首页|张珍玉教授运用气机升降理论诊治胃脘痛的学术经验探析

张珍玉教授运用气机升降理论诊治胃脘痛的学术经验探析

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总结张珍玉教授运用气机升降理论诊治胃脘痛的学术经验,认为胃脘痛病机是气机失调,复气机之关键应以调气为本,调气应主在脏腑脾胃但不离肝胆.胃脘痛之治以中土脾胃之气升降协调为用,或因乙木己土不升,肝脾左旋失职,虚证俱多,以疏肝健脾为主;或因甲木戊土不降,胆胃右转失司,多为实证,治以利胆降气和胃为先;或因肝脾不升胆胃不降,当肝脾胆胃同调.
An Analysis of Professor Zhang Zhenyu's Academic Experience of Diagnosing and Treating Epigastric Pain Using the Theory of Qi Movement Ascending and Descending
This paper summarizes professor Zhang Zhenyu's academic experience in the diagnosis and treatment of epigastric pain with the theory of Qi movement ascending and descending that the pathogenesis of epigastric pain is Qi movement disharmony,and the key to restoring Qi movement should be based on regulating Qi.Regulating Qi should be mainly in the zang fu viscera of spleen and stomach but not leave liver and gallbladder.The treatment of epigastric pain is mainly based on the coordination of Qi movement ascending and descending of the spleen and stomach in the middle earth,or because the Yimu Jitu does not rise,the liver and spleen fail to left levorotation,and there are many deficiency syndrome,mainly to dispersing the stagnated liver-energy and invigorating the spleen;or because Jiamu Wutu does not fall,the gallbladder and stomach fail to turn right,which is mostly excessive syndrome,descending adverse Qi and harmonizing stomach,and the treatment of promoting bile flow Qi and stomach is the first;or because the liver and spleen do not rise and gallbladder stomach does not fall,the liver and spleen gallbladder stomach should be harmonized.

Epigastric painQi movement disharmonyQi movement ascending and descendingRegulating QiLiver and spleen left levorotationGallbladder and stomach turn rightZhang Zhenyu

陈加新、郭光玲、邱啸、魏凤琴

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山东颐养健康集团莱芜中心医院中医综合门诊 山东 莱芜 271103

济南市莱芜人民医院消毒供应中心 山东 莱芜 271100

山东中医药大学 山东 济南 250355

胃脘痛 气机失调 气机升降 调气 肝脾左旋 胆胃右转 张珍玉

山东省重点研发计划项目

2016GSF202024

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(22)