邸贵运用自拟清肝和胃汤辨治胃痛肝胃郁热证经验

Experience of Di Gui in Using self-made Qinggan Hewei Decoction for the Treatment of Stomachache with the Syndrome of Liver-stomach Heat Stagnation

胃痛肝胃郁热证临床较多见,中医整体观念及辨证治疗具有明显优势。邸贵主任认为,肝气疏泄失常,日久郁而化热,横逆犯胃,导致胃热气滞,不通而痛是胃痛肝胃郁热证的主要病机。肝疏泄功能正常,气顺则通,胃自安和。临证中治以自拟清肝和胃汤,旨在清热疏肝、制酸止痛,兼降逆、活血,疗效显著。

Stomachache with the syndrome of liver-stomach heat stagnation is common in clinic.TCM has significant advantages in holistic view and syndrome differentiation and treatment.Director Di Gui believes that the main pathogenesis of stomachache with the syndrome of liver-stomach heat stagnation is that the liver qi is abnormal,and the stagnation is turned into heat after a long period of depression,which leads to stagnation of heat and qi in the stomach due to prolonged depression and heat transformation.If the relieving function of liver is normal,qi will flow smoothly and the function of stomach will be normal.In clinic,he treats the disease with self-made Qinggan Hewei Decoction,aiming to clearing heat and soothing the liver,suppressing acid and relieving pain,lowering adverse flow and promoting blood circulation,with remarkable efficacy.