基于《素问·风论》探析胃风

Analysis of Stomach Wind Based on Suwen·Feng Lun

文章追溯胃风概念的由来与后世医家的补充,探析胃风病机与内风、外风关联以及相应的治疗。胃风概念源于《黄帝内经》,李东垣、喻嘉言等后世医家对其都有发挥,对其症状的描述更加丰富,病机则不离内风、外风,多有虚实夹杂之证。后世医家针对其治疗,补充了胃风汤等方药,填补了胃风理论无具体治法的空缺。在现代研究中,胃风与脑肠轴理论有互相联系之处,胃风出现的症状也是结合了神经系统及胃肠道的表现。临床较多使用祛风药物治疗胃风,在治疗慢性萎缩性胃炎等消化道疾病方面也有参考意义。

This article traced the origin of the concept of stomach wind and the supplement of later doctors,and probed into the patho⁃genesis of stomach wind,the relationship between internal wind and external wind and the corresponding treatment.The concept of stomach wind originated from Huangdi Neijing,and doctors of later ages,such as Li Dongyuan and Yu Jiayan,gave full play to it and described its symptoms more extensively.The pathogenesis of stomach wind is not only internal wind but also external wind,and most of the symptoms are mixed with deficiency and reality.Later doctors supplement the prescription such as Weifeng decoction for its treatment,filling the vacancy of the theory of stomach wind without specific treatment.In modern studies,stomach wind and brain-gut axis theory are related,and the symptoms of stomach wind are also combined with the nervous system and gastrointestinal symptoms.The treatment of stomach wind and the use of wind-dispelling drugs in the treatment of chronic atrophic gastritis and other digestive tract diseases also has reference significance.