“辛开苦降和为法 开结除痞通为用”理法验证

Validation of "pungent dispersing and bitter descending method and opening junction and removing epigastric fullness"

目的探讨针对痞证患者,观察选择辛开苦降法完成治疗后获得的临床效果。方法选取我院2013年1月—2015年1月痞证患者130例。通过随机数表法完成痞证患者的随机分组。C2组(对照组65例):临床选择果胶铋、选择吗丁啉以及选择奥美拉唑等系列药物进行治疗。C1组(观察组65例):临床选择辛开苦降法即选择半夏泻心汤加减的方法进行治疗。对比两组患者在治疗总有效率方面表现出的差异性。结果两组痞证患者分别完成临床治疗后,C1组痞证患者治疗总有效率为98.46%,C2组痞证患者治疗总有效率为76.92%,C1组明显高于C2组痞证患者(P<0.05)。结论针对痞证患者,临床选择半夏泻心汤进行治疗,能够有效发挥寒温并用以及攻补兼施的功效,对患者的脾胃进行有效调和,最终发挥显著的临床治疗效果。

Objective To investigate the clinical effect of pungent dispersing and bitter descending method on the treatment of epigastric fullness. Methods From January 2013 to 2015 January, 130 cases of epigastric fullness were randomized into two groups by a random number table method. C2 group（ control group of 65 patients） used bismuth pectin, domperidone, omeprazole and other drugs for treatment. C1 group（observation group, 65 cases） used Banxia Xiexin decoction for treatment. The differences of total efficiency of the two groups were compared. Results After treatment, the total effective rate of the C1 group was 98.46 %, and was 76.92% for C2 group,the total effective rate of the C1 group was significantly higher than that of C2 group（ P〈0.05）. Conclusion For patient with epigastric fullness, the Banxia Xiexin decoction can effectively play function of combination of frigotherapy and pyretotherapy as well as both benefiting and attacking principles, reconcile spleen and stomach, and eventually play a significant clinical effect.