汪龙德教授从五脏辨治顽固性呃逆的思想与经验

Professor Wang Longde's thought and experience in treating intractable hiccups from five Zang organs

汪龙德教授从五脏辨治顽固性呃逆的经验。汪龙德教授是甘肃省名中医,主任医师、博士生导师,脾胃病重点专科学术带头人,兼任中华中医药学会脾胃病分会常务委员,中国民族医药学会脾胃病分会常务理事,从事医、教、研30年。在理论联系实际和总结临床经验的基础上,相继研制出“平胃胶囊”“化瘀软肝胶囊”等院内制剂。长期专注于中医药防治消化系统疾病临床、教学与研究中。熟读经典,善于以整体观,系统观分析问题与指导临床。将治病求本基础上的辨证论思想贯穿在诊治疾病的整个过程中,同时在治疗,科疑难杂症方面有独到的见解,汪龙德教授认为呃逆总的病机为“胃失和降,胃气上逆”,病位在“胃”,与五脏密切相关,用中医治疗也不能仅仅使用降逆之品,应从整体出发,治病求本,重视从五脏为着眼点来治疗顽固性呃逆,通过恢复肺的宣发肃降功能、肾的纳气功能,重视调心以治胃、疏肝和胃、升脾降胃等治法,在临床中治疗顽固性呃逆,效果显著。笔者有幸随师临证,所获良多,现择老师辨治顽固性呃逆的思想及经验,介绍如下。

This paper introduces Professor Wang Longde's experience in distinguishing and treating intractable hiccup from the five Zang organs.Professor Wang Longde is a famous traditional chinese medicine doctor,doctoral supervisor and academic leader in key specialties of spleen and stomach disease in Gansu Province.He is also a member of the standing committee of the spleen and stomach diseases branch of the chinese society of Traditional Chinese Medicine and executive director of the spleen and stomach disease branch of the Chinese Society of Ethnic Medicine.He has been engaged in medicine,teaching and research for 30 years.On the basis of combining theory with practice and summing up clinical experience,"Pingwei capsule"(平胃胶囊)and"Huayu Ruangan capsule"(化瘀软肝胶囊)and other hospital preparations have been developed one after another.He has focused on traditional Chinese medicine prevention and clinical treatment of digestive system diseases,teaching and research in a long term in addition to being familiar with classics,good at holistic,systematic analysis of problems and clinical guidance.The thought of syndrome differentiation on the basis of treating diseases runs through the whole process of his diagnosis and treatment of diseases.At the same time,he has unique views on the treatment of difficult and miscellaneous diseases.Professor Wang Longde believes that,the general pathogenesis of the disease is"stomach loss and fall,stomach qi inversion",the disease is located in the"stomach",which is closely related to the five Zang organs,and the treatment with traditional Chinese medicine should not only use the product of reducing the inverse,but should proceed from the whole and seek the root of the disease.Attention should be paid to the treatment of intractable hiccup from the point of view of the five Zang organs,through the restoration of lung function,kidney function,regulating heart to treat stomach,soothing liver and stomach,raising spleen and lowering stomach,etc.,and the effect is remarkable in clinical treatment of intractable hiccup.The author has the privilege of following the teacher's clinical experience,and has gained a lot.Now the teacher's idea and experience of distinguishing and treating obstinate hiccup is introduced as follows.