基于“肝气虚则恐”探讨功能性消化不良证治规律与社会心理特征  

Discussions on Characteristics of Syndrome,Treatment and Psychosocial Feature of Functional Dyspepsia based on“Liver Qi Deficiency Leads to Fear”Theory

作　　者：柳红良 宣铭杨 张令波 白宇宁[1] LIU Hongliang;XUAN Mingyang;ZHANG Lingbo;BAI Yuning(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053;Hospital of Traditional Chinese Medicine of Dongchangfu District,Liaocheng City,Shandong Province)

机构地区：[1]中国中医科学院广安门医院,北京市100053 [2]山东省聊城市东昌府区中医院

出　　处：《中医杂志》2022年第10期931-935,共5页Journal of Traditional Chinese Medicine

摘　　要：功能性消化不良(FD)是典型的心身疾病,临床要心身并治。中医理论“因郁致病、因病致郁”的心身互动关系,蕴含着生物-心理-社会医学模式,与罗马Ⅳ标准提出的FD的“脑-肠互动异常”机制一致。“肝气虚则恐,实则怒”,肝气虚证不仅在证治关系上对肝气郁证作到有力补充,同时也蕴含着“因恐致病、因病致恐”的心身互动关系,临床对于FD的治疗具有重要的理法意义。肝气虚与肝气郁、肝气虚与胆气虚应加以鉴别,而肝气虚引起FD具有典型的病症以及心理特点。大补肝汤加减治疗肝气虚引起的FD,临床取得较好的疗效。Functional dyspepsia(FD)is a typical psychosomatic disease in need of treatment on both body and mind.The interaction between mind and body,following the theory of“constraint leads to disease,and disease produces depression”in traditional Chinese medicine(TCM),reflects the bio-pyscho-social medical model and keeps consistency with“abnormal brain-gut communication”of RomeⅣcriteria.According to the principle of“liver qi deficiency leads to fear while qi excess leads to anger”,liver qi deficiency syndrome supplements the qi constraint syndrome in differentiated treatment,and manifests the interaction between mind and body of“constraint leads to disease,and disease produces depression”,thereby proving guidance on treatment principles and methods of FD.Liver qi deficiency should be differentiated from liver qi constraint as well as gallbladder qi deficiency,and FD caused by liver qi deficiency has typical symptoms and psychosocial characteristics.Modified Dabugan Decoction(大补肝汤加减)is commonly used for FD caused by liverqi deficiency may achieve has good clinical effect.

关 键 词：肝气虚 功能性消化不良 心理社会因素 

分 类 号：R259[医药卫生—中西医结合]