胃肠积热的古今病因、病机学研究

Study on pathogeny and pathogenesis of accumulated heat in stomach and intestine

通过整理古代医籍中有关胃肠积热病因、病机的研究,笔者概括出胃肠积热的主要病因、病机为:过食肥甘厚味导致阳气内郁,蕴于胃肠;情志不遂、气郁化火,壅于胃肠;外邪直中或传变至阳明胃肠、从阳化热、邪热壅塞。同时联系现代医学研究,归纳出现代社会中胃肠积热多发的原因为现代社会日益加快的生活节奏所带来的饮食不节/不洁、繁重的学习工作生活压力及运动的缺乏等不良生活习惯;并从免疫学、神经内分泌调节及营养学角度探讨胃肠积热的现代医学病机,旨在揭示胃肠积热相关病因、病机研究的不足,论述引入系统生物学研究手段的必要性。

Through the study of pathogeny and pathogenesis of accumulated heat in stomach and intestine in the ancient medical books,the author summarizes the pathogeny and pathogenesis of accumulated heat in stomach and intestine of internal depression of yang qi accumulated in the stomach and intestine induced by overeating high-fat diet,affect-mind dissatisfaction and fire due to qi stagnation stop up in the stomach and intestine,exogenous evil or progress of disease of Yang Ming meridians,heat transformed from yang,heat choke. At the same time,modern medical research summarized the causes of gastrointestinal accumulated heat multiple heat accumulation in modern society is improper diet / unclean caused by fast-paced life,heavy work and life pressure and lack of exercise and other bad habits. And from the perspective of immunology,neuroendocrine and nutrition to explore the pathogenesis of gastrointestinal accumulated heat,to reveal the related etiologically factor and deficiency of pathogenesis research,this paper discussed the necessity of the introduction of systems biology research methods.