张简斋辨治胃脘痛经验撷菁  

Clinical Experience of Zhang Jianzhai in Treating Epigastric Pain

作　　者：朱振宇 郑艳辉[3] ZHU Zhenyu;ZHENG Yanhui(Graduate School,Nanjing University of Chinese Medicine,Nanjing 210023,China;Nanjing Chinese Medicine Hospital Binhai Branch/Department of Nephrology,Binhai Hospital of Traditional Chinese Medicine,Binhai 224500,China;Department of Nephrology,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210002,China)

机构地区：[1]南京中医药大学研究生院,江苏南京210023 [2]南京市中医院滨海分院/江苏省滨海县中医院肾病科,江苏滨海224500 [3]南京中医药大学附属南京中医院肾病科,江苏南京210002

出　　处：《基层中医药》2025年第3期1-5,共5页Basic Traditional Chinese Medicine

基　　金：南京中医药大学自然科学基金(XZR2021049);南京市科技计划项目(201803018);江苏省第四批省名老中医药专家传承工作室(江苏中医科教[2021]7号);郑艳辉名中医工作室建设项目(宁卫中医[2022]7号)。

摘　　要：胃脘痛是临床常见且多发的一种消化系统疾病,本文通过系统回顾张简斋先生关于胃脘痛的诊治病案,分析总结先生治疗胃脘痛的用药思路和经验,发现先生临证辨治注重调护脾胃之时,兼顾肝肾,治法上活用八法,胃有瘀污痰浊者,自拟清胃豁痰方以清胃豁痰;肝胃两病者,自拟和畅疏化方疏肝和胃;肝木凌胃者,予刚柔复方柔肝养胃;中阳不足者,以小建中汤建中化气。简斋先生深谙药性,用药精当,对现今临床颇多启示。Epigastric pain is a common and frequent digestive system disease in clinical practice.This paper systematically reviewed the medical records of Zhang Jianzhai on the diagnosis and treatment of epigastric pain and summarized his medication ideas and experience in the treatment of epigastric pain.It is found that Zhang Jianzhai has paid attention to the protection of the spleen and stomach in clinical syndrome differentiation and treatment and taken into account the liver and kidney.In addition,he used eight methods flexibly in the treatment.For those with blood stasis and phlegm turbidity in the stomach,a self-made Qingwei Huotan prescription was used to clear the stomach and eliminate phlegm.For patients with liver and stomach diseases,a self-made Hechang Shuhua prescription could soothe the liver and stomach;for patients with liver-muling stomach, arigid-flexible compound prescription was used to soften the liver and nourish the stomach;for thosewith insufficient middle Yang, Xiaojianzhong Decoction was used to build middle. Qi. Zhang Jianzhaiis versed in drug properties and medication precision, providing inspiration for current clinicalpractice.

关 键 词：胃脘痛 张简斋 自拟方 

分 类 号：R256.3[医药卫生—中医内科学]