《脾胃湿热证中医诊疗专家共识(2023)》解读

Interpretation of the experts consensus on traditional Chinese medicine diagnosis and treatment of syndrome of dampness-heat of spleen and stomach(2023)

《脾胃湿热证中医诊疗专家共识(2023)》是2020年11月由中华中医药学会脾胃病分会在北京牵头,联合全国27家三甲医院和高校科研院所共同修订的一部脾胃湿热证中医诊疗专家共识。相较于2017版共识,本共识除了概述、病因病机、诊断标准、临床治疗、疗效评定、预防调摄等方面外,还完善及补充脾胃湿热证的历史沿革、古代医家关于脾胃湿热证相关重要理论与方药的论述、中草药推荐剂量、不同亚型的中成药推荐及服用方法、中医外治及脾胃湿热证现代研究成果等。本文将针对该共识的主要更新和重点内容进行解读,希望有助于临床医师对于脾胃湿热证的规范诊治。

The experts consensus on traditional Chinese medicine diagnosis and treatment of syndrome of dampness-heat of spleen and stomach(2023)is an experts consensus on traditional Chinese medicine diagnosis and treatment led by the Spleen and Stomach Diseases Branch of the China Association of Chinese Medicine in November 2020 in Beijing,in collaboration with 27 tertiary hospitals,universities and research institutes across the country.Compared with the 2017 consensus,this updated version provides a comprehensive framework that includes not only the overview,etiology,pathogenesis,diagnostic criteria,clinical treatment,efficacy evaluation,prevention and adjustment,but also enhances and expands upon the historical evolution of syndrome of dampness-heat of spleen and stomach,the discussion of important theories and prescriptions related to syndrome of dampness-heat of spleen and stomach by ancient doctors,the recommended dosage of Chinese herbal medicine,the recommendation and administration methods of different subtypes of Chinese patent medicine,the external treatment of traditional Chinese medicine and the modern research results of syndrome of dampness-heat of spleen and stomach.This article will interpret the main updates and key contents of this consensus,hoping to contribute to the standard diagnosis and treatment of syndrome of dampness-heat of spleen and stomach by clinicians.