罗伟生治疗心下痞经验  

LUO Wei-sheng's Experience of Treating Epigastric Fullness

作　　者：谭全肖 赵一娜[2] 唐梅文[1] 罗伟生[1] 

机构地区：[1]广西中医药大学,广西南宁530023 [2]广西中医药大学第一附属医院,广西南宁530023

出　　处：《河南中医》2017年第4期584-586,共3页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(编号:81260535)

摘　　要：罗伟生教授认为心下痞的病因常来自太阳证误下以后,里虚邪陷所致;但亦有饮食不节、肝胃不和、情志抑郁、中气不足、复感外邪等多种致病因素导致心下痞证的发生。心下痞病机主要是脾胃气虚,中焦气机不利,气机壅滞,寒热失调,虚实夹杂。罗伟生教授运用半夏泻心汤治疗心下痞,临证时同病异治,分清寒热虚实错杂之偏盛。七方胃痛散为罗伟生教授从医30余年的临床经验方,治疗心下痞具有抑制炎症介质、修复胃黏膜损伤的作用。Professor LUO Wei-sheng thinks that the cause of epigastric fullness is mainly due to interior deficiency and invasion of the interior of the body by pathogenic factor resulting from taiyang syndrome purgative errors,but partly due to improper diet,liverstomach disharmony,emotional depression,insufficient middle-energizer qi,recurrent invasion by exogenous factor,etc. The pathogenesis of epigastric fullness focuses on spleen-stomach qi deficiency,unsmooth qi activity of the middle energizer,qi stagnation,cold and heat disorders,intermingled deficiency and excess. Professor LUO Wei-sheng uses Pinellia Heart-Draining Decoction to treat the disease. In clinical practice,he treats the same disease with different therapy,distinguishes between cold and heat,between deficiency and excess. Qifang Weitong Powder（ QFWTS） is his clinical experience prescription resulting from his past 30years＇ clinical practice,can inhibit inflammatory mediators,repair gastric mucosal injury.

关 键 词：心下痞 半夏泻心汤 七方胃痛散 罗伟生 

分 类 号：R256.39[医药卫生—中医内科学]