功能性胃肠病辨治心得  

Experience in differentiation and treatment of functional gastrointestinal diseases

作　　者：巴建全[1] Ba Jianquan

机构地区：[1]天津市津南区中医医院,天津300350

出　　处：《中医临床研究》2020年第15期17-18,共2页Clinical Journal Of Chinese Medicine

摘　　要：功能性胃肠病是临床的常见病和多发病,症状表现具有多重性和重叠性的特点,目前西药尚无有效的治疗手段.根据中医辨证论治的理论,总结出该病的临床发病机制为脾虚纳运失调,痰湿瘀浊阻塞.在临床辨证论治过程中,抓住功能性胃肠病临床常见的主要病机特点,即脾胃气虚、纳运失调;痰湿内蕴、浊不受补和瘀从浊结、升降失司.从这三个病机特点进行阐述分析.并针对以上病机要点提出健脾祛湿、化瘀降浊的治疗原则,希望对功能性胃肠病的中医临床治疗有所裨益.Functional gastrointestinal disease is a common and frequently-occurring disease in clinic.Its symptoms are characterized by multiplicity and overlap.At present,there is no effective treatment in Western medicine.According to the theory of syndrome differentiation and treatment of TCM,the clinical pathogenesis of this disease is spleen deficiency disorder,phlegm dampness and blood stasis obstruction.In the course of clinical syndrome differentiation and treatment,we should grasp the main pathogenesis characteristics of functional gastrointestinal diseases,such as deficiency of spleen and stomach qi,imbalance of transportation,phlegm-dampness connotation,turbidity not being supplemented and blood stasis from turbidity,ascending and descending disorders,and elaborate and analyze these three pathogenesis characteristics.In view of the above pathogenesis points,the treatment principles of invigorating the spleen,removing dampness,removing blood stasis and reducing turbidity are put forward,with a prospect to benefit the clinical treatment of functional gastrointestinal diseases in TCM.

关 键 词：功能性胃肠病 辨证论治 治疗思路 

分 类 号：R256.33[医药卫生—中医内科学]