摘要
“胃不和则卧不安”,胃痛和不寐均为多发病、常见病,两者伴发的情况十分常见,且反复发作,迁延难愈。临床常将这两种病症分开治疗,效果多不理想。窦永起教授根据多年的临床实践发现,此类患者病情常相互影响,治疗需同时考虑,且其病因病机存在一定联系,即“湿滞中焦、胃失和降,湿邪夹热、痰热扰心”,湿邪是其关键病因,故常采用半夏泻心汤与温胆汤类方加减治疗,常可取得显著效果。
"Stomach discord leads to lying restless".Gastralgia and insomnia are both common and frequently occurring conditions,and their co-occurrence is very common,often recurrent and difficult to resolve.In clinical practice,these two conditions are often treated separately,resulting in suboptimal outcomes.Based on years of clinical experience,Professor DOU Yongqi has found that these conditions often influence each other and should be treated concurrently.Moreover,their etiology and pathogenesis are interconnected,characterized by"dampness stagnating in the middle Jiao,leading to gastric disharmony and downward movement;dampness-heat complex,phlegm-heat disturbing the heart",with dampness identified as the key etiological factor.Therefore,modified prescriptions based on Banxia Xiexin Decoction and Huanglian Wendan Decoction are frequently applied,often achieving remarkable therapeutic effects.
作者
仲苓芝
李潇
王毓国
于泓洋
窦永起
ZHONG Lingzhi;LI Xiao;WANG Yuguo;YU Hongyang;DOU Yongqi(Graduate School,PLA General Hospital,Beijing 100853,China;PLA Unit 71901,Liaocheng 252004;The Sixth Medical Center of PLA General Hospital,Beijing 100048;PLA Medical College,Beijing 100853)
出处
《北京中医药》
2025年第9期1154-1157,共4页
Beijing Journal of Traditional Chinese Medicine
基金
北京市中医药管理局第六批中医药专家学术经验继承工作项目(京中医科字〔2021〕169号)。
关键词
胃痛
不寐
半夏泻心汤
黄连温胆汤
窦永起
名医经验
gastralgia
insomnia
Banxia Xiexin Decoction
Huanglian Wendan Decoction
DOU Yongqi
experience of famous doctors
