摘要
国医大师徐景藩认为,根据餐后不适综合征的临床表现,可将其归于"痞满"范畴。病因病机主要有脾胃素虚、湿浊内生,肝失疏泄、气滞湿阻,药食伤中、湿化寒热,内外湿邪、合而致病。病机关键为湿浊中阻,升降失调,气机不畅。治疗上以醒脾化湿为大法,明辨温化清化之异,谴以行气、消食、祛风、生津、活血等法,提高疗效。
According to professor XU Jing-fan,the national master of traditional Chinese medicine(TCM),postprandial distress syndrome(PDS)is classified as’distention and fullness’based on its clinical manifestations.The etiological factors and pathogenesis mainly include congenital deficiency of spleen and stomach,endogenous dampness,liver disorder of conveyance and dispersion,syndrome of blockade of dampness due to qi stagnation,middle Jiao injuries by medicine or food,cold or heat transformations of dampness,endogenous and exogenous dampness pathogen,and coexistence of factors mentioned above.The key pathogenesis lies in dampness and turbidity damp-heat blocking middle jiao with ascending and descending disturbance of qi movement,which is followed by a treatment principle of enlivening spleen and resolving dampness.The curative effect can generally be improved by combining treatment methods such as activating qi flowing,relieving dyspepsia,dispelling pathogenic wind,promoting the production of body fluid and activating blood circulation etc..
作者
陆为民
徐丹华
马靖
LU Wei-min;XU Dan-hua;MA Jing(Affiliated Hospital of Nanjing University of Chinese Medicine/Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing 210029,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第7期3415-3418,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家中医药管理局“徐景藩学术经验传承研究室”建设项目(No.国中医药人教发[2010]59号)
江苏省中医药局重点项目(No.ZD201704)。
关键词
徐景藩
餐后不适综合征
醒脾化湿法
名医经验
痞满
XU Jing-fan
Postprandial distress syndrome
Enlivening spleen and resolving dampness
Experience of famous doctor
Distention and fullness