摘要
功能性消化不良是常见的消化系统功能性疾病,可归于中医“痞满”“胃脘痛”等范畴。患者的主要临床表现包括餐后饱胀不适、上腹烧灼疼痛感等。现代医学认为,本病的病因及发病机制可能与胃肠动力异常、内脏高敏感性、幽门螺杆菌感染、精神因素等有关,主要采取对症治疗措施以缓解症状,但病情容易反复,远期疗效不尽如人意。中医治疗功能性消化不良历史悠久,临床疗效显著。山西中医药大学李晶教授临证经验丰富,强调辨证论治思维,用方灵活变通,用药注意顾护患者脾胃,并重视调畅情志在疾病治疗中的作用,尤其擅长消化系统疾病的诊治。李教授认为,功能性消化不良发病多与情志内伤、饮食不节、脾胃不足、外邪侵袭相关。气滞贯穿疾病始终,因此当以调理气机为首要治疗原则,健脾和胃、调补气阴,恢复脾胃的正常升降,并重视饮食、起居、运动、情志等自我调护,以使中焦升降功能复健。文章结合案例介绍李晶教授治疗功能性消化不良的经验,以供临床参考。
Functional dyspepsia is a common functional disease of digestive system,can be classified into the categories of fullness and stomachache in TCM.The main clinically manifestations of patients include postprandial fullness and discomfort,epigastric burning and pain,etc..Modern medicine believes that the etiology and pathogenesis of this disease may be related to gastrointestinal motility abnormality,visceral high sensitivity,Helicobacter pylori infection,mental factors,etc..The symptomatic treatment measures are mainly taken to alleviate the symptoms,but the disease is easy to repeat,and the long-term effect is not satisfactory.TCM has a long history of treating functional dyspepsia with remarkable clinical efficacy.Professor LI Jing from Shanxi University of Traditional Chinese Medicine has rich experience in clinical practice.Prof.LI emphasizes the thinking of syndrome differentiation and treatment,and flexibly prescribes.Prof.LI pays attention to the protection of patients’spleen and stomach with appropriate medicines,and the role of regulating emotions in treating diseases.The professor especially is good at the diagnosis and treatment of digestive system diseases.Professor LI Jing believes that the occurrence of functional dyspepsia is mainly related to internal emotional injury,improper diet,deficiency of spleen and stomach,and invasion of external pathogens,and that Qi(气)stagnation runs through the disease.The treatment principle should be based on regulating Qi movement,supplemented by the therapy of strengthening spleen and stomach,and regulating Qi and replenishing Yin(阴),so as to restore the normal function of the spleen and stomach.In addition,the diet,daily living,exercise,emotions and other self-care should also be emphasized clinically,so as to restore the ascending and descending function of middle energizer.In this article,Professor LI Jing’s experience in the treatment of functional dyspepsia is introduced for a clinical reference.
出处
《中医临床研究》
2023年第17期136-139,共4页
Clinical Journal Of Chinese Medicine
基金
国家中医药管理局(国人教发[2017]29号)第六批全国老中医专家学术经验继承工作项目
李晶山西省名中医传承工作室建设项目(晋财社[2020]106号)。
关键词
功能性消化不良
痞满
临床经验
Functional dyspepsia
Distention and fullness
Clinical experience
作者简介
宣晓红(1994-),山西忻州人,山西中医药大学硕士研究生在读,住院医师,研究方向为中医药治疗消化系统疾病的临床研究;通讯作者:李晶(1957-),教授,硕士生导师,主要从事中医诊断学研究工作。
