Professor FENG Wujin's thought of six in one in the treatment of functional dyspepsia
Functional dyspepsia(FD)is a syndrome with postprandial discomfort,early satiety,epigastric pain and other symptoms as the main clinical manifestations,while excluding organic lesions.It is clinically divided into postprandial discomfort syndrome and epigastric pain syndrome.FD is a common disease in the outpatient department of gastroenterology.It has the characteristics of chronic,intermittent and recurrent,which brings a great burden to patients and seriously affects patients'lives.The pathogenesis of FD is complex.Western medicine treatment is based on the principle of inhibiting acid,promoting motility,helping digestion and eradicating Hp.Decoction and Chinese patent medicine are used in TCM syndrome differentiation,supplemented by TCM characteristic therapy.FD belongs to the category of functional gastrointestinal disease.Professor FENG Wujin has formed the academic thought of treating functional gastrointestinal disease on the basis of many years of clinical experience,namely the six in one thought of"Taking adjustment as the first,unobstructed as the smooth,harmonize as the precious,peace as the standard,prevention as the key,and people-oriented".Professor FENG Wujin believes that FD disease is caused by the external pathogens,damage from diet,emotional disorders,prolonged illness and physical weakness.The core pathogenesis is disharmony of the organs and dysfunction of the Qi(气)mechanism.The disease is located in the stomach and closely related to the liver and spleen.Common clinical syndromes include spleen deficiency and Qi stagnation,spleen and stomach deficiency and cold,liver stomach disharmony,and mixed cold and heat.In terms of treatment,Professor FENG believes that it should be treated separately as strengthening the spleen and regulating Qi,warming the middle energizer and strengthening the spleen,soothing the liver and stomach,and regulating cold and heat.Prescriptions can include the Xiangsha Yangwei prescription(香砂养胃方),the Huangqi Wenwei prescription(黄芪温胃方),the Jiawei Yueju prescription(加味越鞠方),the Banxia Hewei prescription(半夏和胃方)with modifications.This article analyzes Professor FENG Wujin's clinical experience in treating functional dyspepsia from the perspectives of FD treatment background,etiology and pathogenesis,six in one thought,and syndrome differentiation and treatment,in order to provide reference for clinical practice.
Thought of six in oneFunctional dyspepsiaFamous doctors'experience
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