现代中医临床2024,Vol.31Issue(2) :98-102.DOI:10.3969/j.issn.2095-6606.2024.02.021

基于"肝脾同调"探讨老年功能性消化不良辨治思路

Exploring the diagnosis and treatment of functional dyspepsia in the elderly based on liver-spleen harmonization

范明明 张艺川 刘永梅 常雨 张艮霜 李显筑
现代中医临床2024,Vol.31Issue(2) :98-102.DOI:10.3969/j.issn.2095-6606.2024.02.021

基于"肝脾同调"探讨老年功能性消化不良辨治思路

Exploring the diagnosis and treatment of functional dyspepsia in the elderly based on liver-spleen harmonization

范明明 1张艺川 1刘永梅 1常雨 1张艮霜 1李显筑1
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作者信息

  • 1. 黑龙江省中医药科学院 哈尔滨 150000
  • 折叠

摘要

功能性消化不良病所在胃,责之肝脾.老年人由于五脏衰颓,肝脾功能下降,是功能性消化不良主要发病人群,"肝脾同病"是其核心病机.本文通过研究相关文献,阐述肝脾生理互用与病理互传关系,探讨老年功能性消化不良发病机理与治疗原则,阐明脾虚是其发病基础,肝郁是其发病条件,临床多表现为"脾虚气滞"与"肝胃不和",治疗上以"肝脾同调"立法,健脾疏肝以畅达脾胃.结合相关临床数据与实验结果,进一步印证"肝脾同调"论治老年功能性消化不良思路的科学内涵,为临床治疗老年功能性消化不良提供有效诊疗思路.

Abstract

Functional dyspepsia(FD)primarily affects the stomach,implicating the liver and spleen.The elderly,due to the decline of the five viscera and the diminished liver and spleen function,constitute the main demographic suffering from FD.Disorder of the liver and spleen stands as its core pathogenesis.Drawing insights from relevant literature,this paper elucidates the physiological interplay and pathological intercommunication between the liver and spleen.It delves into the pathogenic mechanisms and treatment principles of functional dyspepsia in the elderly,emphasizing that spleen deficiency forms its pathological basis,while liver stagnation serves as a predisposing factor.Clinical manifestations include mostly spleen deficiency and qi stagnation and disharmony between the liver and stomach.Therapeutically,the approach of liver-spleen harmonization is advocated,aiming to tonify the spleen,soothe the liver,and promote the unobstructed flow of spleen and stomach functions.By incorporating relevant clinical data and experimental findings,this paper further substantiates the scientific essence of the liver-spleen harmonization approach in treating functional dyspepsia in the elderly,offering effective diagnostic and therapeutic insights for clinical practice.

关键词

肝脾同调/功能性消化不良/脾虚气滞/肝胃不和

Key words

liver-spleen harmonization/functional dyspepsia/spleen deficiency and qi stagnation/liver and stomach disharmony

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基金项目

黑龙江省自然科学基金(LH2023H079)

黑龙江省博士后基金(040102-438)

黑龙江省中医药科研项目(ZHY2022-084)

黑龙江省医药卫生科研课题(20222121010688)

出版年

2024
现代中医临床
北京中医药大学

现代中医临床

CSTPCD
影响因子:0.816
ISSN:2095-6606
参考文献量23
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