基于黄元御枢轴运动理论探析胃痞病的治疗  

Exploration on the Treatment of Abdominal Flatulence Disease Based on Huang Yuanyu’s Pivot Movement Theory

作　　者：史欣然 刘玉辉 裴晨越 贾艳如 张良 SHI Xinran;LIU Yuhui;PEI Chenyue;JIA Yanru;ZHANG Liang(Inner Mongolia Medical University,Hohhot 010000,China;Inner Mongolia Shenshi Traditional Chinese Medicine Hospital,Hohhot 010020,China;Hohhot Mongolian Medicine of Traditional Chinese Medicine Hospital,Hohhot 010010,China)

机构地区：[1]内蒙古医科大学,内蒙古呼和浩特010000 [2]内蒙古申氏中医医院,内蒙古呼和浩特010020 [3]呼和浩特市蒙医中医医院,内蒙古呼和浩特010010

出　　处：《中国中医药信息杂志》2024年第9期164-167,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：内蒙古自治区科技计划项目(2022YFSH0109)。

摘　　要：基于清代名医黄元御“枢轴运动”理论,认为胃痞病核心病机为中轴枢机运转不利,中土气机升降失常,分别从误下伤阳、肺气不降、中气虚衰等角度阐述胃痞病发病机制,临证时以健运中土,行脾胃升降之机,复阴阳清浊之位为主要理念。并列举下气汤、半夏泻心汤、甘草泻心汤、生姜泻心汤及旋覆代赭汤5首临床常用方剂阐释以“枢轴运动”理论为指导的胃痞病辨治思路,以期为临床诊疗提供参考。Based on the“pivot movement”theory of distinguished physician Huang Yuanyu in the Qing Dynasty,it is believed that the core mechanism of abdominal flatulence disease is the unfavorable operation of the central axis pivot,and the ascent and descent disorder of qi movement in the central earth.The pathogenesis of abdominal flatulence disease was explained from the perspectives of mistakenly dropping the damage to yang,keeping the lung qi from falling,and declining central qi deficiency.The main concept of clinical practice was to promote the movement of the middle earth,promote the movement of the spleen and stomach,and restore position of yin and yang and clearing and turbidity.Examples were given of the five commonly used TCM prescriptions,including Xiaqi Decoction,Banxia Xiexin Decoction,Gancao Xiexin Decoction,Shengjiang Xiexin Decoction and Xuanfu Daizhe Decoction,to explain the treatment approach guided by the theory of“pivot movement”,in order to provide reference for clinical diagnosis and treatment.

关 键 词：黄元御 枢轴运动 气机升降 胃痞病 

分 类 号：R256.32[医药卫生—中医内科学]