沈洪教授从脏腑论治功能性消化不良临证思路和经验探析  

Analysis of Professor SHEN Hong's clinical thoughts and experience in treating functional dyspepsia based on viscera differentiation

作　　者：朱磊[1] 张梦媛 胡静怡 沈洪[1] ZHU Lei;ZHANG Mengyuan;HU Jingyi;SHEN Hong(Department of Gastroenterology,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,210029,China)

机构地区：[1]南京中医药大学附属医院消化科,南京210029

出　　处：《中国中西医结合消化杂志》2024年第10期867-869,874,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：国家中医药管理局高水平中医药重点学科建设项目(中医脾胃病学)(No:国中医药人教函[2023]85号);第七批全国老中医药专家学术经验继承项目(No:国中医药人教函[2022]76号);江苏省中医药领军人才培养项目(No:苏中医科教[2023]17号)。

摘　　要：功能性消化不良(FD)是消化系统常见疾病,病理机制尚不明确,症状反复,影响患者生活质量。中医药治疗FD具有特色优势,沈洪教授通过多年临床实践和经验总结,认为FD与五脏相关,治疗应注重调整脏腑功能、祛除病理因素,重在“益气运脾、以固其本”“和胃降气、不忘润养”“调理肝肺、燮理气机”“养心安神、怡情悦性”“从肾论治、先后互生”“消食助运、化湿和中”。Functional dyspepsia(FD)is a common digestive system disease with unclear pathological mechanisms,and its recurring symptoms significantly impact patients'quality of life.Traditional Chinese medicine(TCM)has unique advantages in the treatment of FD.Based on years of clinical practice and experience,Professor SHEN Hong believes that FD is related to the five viscera,and the treatment should focus on adjusting the functions of the viscera and removing pathological factors,with emphasis on"invigorating Qi and promoting spleen function to consolidate the foundation""regulating stomach and descending Qi without forgetting nourishment""regulating liver and lung to harmonize Qi flow""nourishing heart and calming mind to be pleasant""treating from the kidney to achieve mutual growth of innate and acquired essence",and"improving digestion to assist transportation and eliminating dampness to regulate the middle energizer.

关 键 词：功能性消化不良 中医药 五脏相关 经验 

分 类 号：R256.3[医药卫生—中医内科学]