董建华教授胃脘痛证治经验

PROFESSOR DONG JIANHAU'S EXPERIENCE IN THE DIAGNOSIS AND TREATMENT OF EPIGASTRALGIA

胃脘痛病位主要在胃,与肝脾有密切关系.外感六淫或内伤饮食.均可导致胃府气机壅滞;肝为刚脏,肝气郁结,横逆犯胃亦可致气机郁滞.是故胃脘痛的发生发展,气滞实为其重要病机.该病在治疗上始终以通降为主旨,并根据胃脘痛气滞、血瘀和虚证的三个发展阶段,在辨证论治的基础上,创制出胃脘痛证的十八种治法.

Epigastralgia is mainly located in stomach and it has close relation with liver and spleen. Stagnation of the stomach-qi can be caused by the affection by both exopathogen and six external etiological factors, improper diet and by the invasion of stomach due to the stagnation of liver-qi. Stagnation of qi is an important pathogenesis of occurrence and development of epigastralgia. Therefore, promoting the circulation of the qi and sending down the abnormally ascending qi is the main principle for treating epigastralgia all the time. Eighteen therapeutic methods for treating epigastralgia were developed according to three developing stages of stagnation of qi, blood stasis and deficiency syndrome, and on the basis of diagnosis and treatment according to the differentiation of symptoms and signs of TCM.