态靶辨证在脾胃虚寒型胃痉挛中的运用——黄芪建中汤加吴茱萸

Application of State-Target Syndrome Differentiation in Gastrospasm——Huangqi Jianzhong Decoction(黄芪建中汤)with Wuzhuyu(Euodiae Fructus)

脾胃虚寒型胃痉挛是临床常见疾病,可见于多种疾病的胃肠并发症。中医治疗该病具有较好的临床疗效,不仅能改善症状,还能减少慢性胃病发作次数,可明显减轻病人痛苦。脾胃虚寒型胃痉挛主因贪凉饮冷、素体脾胃虚寒,有部分患者虽表现热态,看似湿热,但追本溯源仍责之于寒。治病必求于本,需从本而治。仝小林院士以"脾胃虚寒"为态,胃脘冷痛、恶心呕吐为"症状靶",以黄芪建中汤温中散寒止痛,白芍止平滑肌痉挛之痛,配合吴茱萸散寒止痛之力效果更强,态靶结合,疗效突出。

Gastric spasm of deficiency cold in spleen and stomach type is a common clinical disease. Gastrointestinal complications can be seen in a variety of diseases. Traditional Chinese medicine has a good clinical effect in treating this disease. It dose not improve symptoms but also reduces the number of episodes of chronic stomach problems. It can obviously relieve the patients′ pain. Spleen and stomach deficiency cold type is mainly due to cold drink and deficiency cold constitution. Although some patients show heat state,the source is still responsible for cold. The treatment must be based on the root. Academician TONG Xiaolin considers the deficiency cold of spleen and stomach as the state and pain, nausea and vomiting as the "symptoms target". Huangqi Jianzhong Decoction(黄芪建中汤) can warm the middle,disperse cold and relieve the pain. Baishao(Paeoniae Radix Alba) can relieve spasm of smooth muscle and has stronger effect by combining with Wuzhuyu(Euodiae Fructus) to dissipate cold and relieve pain. The combination of state and target can obtain the obvious curative effect.