辛开苦降法综合治疗功能性消化不良经验

Experience in the Treatment of Functional Dyspepsia with Xinkai Kujiang Method

功能性消化不良为临床常见的功能性胃肠病,以上腹疼痛胀满、上腹烧灼感、早饱感、嗳气为主要表现。该病病程较长、症状明显、诊断困难、治疗成本和复发率高,同时与精神障碍存在比较高的共病率,对患者生活质量影响巨大。该病辨证主要分为寒热错杂证、肝郁气滞证、肝郁脾虚证、脾胃湿热证和饮食积滞证五型。魏玮教授临证三十余载,运用经方辨证施治内科诸症,积累了治疗功能性消化不良的丰富经验,认为该病以寒热错杂证为各型之最,重视运用辛开苦降的半夏泻心汤或消痞通降汤平调寒热。临床治疗以"治未病"的理念,开拓思路,细化病机,注重加减用药,改善病人体质,提高本病治愈率,减少复发率。

Functional dyspepsia is the common functional gastrointestinal disease in clinic,manifes-ted as upper gastric pain and distention,burning sensation in the upper gastric region,gastric fullness in the morning and belching. This disease has a long duration of sickness,apparent symptoms,difficulty in diagnosis and high treatment cost and recurrence rate,and has a high comorbidity of mental disorder as well. All of these induce tremendous influence on the life quality of patient. This disease is mainly differentiated as five patterns,named mixture cold and heat,liver qi stagnation,liver stagnation and spleen deficiency,damp heat in spleen and stomach and food accumulation. Prof. Wei Wei has been engaged in clinical practice for over 30 years in the treatment of various internal diseases with classical formulas on the basis of syndrome differentia-tion and has accumulated rich experiences in the treatment of functional dyspepsia. Prof. Wei believes that functional dyspepsia is chiefly differentiated as mixture of cold and heat,and treated with banxia xiexin tang or xiaopi tongjiang tang to regulate cold and heat. Based on the idea of“preventive treatment of disease”,the ther-apeutic thinking is innovated,the pathogenesis is refined and the modified medication is greatly considered so as to improve patientˊs body constitution and the curative rate of the disease and reduce recurrence rate.