浅谈临证中肝胃不和及木土不和的区别

Differences between Liver-stomach Dishanmony and Wood-earth Disharmony

肝胃不和证是临床上胃脘部疼痛疾病的常见辨证类型,它有具体的定义和治法方药,而查阅文献资料鲜有医家对木土不和论述,甚至常常有人把木土不和与肝胃不和混淆,认为两者可以互换或通用,实际上木土不和与肝胃不和有很大的区别,认识不清楚往往会导致治疗不彻底。文章从病位、临床表现以及治法方药等角度试讨论这两者的不同点,旨在提醒众医家临证时要全面考虑病机,细化辨证论治,不可以偏概全。

Liver - stomach disharmony is actually the common type of syndrome differentiation in treating stomachache illness. It has been given specific definition, principle and methods of treatment by many experts. On another aspect, it seems few Chinese medicines give elaboration to wood - earth disharmony, even frequently confuse liver - stomach disharmony with wood - earth disharmony, and think the two can exchange or general. But in fact there are great differences between the two things. If Chinese medicines donl recognize this key point clearly, their treatment will be incomplete and imperfect. The author tries to discuss wood - earth disharmony and liver - stomach disharmony from the perspective of disease - location, the clinical manifestation, principle and methods of treatment to remind the general medicines have an all - round perspective of considering pathogenesis and give treatment with syndrome differentiation the refinement, cannot draw conclusions from a part.