杨康教授从气血津液论治胃痞的经验总结

发布时间：2018-05-17 12:29

本文选题：胃痞 + 气血津液　；参考：《湖北中医药大学》2017年硕士论文

【摘要】：胃痞是临床常见的脾胃系病症之一,以脘腹部的胀满不适为主要表现征象。胃痞的发生与气的关系密切,而气、血、津液是一个有机整体,因此,血和津液在胃痞的辨证治疗中的重要性亦不可忽略。气病病机在胃痞的辨治过程中运用广泛,吾师杨康认为单凭气病病机辨治胃痞是不够的,在中医的整体观念中,气、血、津液是相互依存、相互制约、相互为用的,任何一个病变都有可能影响其他两个的正常生理功能。气病病机是导致胃痞主证的影响病机,而血病、津液病对其兼证的影响不可忽略。气、血、津液不仅是维护脾胃正常生理功能的基本营养物质,又是影响脾胃致病的病理因素。理解了气血津液病机,不仅帮助理解了病程中产生的不同病理产物,又有助于把握疾病的转归。吾师将临床常见胃痞患者分为脾虚湿滞型、气虚血瘀型、肝胃不和型和胃阴亏虚型。通过补气行气、活血化瘀、滋阴利湿达到消痞的同时,还顾养了脾胃之本。本文分为三部分,第一部分主要通过古代文献对痞的字义、痞的病因病机、症候分析及治疗进行研究;第二部分通过介绍现代医学对胃痞的认识;第三部分阐述气、血、津与脾胃的生理、病理关系,论述胃痞的分型和辨证机理,并通过病例总结吾师杨康教授从事临床30年来辨证治疗胃痞经验。
[Abstract]:Gastric distension is one of the common diseases of spleen and stomach. The occurrence of gastric distension is closely related to qi, and qi, blood and body fluid are an organic whole. Therefore, the importance of blood and body fluid in the treatment of gastric distension can not be ignored. The pathogenesis of Qi disease is widely used in the process of differentiation and treatment of gastric distresses. Yang Kang, our teacher, thinks that it is not enough to differentiate and treat stomach distresses by relying on the pathogenesis of qi diseases. In the overall concept of traditional Chinese medicine, qi, blood and body fluid depend on each other, restrict each other, and are used for each other. Any one lesion may affect the normal physiological function of the other two. The pathogenesis of qi disease is the influence of the main syndrome of gastric distension, but the influence of blood disease and body fluid disease on its syndromes can not be ignored. Qi, blood and body fluid are not only the basic nutrients to maintain the normal physiological function of spleen and stomach, but also the pathological factors affecting the pathogenesis of spleen and stomach. Understanding the pathogenesis of qi, blood and body fluid not only helps to understand the different pathological products produced in the course of disease, but also helps to grasp the outcome of the disease. The patients were divided into spleen deficiency and dampness stagnation type, qi deficiency and blood stasis type, liver and stomach disharmony type and stomach yin deficiency type. Invigorating qi, promoting blood circulation and removing blood stasis, nourishing yin and dampness to achieve the puffiness, but also care to nourish the spleen and stomach. This article is divided into three parts, the first part mainly through the ancient literature on the meaning of ruffian, the cause and pathogenesis of the disease, symptoms analysis and treatment; the second part through the introduction of modern medicine on the understanding of gastric distension; the third part of the description of qi, blood, The physiological and pathological relationship between Jin and spleen and stomach, the classification and syndrome differentiation mechanism of gastric distension were discussed, and the experience of 30 years' clinical treatment of gastric distension was summarized by Professor Yang Kang.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R256.3

【参考文献】