功能性消化不良从肝论治探析

Exploration and Analysis of the Treatment of Functional Dyspepsia from the Liver

功能性消化不良(functional dyspepsia,FD)是多发的消化科功能性疾病,目前,西医学认为胃肠动力障碍、胃感觉高敏性及精神心理因素等共同参与其发病,其中与精神心理因素的关系最为紧密。中医学中的"肝"主疏泄、畅气机、舒情志,这在协调脾升胃降的运化机能方面作用重大。精神心理因素即是情志状态,由此,从肝论治FD,中、西医学观点高度一致。现从中医理论出发,结合西医研究进展,对FD的从肝论治进行探析。

Functional dyspepsia( FD) is a common digestive systemic disease. Recently,western medicine believes that gastrointestinal motility disorders,gastric hypersensitivity and psychosocial factors are involved in the pathogenesis,and the relationship with mental and psychological factors is the closest. The "liver"in Chinese medicine controls conveyance and dispersion,regulates qi-flowing and minds,and that plays a major role in coordinating the function of spleen ascending and stomach descending. Psychological factors are emotional states,from this point of view,Chinese and western medicine have a high degree of consistency in treating FD from the liver. Based on the theory of traditional Chinese medicine and the research progress of western medicine,this paper probes into the treatment of FD from liver.