基于“五脏六腑皆令人呕”治疗呕吐证治探讨  

Syndrome difffferentiation and treatment of vomiting based on the idea of"all zang-fu-viscera diseases causing vomiting"

作　　者：王承祥 刘泽 孟鹏 王文 赵啸虎 程雪云 侯爱画 WANG Chengxiang;LIU Ze;MENG Peng;WANG Wen;ZHAO Xiaohu;CHENG Xueyun;HOU Aihua(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Department of Oncology,Yantai Hospital of Traditional Chinese Medicine,Yantai 264001,China)

机构地区：[1]山东中医药大学,济南250355 [2]烟台市中医医院肿瘤科,山东烟台264001

出　　处：《吉林中医药》2024年第9期1010-1015,共6页Jilin Journal of Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目(国中医药人教函〔2022〕76号);全国名老中医药专家传承工作室(国中医药人教函〔2018〕134号);山东省名老中医药专家传承工作室(鲁卫函〔2019〕92号);山东省中医药科技项目(2021Q031)。

摘　　要：胃气不和常致呕吐,然脏腑之病,可各为互传,故五脏六腑皆可令人呕,而非独胃也。五脏六腑病可通过五行生克制化、气血津液运行、经络循行等多种途径影响胃气升降,引发呕吐,可予疏肝理气、益火补土、宣上和中、温中补虚、化气利水、润肠通腑等法,以达和胃止呕之效。It is known that disharmony of stomach qi often leads to vomiting.However,the organs are all interlinked,and the diseases of five zang-viscera and six fu-viscera can be transmitted to each other.Therefore,they are all supposed to be able to cause vomiting,not only the stomach disease.The zang-fu-viscera diseases can all affect the ascending and descending of stomach qi and cause vomiting through various ways such as the mutual generation and restriction between the five elements,the flow of qi,blood,body fluids,and the circulation of meridians,etc.In order to achieve the purpose of harmonizing the stomach and stopping vomiting,methods can be adopted for dispersing the liver and regulating qi,invigorating the heart and the spleen,ventilating the lung and regulating the stomach,warming the stomach and tonifying deficiency,resolving stagnant qi and promoting diuresis,moistening the intestines and dredging the fu-organs and so on.

关 键 词：呕吐 胃失和降 脏腑 消化道反应 

分 类 号：R256.31[医药卫生—中医内科学]