《黄帝内经》膈病探析

Analysis of Ge Disease in Huangdi Neijing

《黄帝内经》中含有"鬲""隔""膈"字的词汇和语句,均出现于消化道梗阻性疾病的篇章中,取"隔阻"之义。不同的病变位置及不同的症状表现,给予的名称不同。膈咽是以吞咽困难饮食不下为主要症状,病位偏于食管上段;膈中和上膈病情相似,以饮食不下、食后吐出为主要症状的梗阻性疾病,其中膈中病位在食管下段且伴有呕吐黏液,上膈病位在贲门附近;下膈指饮食一天后又吐出宿食,可伴有腹痛、发热症状的幽门及其附近的梗阻类疾病;膈洞特指伴有烧心症状的梗阻性疾病;膈肠指以大便不通为主要症状的肠道梗阻。

By observing the words and sentences in Huangdi Neijing that contain the characters"Ge(鬲)","Ge(隔)"and"Ge(膈)",they all appear in the chapters of obstructive diseases of the digestive tract,and the meaning of"block"is taken.Different names were given to different lesion positions and different symptoms.Diaphragm is the main symptom of Geyan and inability to eat,and the disease position is in the upper esophagus;the conditions of Gezhong and Shangge are similar.Obstructive diseases with inability to eat and vomit after eating are the main symptoms.The disease position of Gezhong is in the lower part of the esophagus with vomiting mucus,and the disease position of Shangge is near the cardia;Xiage refers that after a day′s diet,the patient vomited out the night food,which may be accompanied by abdominal pain and fever symptoms of pyloric and its nearby obstructive diseases.Gedong refers to obstructive diseases with heartburn symptoms;Gechang refers to intestinal obstruction with no stool as the main symptom.