黄恺行教授治疗胃脘痛的用药经验

Professor Huang Kaixing’s medication experience in treating stomachache

胃脘痛是以上腹胃脘部近心窝处疼痛为主症的病证,其已经严重危害到人们的健康和生活质量。黄教授在临床上善先辨阴阳再论治法,其认为中焦虚寒、胃阴不足是本疾病的基本病机。同时,其认为肝胃不和在胃脘痛中占有重要地位。黄教授根据病机不同而分别用药,善用药对。分别以温中散寒、理气和胃、益胃养阴、抑木安土为治法。本文通过查阅胃脘痛相关文献,介绍了历代医家对胃脘痛的认识,并运用中医辨治思维结合黄教授的临证经验,详述了黄教授判断病因病机、辨清病位的思路,对中焦虚寒证及胃阴不足证所导致的胃脘痛进行防治。

Stomachache is mainly characterized by pain in the upper abdomen stomach duct near the precordia,it has seriously harmed people’s health and quality of life.Professor Huang is good at distinguishing Yin and Yang first and then discussing the treatment strategy in clinic,he believes that deficiency-cold in middle jiao and insufficiency of stomach yin are the basic pathogenesis of this disease.At the same time,he believes that disharmony of liver and stomach has an important position in stomachache.Professor Huang administeres different drugs according to different pathogenesis,and good at using couplet drugs.The treatment methods include warming spleen and stomach for dispelling cold,regulating qi-flowing for harmonizing stomach,nourishing yin for benefiting stomach,suppressing wood and soothing soil.This paper reviews the related literature on stomachache,introduces the understanding of stomachache by physicians in past dynasties,and uses traditional Chinese medicine dialectical thinking combined with Professor Huang’s clinical experience,expatiates Professor Huang’s thinking of diagnosing etiology and pathogenesis and distinguishing disease location,prevents and treats of stomachache caused by deficiency-cold in middle jiao and insufficiency of stomach yin.