复法制方辨治胃痞夹杂证  

Gastric Fullness Intermingling Syndrome Treated with Compound Method and Prescriptions

作　　者：吕立刚 叶放[2] 

机构地区：[1]南京市六合区中医院,江苏南京211500 [2]南京中医药大学,江苏南京210029

出　　处：《河南中医》2017年第11期1989-1991,共3页Henan Traditional Chinese Medicine

摘　　要：针对胃痞夹杂证的治疗,应从五脏六腑整体观出发,方能取得更好疗效,此正是周仲瑛教授所创病机辨证方法。临证审证求机,针对复合病机,虚实夹杂者当以补消并用,寒热错杂者当以寒热平调。扶正重在升降气机、健脾安胃,或滋肾或宁心,祛邪包括理气解郁、消食导滞、祛风除湿或清热化痰等复法制方,每方药味15~25味,看似杂乱,实则切合复合病机,每获良效。The treatment of gastric fullness intermingling syndrome should be started from the holism concept of five zang-organs and six fu-organs,and thus good therapeutic effects can be achieved. This is the pathogenesis syndrome differentiation method established by Professor Zhou Zhongying. According to the complicated pathogenesis,intermingling of excess and deficiency syndrome should be treated by reducing and tonifying; intermingling of cold and heat syndrome should be treated by balancing cold and heat. Healthy qi reinforcement focuses on the compound methods of ascending and descending qi movement,strengthening the spleen and harmonizing the stomach,or nourishing kidney or tranquilizing the mind; pathogenic qi elimination includes the compound methods of regulating qi and resolving depression,promoting digestion,expelling wind and removing dampness or clearing heat and resolving phlegm. The number of herbs in each prescription is mostly 15-20. The herbs included accord with the complicated pathogenesis and can achieve good therapeutic effects.

关 键 词：胃痞 虚实夹杂证 顽固性泄泻 顽固性便秘 奔豚气 眩晕 梅核气 尿频 

分 类 号：R256.32[医药卫生—中医内科学]