以组方“七原则”辨治胃痛的思路及体会

Thinking and comprehension of composing prescription by seven principle of treating gastralgia

根据临床实践总结归纳出治疗胃痛的"七原则",曰:缓(缓急止痛)、补(补气、补阳、补阴)、温(温中散寒)、清(清泄肝胃郁热)、理(疏理肝胃之气)、消(消食和胃,导滞攻积)、化(化瘀活血,化痰祛湿)。运用组方"七原则"可以基本囊括治疗胃痛的常用方法。一般可用"缓急止痛"法作为相对独立的基础治疗,以此增加治疗胃痛的针对性。"温"法是治疗胃痛的重要法则之一,实证温中散寒,虚证"温"、"补"并行。"缓"法加"温"法一起可以治疗过半的胃痛。"清"、"理"、"消"、"化"四原则的临床运用需具体情况具体分析。对于常见的复合病机及其证型,可以灵活组合"七原则",并确定其在处方中"君、臣、佐、使"的地位。组方"七原则"为中医辨证论治胃痛开辟了新的思路与方法。

＇Seven principle＇ of treating gastralgia summarized from clinical practice are ＇huan＇ （relieving spasm and pain）, ＇bu＇（icluding： invigorating qi, invigorating yang, invigorating ying）, ＇wen＇（warming middle jiao for dispellng cold）, ＇qing＇ （clearing and releasing stagnant heat of liver and gastric）, ＇li＇（soothing liver and regulating qi）, ＇xiao＇ （icluding： promoting digestion and regulating stomach,relieving dyspepsia）, ＇hua＇ （icluding： activating blood and absorb clots）. ＇Seven principle＇ basically include the common approach to treating gastralgia. ＇Relieving spasm and pain＇can be commonly used as a basic therapeutic method for gastralgia. ＇Wen＇ is one of the important principles of treating gastralgia, treating sthenia syndrome by warming middle jiao for dispelling cold, treating deficient syndrome by ＇wen＇and ＇bu＇. ＇Huan＇and＇wen＇can be used to treat over half of gastralgia. The clinic appication of＇Qing＇, ＇li＇, ＇xiao＇ and ＇hua＇should base on specific cases. For common complex pathogenesis and syndromes, ＇seven principle＇ can be flexibly combined to decide the prescription＇s ＇jun, chen, zuo, shi＇. ＂Seven principle＂ of composing prescriptions offers a new approach to syndrome differentiation and treatment of gastralgia.