基于“胆胃同治”理论从脾胃论治胆道动力障碍  

Research Progress on Treatment of Biliary Dyskinesia From Spleen and Stomach Based on Theory of“Simultaneous Treatment of Gallbladder and Stomach”

作　　者：张云舒 刘霁锋 周琪 孟凡跃 赵瑞国 李积强 王长淼[1,2] ZHANG Yunshu;LIU Jifeng;ZHOU Qi;MENG Fanyue;ZHAO Ruiguo;LI Jiqiang;WANG Changmiao(The First Affiliated Hospital of Dalian Medical University,Dalian 116000,Liaoning,China;College of Integrated Traditional Chinese and Western Medicine,Dalian Medical University,Dalian 116000,Liaoning,China)

机构地区：[1]大连医科大学附属第一医院,辽宁大连116000 [2]大连医科大学中西医结合学院,辽宁大连116000

出　　处：《中华中医药学刊》2023年第5期190-193,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81774082)。

摘　　要：胆道动力障碍(biliary dyskinesia, BD)是大多胆道、胰腺类疾病发病机制的核心环节,也是该类疾病关键的继发病理改变。目前现代医学于此尚无十分有效的治疗方法。“胆胃同治”为从脾胃论治BD提供了理论依据,有大量的文献从基础和临床上对其进行了阐述及报道。从解剖位置、经络循行、气机升降、脏腑功能等方面探讨“胆胃同治”理论内涵。在“胆胃同治”理论指导下,总结BD患者针刺、中药方剂治疗的效果及有关胃肠道激素的变化,旨在探讨治疗BD更加有效的新思路。Biliary dyskinesia(BD)is a central part of the pathogenesis of most biliary and pancreatic diseases and is a key secondary pathological change in these diseases.At present,modern medicine has no effective treatment for this disease.The theory of“simultaneous treatment of gallbladder and stomach”provides a theoretical basis for the treatment of BD from spleen and stomach,which has been described and reported in a large amount of literature from the basic and clinical aspects.In this paper,we discussed the theoretical connotation of“simultaneous treatment of gallbladder and stomach”in terms of anatomical location,meridian circulation,Qi flow and organ function.Under the guidance of the theory of“simultaneous treatment of gallbladder and stomach”,we summarized the effects of acupuncture and herbal formula treatment and the changes of hormones in the gastrointestinal tract of BD patients,aiming to explore new methods for more effective treatment of BD.

关 键 词：胆胃同治 胆囊动力障碍 ODDI括约肌功能障碍 脾胃 

分 类 号：R256.4[医药卫生—中医内科学]