论代谢病胃强脾弱的病机与治法  

Pathogenesis and Treatment of Stomach Exuberance and Spleen Deficiency in Metabolic Disease

作　　者：罗文轩 赵进喜[1] 魏金艳 刘江腾 阮智超 张楷童 王乐 黄为钧[1] 肖永华[1] HUANG Weijun;XIAO Yonghua(Dongzhimen Hospital,Beijng University of Chinese Medicine,Beijing,100700)

机构地区：[1]北京中医药大学东直门医院,北京市100700

出　　处：《中医杂志》2024年第19期2041-2044,2049,共5页Journal of Traditional Chinese Medicine

基　　金：高水平中医药重点学科建设项目(zyyzdxk-2023255);中华中医药学会“青年人才托举工程”项目(CACM-2023-QNRC2-B28);北京中医药大学基本科研业务费揭榜挂帅重点项目(2023-JYB-JBZD-003)。

摘　　要：胃强脾弱是多种代谢病的共同病机。通过分析胃强脾弱的病机内涵,认为其本质是胃热脾虚,胃热包括胃肠结热、脾胃湿热,脾虚分为脾阴虚、脾气虚及脾阳虚。提出代谢病胃强脾弱可分为胃热盛脾阴虚、胃热盛脾气虚及胃热盛脾阳虚三大类,分别以清泄结热、养阴润肠,清化湿热、健脾益气,清化湿热、健脾温阳为主要治法,主方分别以麻子仁丸、芩连平胃散、加味连理汤进行加减。Stomach exuberance and spleen deficiency are common pathogenesis of many metabolic diseases.Through analyzing the pathogenesis of stomach exuberance and spleen deficiency,it is believed that its essence is stomach heat and spleen deficiency.Stomach heat includes gastrointestinal heat,spleen and stomach damp-heat,and spleen deficiency is divided into deficiency of spleen yin,deficiency of spleen qi,and deficiency of spleen yang.It is suggested that the metabolic diseases of stomach-exuberance and spleen-deficiency syndrome can be divided into three categories,i.e.stomach-heat and spleen yin-deficiency,stomach-heat and spleen qi-deficiency,and stomach-heat and spleen yang-deficiency,and the main treatment methods are clearing and draining heat,nourishing yin and moistening intestine,clearing dampness and heat,strengthening spleen and qi,clearing dampness and heat,strengthening spleen and warming yang,respectively,with prescriptions as Maziren Pills(麻子仁丸),Qinlian Pingwei Powder(芩连平胃散),and Jiawei Lianli Decoction(加味连理汤)accordingly.

关 键 词：代谢病 糖尿病 肥胖 痛风 胃强脾弱 

分 类 号：R259[医药卫生—中西医结合]