周福生辨治功能性消化不良举隅

Professor ZHOU Fusheng's Experience on Treating Functional Dyspepsia

功能性消化不良疾病发病率高,停药后易复发。周福生教授治疗功能性消化不良方面有丰富临床经验,认为功能性消化不良疾病早期常以肝郁气滞为主要表现,肝郁致胃脘积热或湿阻为多,为实证;疾病久治不愈致耗气伤阴、肝郁脾虚、阴虚等虚实夹杂证。基本病机为中焦气机阻滞,升降失常致胃失和降。病位在胃,与肝脾密切相关。以脾虚为本,气滞、血瘀、食滞、痰湿等邪实为标,而脾虚气滞为基本病机,且贯穿于疾病的始终。本病当以健运脾胃,调畅中焦气机为大法。临床四诊合参,加减运用其经验方,中医药治疗本病效果显著,远期疗效较为可靠,有效地降低了本病的复发率,弥补了现代医学治疗的不足。

The functional dyspepsia incidence rate is high and it is easy to relapse after drug withdrawal. Professor ZHOU Fusheng has rich clinical experience in the treatment of functional dyspepsia. In early stage, functional dyspepsia often has stagna- tion of liver Qi as the main performance, liver depression and heat accumulation caused by dampness. Long term disease would cause Qi and Yin consumption, liver stagnation and spleen deficiency, yin deficiency, deficiency excess syndrome. The basic path- ogenesis is middle -Jiao Qi block and the lifting of arrhythmogenic disorder of the stomach qi. The disease＇s location is the stom- ach, closely related with liver and spleen. The pathogenesis is the stagnation of Qi, blood stasis, food stagnation, phlegm - damp and the syndrome of spleen deficiency and qi stagnation. The disease should be treated by methods of invigorating spleen and stomach and regulating middle Jiao - Qi. Clinical parameters and the experience of Chinese medicine treatment of this disease have significant effect. The long - term effect is more reliable, effectively reducing the recurrence of the disease rate to make up for the lack of modern medical treatment.