基于“因虚致郁”理论论治功能性消化不良

Treatment of functional dyspepsia based on the theory of “stagnation due to deficiency”

基于"因虚致郁"理论探讨功能性消化不良的中医诊治思路。认为功能性消化不良以脾胃虚弱为发病之本,"因虚致郁"为病机之要,气郁导致痰湿阻络为病机变化的转折点,痰气郁阻、瘀血阻络终致疾病迁延不愈。临证时紧扣"因虚致郁",重发病之源,遣方用药时以平补脾胃为先,清化湿浊、通降行气、缓消瘀积为用;晓治病之则,扶正以祛邪,祛邪而不伤正。

This article discusses the TCM diagnosis and treatment of functional dyspepsia based on the theory of "stagnation due to deficiency". It is considered that functional dyspepsia is caused by weakness of the spleen and stomach, with "stagnation due to deficiency" as the main pathogenesis and phlegm-dampness blocking collaterals due to qi stagnation as the turning point of the pathogenesis. Eventually, the result of phlegm-qi stagnation and blood stasis obstructing collaterals leads to persistency of the disease. In clinical practice, doctors should pay close attention to the pathogenesis of "stagnation due to deficiency" and causes of the disease. When treating the disease, doctors should know the principle of treatment and keep in mind the methods such as strengthening the body to dispel pathogenic factors and dispelling pathogenic factors without harming the healthy qi. When prescribing a prescription, doctors should first use Chinese medicines to mildly supplement the spleen and stomach, and apply Chinese medicines to clear away dampness and turbidity, dredge and descend qi and slowly eliminate stasis.