郑洪新论治胃脘痛十二法  

Twelve Methods of ZHENG Hongxin Treating Epigastric Pain

作　　者：杨硕[1,2] 耿新冉 郑洪新[1] YANG Shuo;GENG Xinran;ZHENG Hongxin(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Fourth Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110101,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属第四医院,辽宁沈阳110101

出　　处：《辽宁中医杂志》2025年第3期20-24,共5页Liaoning Journal of Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设基金项目(国中医药人教发〔2022〕75号);国家自然科学基金项目(82074296);中国中医药研究促进会基金项目(中医促会〔2022〕109号);第六批全国老中医药专家学术经验继承人项目(国中医药人教发〔2017〕29号);辽宁省中医大师传承工作室基金项目(辽中医药发〔2022〕1号)。

摘　　要：胃脘痛是一种常见内科疾病,多种上消化道的疾病均可出现胃脘痛的症状。西医在治疗胃脘痛方面具有一定的局限性,而中医治疗具有独特的优势。郑师继承前人学术思想,认为胃脘痛的病因主要以感受寒湿之邪、饮食不节、劳倦内伤、情志失调、湿困脾胃、瘀血阻滞为主。同时从气血虚实寒热的角度阐释胃脘痛的病机,并将其总结为气有余便是火、气不足便是寒、气机升降失常与血的生成运行失常。郑师根据自己多年临床经验,总结了十二法论治胃脘痛,包括益气健脾法、益气升阳法、补益气血法、温阳助运法、滋阴养胃法、清胃泻火法、以痈论治法、祛湿理气法、理气和胃法、活血通络法、塞因塞用法、抑木扶土法,在论治胃脘痛,取得了很好的临床疗效。文章对其辨证论治胃脘痛的临床经验进行整理,以期为临床治疗上提供参考。Epigastric pain is a common medical disease,many diseases of upper digestive disease can have symptoms of epigastric pain.Western medicine has certain limitations in the treatment of epigastric pain,while traditional Chinese medicine has its own unique advantages.Professor ZHENG Hongxin inherits the academic thought of her predecessors and believes that the causes of epigastric pain are mainly cold and damp,improper diet,tiredness and internal injury,emotional disorder,damp trapping spleen and stomach,and blood stasis.At the same time,the pathogenesis of epigastric pain is explained from the perspective of Qi,blood,deficiency,excess,cold and heat,and it is summarized as excessive Qi being fire,insufficient Qi being cold,abnormal Qi movement and abnormal blood production and operation.According to the clinical experience for many years,Professor Zheng summarized twelve methods for the treatment of epigastric pain,including the method of invigorating Qi and strengthening spleen,the method of invigorating Qi and promoting Yang,the method of tonifying Qi and blood,the method of warming Yang and promoting transportation,the method of nourishing Yin and tonifying stomach,the method of clearing stomach and discharging fire,the method of treatment based on carbuncle,the method of regulating Qi and dispelling dampness,the method of regulating Qi and harmonizing stomach,the method of activating blood dredging collaterals,the method of treating obstructive syndrome with tonics,the method of supporting spleen and restricting liver.In the treatment of epigastric pain,good clinical effect has been obtained.This article summarized the clinical experience of syndrome differentiation and treatment of epigastric pain,in order to provide new ideas for clinical treatment.

关 键 词：胃脘痛 临床经验 名老中医 郑洪新 

分 类 号：R256.3[医药卫生—中医内科学]