嘈杂""胃脘痛"相类似。脾主运化水液功能失调所致脾虚湿困证不仅会引起下消化道的泄泻,还与早饱、餐后饱胀不适、上腹痛和上腹部烧灼感等上消化道不适症状有关系。因此,认为水液代谢紊乱能够导致功能性消化不良,并且为临床治疗功能性消化不良在健脾理气的同时注重运用化湿药提供了理论支持。The clinical symptoms of functional dyspepsia correspond with ＂distention and fullness＂,＂gastric upset＂and ＂stomachache＂in Chinese medicine. Dampness stagnancy due to spleen deficiency syndrome,caused by dysfunction of spleen governing body fluid transportation and transformation,can not only lead to lower gastrointestinal diarrhea,but is related to upper gastrointestinal symptoms,such as early satiety,postprandial satiety,epigastric pain and upper abdominal burning sensation. Therefore,the authors hold that body fluid metabolic disorder may cause functional dyspepsia and provide theoretical support to paying attention to using eliminating dampness herbs,when invigorating spleen and regulating Qi-flowing herbs are applied to treat functional dyspepsia clinically.

关 键 词：功能性消化不良 水液代谢 痞满 嘈杂 胃脘痛 脾虚湿困 

分 类 号：R259[医药卫生—中西医结合]