张锡纯论治冲胃气逆疾病述要

Summary of Zhang Xi-chun's thoughts in treating counter flow of thoroughfare vessel of stomach and stomach Qi rising in reverse order

常见的冲胃气逆疾病有脑充血、呕吐、吐衄、喘证、膈证、倒经等,张锡纯认为引起此类疾病的病理基础是肾虚、肝火、胃气虚弱等。对于此类疾病,张锡纯喜用降逆药物配合对症的补益之药治疗。降逆药物,张锡纯常取代赭石、半夏,认为两药皆是镇降冲胃气逆的良药,补益药物,能恢复脏腑的正常生理,从根本上治疗引起冲胃气逆的病理基础,另外张锡纯还用升提大气的方法治疗冲胃气逆引起的倒经等病。

The common diseases due to counter flow of thoroughfare vessel of stomach and stomach Qi rising in reverse order included cerebral hyperemia,vomit,hematemesis,gasp syndrome,dysphagia,retrograde menstruation and so on.Zhang Xi-chun thought that the pathological foundations causing these diseases are deficiency of kidney,liver-fire,and weakness of stomach Qi etc.For treating them,therefore,he liked to apply herbs lowering adverse Qi combined with tonifying herbs.Ochre and pinellia ternate were commonly used by Zhang Xi-chun.He suggested that both herbs were effective herbs to suppress the counter flow of thoroughfare vessel and stomach Qi.The tonifying herbs can help to restore the normal physiology of Zang and Fu organs and treat the counter flow of thoroughfare vessel and stomach Qi fundamentally.Additionally,he also used the method of raising Qi to treat the disease such as retrograde menstruation.