首页|基于"少阳为生气之首"探讨胆囊切除术后慢性消化病病机

基于"少阳为生气之首"探讨胆囊切除术后慢性消化病病机

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胆囊切除术后不少患者会出现消化系统并发症和后遗症,包括胆囊切除后综合征、慢性胃炎、复发性结石、消化系统肿瘤等,目前这类疾病的中医病机研究尚未完善。本文将通过收集梳理关于少阳胆腑中医生理病理的古籍文献资料,从胆腑统领气化和胆腑为真精化气之枢两个主要方面,全面阐述清代医家沈金鳌"少阳为生气之首"理论源流。在此基础上,与既往相关中西医病机学研究成果相联系,结合六经辨证,对相关疾病逐一进行病机综合探讨,对这些疾病的病机进行细致区分并建立起它们之间的层级联系,更为系统深刻地阐明胆囊切除术后少阳生气作用的失常可能在阳明、少阴、厥阴等多个层面引起脏腑功能失衡,最终导致相应的慢性消化系统疾病。
Pathogenesis of Chronic Digestive Diseases after Cholecystectomy Based on the Theory of"Shaoyang is the first source of vitality"
Many patients after cholecystectomy may experience digestive system complications and sequelae,such as post-cholecystectomy syndrome,chronic gastritis,recurrent stones,digestive system tumors,etc.Currently,the research on the patho-genesis of these diseases in traditional Chinese medicine is not yet complete.This article will comprehensively elaborate on the ori-gin and development of the Qing Dynasty physician Shen Jin'ao's theory that"Shaoyang is the first source of vitality"by collecting and sorting out ancient literature on the physiological and pathological features of Shaoyang and the gallbladder in traditional Chi-nese medicine.Based on this,and in conjunction with previous research achievements in the pathogenesis of traditional Chinese and Western medicine,combined with the differentiation of the six meridians,this article will comprehensively explore the patho-genesis of related diseases.By carefully identifying the pathogenesis of these diseases and establishing hierarchical relationships between them,we can more systematically and profoundly elucidate that the dysfunction of Shaoyang qi after cholecystectomy may cause organ dysfunction at multiple levels,such as Yangming,Shaoyin,and Jueyin,ultimately leading to corresponding chronic digestive system diseases.

Shaoyang is the source of vitalitypost-cholecystectomyChronic digestive system diseasespathogenesis

谷雨婷、纪云西

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浙江中医药大学,浙江 杭州 310053

浙江省中医院,浙江 杭州 310006

少阳生气 胆囊切除术后 慢性消化系统疾病 发病机制

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(7)