西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2015年
5期
43-46
,共4页
冉雪峰%胃痛%胃痞%名医经验
冉雪峰%胃痛%胃痞%名醫經驗
염설봉%위통%위비%명의경험
Ran Xuefeng%stomachache%gastric mass%the experience of famous doctor
通过典型医案,从病因病机、证治规律方面入手探讨冉雪峰治疗胃脘痞痛的学术经验。冉雪峰认为胃脘痞痛的主要病机为寒热错杂、痰气交阻、肝胃不和、肝胃郁热、痰热互结、瘀血凝滞、胃阴虚、胃气虚等,但多以寒热错杂为基础相互兼夹,治疗总以辛开苦降为主,和胃降逆,开上痹,畅中气。
通過典型醫案,從病因病機、證治規律方麵入手探討冉雪峰治療胃脘痞痛的學術經驗。冉雪峰認為胃脘痞痛的主要病機為寒熱錯雜、痰氣交阻、肝胃不和、肝胃鬱熱、痰熱互結、瘀血凝滯、胃陰虛、胃氣虛等,但多以寒熱錯雜為基礎相互兼夾,治療總以辛開苦降為主,和胃降逆,開上痺,暢中氣。
통과전형의안,종병인병궤、증치규률방면입수탐토염설봉치료위완비통적학술경험。염설봉인위위완비통적주요병궤위한열착잡、담기교조、간위불화、간위욱열、담열호결、어혈응체、위음허、위기허등,단다이한열착잡위기출상호겸협,치료총이신개고강위주,화위강역,개상비,창중기。
Ran Xuefeng′s academic experience of treating gastric abscess is illustrated from the cause, patho-genesis, the rules of syndrome and treatment by analyzing typical cases;Ran Xuefeng thinks that main pathogenesis of gastric abscess is intermingled heat and cold, obstruction of phlegm and Qi, disharmony between liver and stom-ach, stagnant heat of liver and stomach, combination of phlegm and heat, blood stasis, stomach Yin deficiency, stom-ach Qi deficiency, most of the diseases are with others on the foundation of intermingled heat and cold, its therapeu-tic principle should be opening by acrid drugs and descending by bitter ones, harmonizing stomach for descending adverse Qi, removing numbness and smoothing Qi in the middle energizer.