功能性腹胀中医证型研究概况

Overview of functional abdominal distension syndrome type of traditional Chinese Medicine

通过对文献的分析和总结,得出功能性腹胀的证型有11个,分别为肝气郁滞证、肝脾不和证、脾胃虚弱证、湿热蕴脾证、肝胃不和证、脾虚痰湿证、寒湿困脾证、饮食内停证、脾肾阳虚证、寒热错杂证、肾虚血瘀证等。其中,基于临床经验辨证分型多数从肝脾胃肾入手,主要从三个证型、四个证型、五个证型进行治疗。而对功能性腹胀的文献研究则是以单一证型的专方研究为主,其中实证证型居多。同时通过对文献的分析可知,功能性腹胀的发生与肝脾胃肾四脏密切相关。

The purpose of this paper is to analyze syndrome types of functional abdominal disten-sion in traditional Chinese Medicine .We identified eleven syndrome types , i.e., liver-qi stagnation , liver-spleen disharmony , spleen-stomach weakness、damp-heat stagnation in spleen、liver-stomach disharmony , spleen deficiency and phlegm dampness , cold-damp invasion of spleen , retention of food and drink , defi-ciency of spleen and kidney yang , mixture of cold and heat , kidney deficiency and blood stasis , etc.We also found that clinical doctors mainly deal with functional abdominal distension by examining liver , spleen, stomach and kidney, which can be classified into three syndromes , four syndromes, and five syn-dromes treatment .With the emphasis on a particular syndrome type , the research showed that excess types outnumber deficiency ones , and functional abdominal distension is closely related with liver , spleen, stom-ach and kidney .