从心胆相通论治功能性消化不良伴抑郁状态  

Treatment of functional dyspepsia with depression from the perspective of heart-gallbladder communication

作　　者：解坤 刘维明(审校)[2] XIE Kun;LIU Weiming(不详)

机构地区：[1]山东中医药大学,济南250014 [2]山东中医药大学附属济南市中医医院脾胃肝胆科

出　　处：《中国中西医结合消化杂志》2021年第1期77-79,共3页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：功能性消化不良(functional dyspepsia,FD)是以慢性或反复发作性的上消化道症状为主要表现,但经检查排除引起该症状的器质性疾病的一组临床综合征,是由生理和心理因素相互作用并通过肠脑神经系统调控的消化系统疾病,发病率达11%~29.2%[1]。FD临床表现为上腹痛或上腹烧灼感,食欲不振、早饱、反酸、腹胀、嗳气、恶心、呕吐、呃逆等。This paper mainly discusses the theoretical basis and clinical application of treating functional dyspepsia with depression from the perspective of heart-gallbladder communication.Functional dyspepsia with depression is based on deficiency of heart and gallbladder qi,marked by disharmony between spleen and stomach,and mainly induced by bad emotional stimulation.Nourishing the heart,calming the nerves,invigorating the spleen,harmonizing the stomach,and soothing the liver and gallbladder are the major treatment methods.Clinically,deficiency of heart and gallbladder qi is often combined with disharmony between gallbladder and stomach,deficiency of both heart and spleen,and it can also be combined with excessive stomach heat and phlegm-dampness.Therefore,Anshen Dingzhi Pill,Xiangsha Liujunzi and Xiaoyao Powder are used as the basic prescriptions for syndrome differentiation and treatment.

关 键 词：功能性消化不良 抑郁 心胆气虚 养心安神 疏利肝胆 

分 类 号：R573[医药卫生—消化系统]