中医治疗胃脘痛的研究进展
Research Progress in Traditional Chinese Medicine Treatment of Epigastric Pain
桑子淇 1王汉 2刘玉茹 3叶桐 1张炜崧 1孙鹏 1刘铁军4
作者信息
- 1. 长春中医药大学中医学院,长春 130117
- 2. 中国中医科学院中药研究所,北京 100700
- 3. 鞍钢集团公司总医院,辽宁鞍山 114033
- 4. 长春中医药大学附属医院,长春 130021
- 折叠
摘要
胃脘痛是临床最常见的病证之一,病因繁多,病机复杂且治疗方法不一,病情易反复,对人们的生活质量产生了巨大的影响.本病的西医疗法主要包括抑制胃酸分泌、保护胃黏膜以及抗幽门螺杆菌治疗等.长期服用可产生药物依赖及不良反应.本文通过从经典方、自拟方、药对等方面进行深入分析,发现中医治疗胃脘痛注重中焦升降平衡,主要从疏肝、导滞、温中等方向入手;临床多数医家使用经典方或自拟方进行治疗,首选的基础方为柴胡疏肝散、黄芪建中汤.通过对方剂中的药对分析,发现延胡索、川楝子和白芍的使用频次最高,现代药理学发现其均具有镇痛作用.中医针灸、推拿等外治法,针药结合及中西医结合治疗也广泛应用于临床.本文主要对近年来治疗胃脘痛的文献进行系统梳理总结和分析,以期为胃脘痛的临床治疗提供思路与参考.
Abstract
Epigastric pain is one of the most common diseases clinically with various causes,complex pathogenesis,different treatments and often recrudescence,which has a great impact on people's life.Western medicine treats this disease with drugs that inhibit gastric acid secretion,protect gastric mucosa and anti-helicobacter pylori,but long-term use of these drugs can cause dependence and side effects.Through the analysis of the classical prescriptions,self-made prescription and medicine suits,it is found that Chinese medicine treatment of epigastric pain focuses on the balance of the middle energizer balance and mainly starts from soothing the liver,removing stagnation and warming the middle burner.Most clinicians use their own prescriptions for treatment.The basic formula is Chaihu Shugan powder and Huangqi Jianzhong decoction.Through the analysis of the medicine suits in the prescriptions,it is found that Yanhusuo(Rhizoma Corydalis),Chuanlianzi(Szechwan Chinaberry fruit)and Baishao(Radix Paeoniae Alba)are most frequently used,and modern pharmacology confirms that they all have analgesic effects.The treatments,such as acupuncture and moxibustion of traditional Chinese medicine,massage,and other external treatment methods,acupuncture combined with medicine and integrated Chinese and Western medicine,are widely used clinically.This article tends to provide ideas and references for the clinical treatment of epigastric pain with systematically summarizing and analyzing the literature on the treatment of epigastric pain in recent years.
关键词
胃脘痛/中医治疗/研究进展Key words
Epigastric pain/Traditional Chinese medicine treatment/Research progress引用本文复制引用
基金项目
国家重点研发计划(2018YFC1704100)
国家重点研发计划(2018YFC1704105)
出版年
2024
国家科技期刊平台
NSTL
万方数据