基于升阳法论治肠系膜上动脉压迫综合征  

Study on the Treatment of Superior Mesenteric Artery Syndrome Based on Yang-Ascending Method

作　　者：尹一丹 周正华[2,3] YIN Yidan;ZHOU Zhenghua(Tianjin University of Traditional Chinese Medicine,Tianjin,China,300381;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,China,300381;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin,China,300381)

机构地区：[1]天津中医药大学,天津300381 [2]天津中医药大学第一附属医院,天津300381 [3]国家中医针灸临床医学研究中心,天津300381

出　　处：《河南中医》2024年第2期189-192,共4页Henan Traditional Chinese Medicine

摘　　要：升阳法是李东垣治疗脾胃疾病的主要方法,通过风药与补益药相配伍,达到益气升阳的目的。肠系膜上动脉压迫综合征病位主要在脾胃,涉及肝、肾,为本虚标实、虚实夹杂之证,主要病机为脾虚气滞,升降失和,应以升阳法益气升阳,调畅气机。升阳法主要有升阳益胃法、升阳除湿法、升阳散火法、升阳补气法、升阳解郁法、升阳补肾法等,升阳益气法适用于中气下陷证,代表方为补中益气汤;升阳益胃法适用于脾胃气虚,湿热内停证,代表方为升阳益胃汤;升阳散火法适用于脾胃虚弱,火郁卫表证,代表方为升阳散火汤;升阳除湿法适用于脾胃虚弱,清阳下陷,湿浊内盛证,代表方为升阳除湿汤;升阳解郁法适用于肝郁不升证,代表方为升肝舒郁汤;升阳补肾法适用于肾虚精陷证,代表药物为补肾填精药物配伍益气健脾、辛散升阳之品,临证可根据患者主要证候灵活运用。Yang-ascending method is the main method of Li Dongyuan to treat spleen-stomach diseases,through the compatibility of wind medicinal and tonifying medicinal,to achieve the purpose of replenishing qi and ascending yang.The superior mesenteric artery syn-drome(SMAS)is mainly in the spleen and stomach,involving the liver and kidney,which is the syndrome of deficient root cause and excessive manifestation,deficiency and excess in complexity.The main pathogenesis is spleen deficiency and qi stagnation,and dishar-mony between ascending and descending,so yang-ascending method should be used to replenish qi and ascend yang,and regulate qi movement.There are mainly the following methods,such as yang-ascending and stomach-replenishing method,yang-ascending and dampness-dispelling method,yang-ascending and fire-dispersing method,yang-ascending and qi-supplementing method,yang-ascending and depression-relieving method,kidney-tonifying and yang-ascending method,etc.Yang-ascending and qi-supplementing method is suitable for the syndrome of sinking of middle qi,and the representative formula is Center-Supplementing and Qi-Boosting Decoction.Yang-ascending and stomach-replenishing method is suitable for the syndrome of spleen-stomach qi deficiency and dampness-heat inter-nal stagnation,and the representative formula is Yang-Raising and Stomach-Boosting Decoction.Yang-ascending and fire-dispersing method is suitable for the syndrome of spleen-stomach weakness and fire stagnation defense-exterior syndrome,and the representative formula is Yang-Ascending and Fire-Dispersing Decoction.Yang-ascending and dampness-dispelling method is suitable for the syndrome of spleen-stomach weakness,sinking lucid yang,and syndrome of excessive internal dampness and turbidity,and the representative for-mula is Yang-Ascending and Dampness-Dispelling Decoction.Yang-ascending and depression-relieving method suitable for syndrome of liver depression,and the representative formula is Liver-Ascending and Depression-Dispersing Decoction.Kidney-tonifying a

关 键 词：肠系膜上动脉压迫综合征 升阳法 升阳益胃法 升阳除湿法 升阳散火法 升阳补气法 升阳解郁法 升阳补肾法 

分 类 号：R259.723[医药卫生—中西医结合]