冯五金老中医温阳通调法治疗功能性腹胀经验体会

Experience of Feng Wujin in Treating Functional Abdomen Distension with the Method of Warming Yang Regulation

根据功能性腹胀(FB)的临床表现,冯五金老中医认为其应属中医的"虚痞""虚满",基本病机是人体阳气不足,脏腑气机失调,即阳虚为本,痞满为标。主张温补治本,通调治标,并认为治疗功能性腹胀的关键是调畅气机,尤其是调理脾胃气机之升降,具体体现在"通"和"调"两方面,其中"通"是"调"的基础,"调"是"通"的目的和补充。"通"是保持气、血、津液正常运行、脏腑功能协调的基础,涵盖在各种治法当中;"调"的本义是"和谐,协调",旨在气机畅达的前提下,使气血津液调和,脏腑功能协调,情志调畅,饮食起居有常。调法包括了调和气血阴阳、调治脏腑、调节情志、调理饮食起居等方面的内容。最后举一医案以说明上述经验,并简述了笔者的学习体会。

According to the clinical manifestation of functional distension,veteran Chinese medicine doctor Mr. Feng Wujin believes that the disease belongs to the“vacuity distention”of Chinese medicine. The disease mechanism is deficiency of yang qi,disharmony of qi in zang and fu. So the disease root is yang defi-ciency and the exterior manifestation is vacuity distention. The treatment rule shall be warming the root and regulating the exterior. The key is to regulate qi,especially the spleen and stomach qi,manifested in terms of freeing and regulating. Freeing maintains the regular running of qi,blood and liquid,as well as the harmoni-ous zang - fu function. Regulating is to harmonize qi,blood,liquid and zang - fu function on the foundation of qi freeing so as to regulate mood,diet and living style. There was a medical case described in this paper to il-lustrate the above experience with learning acquirement.