温脾和胃降逆法治疗1例顽固性呃逆的效果探讨  

Discussion on the effect of Wenpi Hewei Jiangni method in treating 1 case of intractable hiccup

作　　者：冷迪斯 LENG Di-si(Hospital of China Meteorological Administration,Beijing 100089,China)

机构地区：[1]中国气象局医院,100089

出　　处：《中国实用医药》2023年第20期145-147,共3页China Practical Medicine

摘　　要：呃逆俗称打嗝,古称啰,主要临床表现为气逆上冲,喉间呃呃连声,声急而短促,令人不能自制,轻者不需用药可自愈,重者昼夜不停,或间歇发作,迁延数日甚至数月,称为顽固性呃逆。顽固性呃逆多发生于器质性病变患者,常因顽固性呃逆严重影响进食、讲话、正常呼吸和睡眠,加之精神和躯体的沉重负担,给患者带来了较大痛苦。中医学认为胃气以降为顺,若胃气不降反升,就会引发呃逆。引起胃失和降的因素包括饮食不洁,过食生冷或辛热油腻,或滥用温补之剂,使胃气不顺;情志不和,如恼怒、抑郁、忧思等均可能伤及胃气;正气亏虚,如重病久病后或因疾病耗伤中气或损及胃阴均可使胃失和降。本文探讨以温脾和胃降逆法治疗1例顽固性呃逆的经验,治法以温胃散寒、下气降逆,佐以消积化滞、补气健脾法对症治疗,取得了良好的效果。Hiccup,commonly known as retch,the ancient name of Luo,the main clinical manifestations are qi uprush,laryngeal hum,the sound is urgent and short,people can not control,light cases can heal without medication,serious cases are non-stop day and night,or intermittent episodes,delayed for a few days or even months,known as intractable hiccups.Intractable hiccup mostly occurs in people with organic diseases,which often seriously affects eating,speaking,normal breathing and sleep,as well as the heavy mental and physical burden,bringing great pain to patients.In traditional Chinese medicine,stomach qi is considered to be favorable when it falls.If stomach qi does not fall but rises,it will cause hiccups.The factors that cause gastric imbalance include unclean diet,excessive consumption of raw and cold or hot fried food,or abuse of warming agents,so that the stomach is not smooth;emotional disharmony,such as anger,depression,worry,etc.,may hurt the stomach qi;positive qi deficiency,if serious disease after a long illness,or because of disease consumption injury in gas or damage and stomach Yin can make the stomach lost and fall.This paper discusses the experience of 1 case of intractable hiccup treated by Wenpi Hewei Jiangni method,this treatment methods include warming the stomach to dissipate cold,lowering qi to reduce adverse reaction,eliminating accumulation and hysteresis,invigorating qi and strengthening spleen,and good results have been achieved.

关 键 词：温脾和胃降逆法 顽固性呃逆 消积化滞 补气健脾 

分 类 号：R256.31[医药卫生—中医内科学]