期刊论文

Supplement of the Syndrome and Treatment of Dyspepsia

中文

中国中医基础医学杂志

1006-3250

2018

24

3

303-304,346

中医诊断学国家重点学科开放基金（2014-22）-交互式中医诊断实训e-learning系统的构建 湖南中医药大学青年教师科研基金资助项目-证素辨证网络平台及方证数据库的初步建立 湖南省教育厅科研项目（15C1045）-正常血压范围人群血压变化对中医体质的影响及临床意义 湖南省高校创新平台开放基金项目（14K072）-基于“抗利尿激素逃逸”探讨心衰阳虚水停证本质

本校为第一机构

食积是中医病名但却作为证名散见于中医内科学各章节中尚不成体系。根据历代对食积的记载及现代对食积的认识,我们将其概念、病因病机、诊断、治疗进行了系统总结和补充:食积可以定义为多种原因所致饮食停留于胃肠难以运化,以纳差、呕恶、泄泻/便秘为主要表现的疾病,其病因病机主要有饮食不当、脾胃功能失调、情志不畅等;诊断方面主张病证结合,在探明病史、舌脉表现的基础上,以辨新食与宿食、冷积与热积、本证与变证为要点;治疗方面新食当以消为主,宿食则以下为主,若冷积则以温下为主,热积以寒下为主。综上,形成了简明的临床路径,对该病在临床的辨证论治提供了清晰的思路。

Food retention was a TCM disease,dispersedly written in different chapters of TCM internal medicine without system. According to the ancient records and modern understandings,the concept,etiology and pathogenesis, diagnosis and treatment of food retention are summarized as that the etiology and pathogenesis are improper diet,digestive function disorder,and bad mood; the diagnosis should be combined with diseases and syndromes focusing on recent or remained,cold or hot food retention,and the original or secondary diseases based on medical history,the condition of the tongue and pulse; and in te...