首页|基于"土郁夺之"论治消化性溃疡

基于"土郁夺之"论治消化性溃疡

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消化性溃疡是临床中常见的消化系统疾病,具有发病率高、病程长和反复发作等特性.中医一般将其归属于"胃脘痛""痞满""腹痛"等范畴,此病的发生与脾胃功能失调关系密切.中医认为"土郁"为五郁之首,脾胃病多郁.《证治汇补》曰:"食滞中焦,痰凝脾藏,热壅肠胃,皆土郁也."各种病邪困遏脾胃,导致脾胃郁阻不畅的过程均可称为"土郁".该文基于"土郁夺之"理论论治消化性溃疡,注重整体观念,治宜清热祛湿以去"土郁";抑木扶土以开"土郁";健脾化痰以解"土郁".壅滞于脾胃的邪气祛除,正气得复,则脾胃健运,中焦气机升降有序,"土郁"散而溃疡自愈.
Treatment of Peptic Ulcer based on the Theory of "Eliminating the Earth Stagnation"
Peptic ulcer is a common digestive system disease in clinical practice,with the characteristics of high in-cidence,long course of disease and recurrent attacks. Traditional Chinese medicine generally classifies it as "Epigastric Pain","Fullness" and "Abdominal Pain". The occurrence of this disease is closely related to spleen and stomach dys-function. Traditional Chinese medicine believes that "earth depression" is the first of the five depressions,and spleen and stomach diseases are mostly depression. "Zhengzhi Huibu" says:"Food stagnation in the middle Jiao,phlegm condensation in the spleen,and heat blocking the intestines and stomach are all earth depression." Various pathogenic factors that block the spleen and stomach and cause spleen and stomach stagnation can be called "earth depression". This article discusses the treatment of peptic ulcer based on the theory of "Earth Depression Takes It Away",focusing on the overall concept,and the treatment should be clearing heat and dampness to remove "Earth Depression";sup-pressing wood and supporting earth to open "Earth Depression";strengthening the spleen and resolving phlegm to re-solve "Earth Depression". When the evil Qi that is stagnant in the spleen and stomach is removed and the righteous Qi is restored,the spleen and stomach will be healthy,the Qi mechanism in the middle Jiao will rise and fall in an orderly manner,and the "Earth Depression" will be dispersed and the ulcer will heal itself.

Tuyu DuozhiPeptic ulcerTreatment

邹微、邓光锐

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湖北中医药大学 湖北武汉 430061

湖北中医药大学附属黄冈中医医院 湖北黄冈 438000

土郁夺之 消化性溃疡 治疗

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(9)