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柴郁二陈汤治疗肝气犯胃诸证 被引量:2

Analysis on Chaiyu Ercheng Decoction in Treating Syndrome of Liver Qi Attacking Stomach
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摘要 目的 :分析柴郁二陈汤治疗肝气犯胃诸症经验。方法 :探讨肝气犯胃证理论特点,分析其辨证及诊治要点,了解柴郁二陈汤的组方思路。通过研习临床验案,总结王坤根应用本方治疗肝气犯胃证的经验。结果:肝气犯胃证主要指的是肝疏太过,木强乘土,而非肝疏不及,土壅木郁。治当以清疏肝气为主,辅以苦降和胃。对胃胀、胃痛、失眠等验案的分析说明柴郁二陈汤确有清疏和胃之效,善治肝气犯胃证。结论:柴郁二陈汤功专疏肝和胃,凡肝气犯胃者,无论痛、胀、气、酸,皆可化裁用之。 Objective:To analyze Chaiyu Erchen decoction in treating syndrome of liver Qi attacking stom- ach. Methods:Syndrome characteristics of liver Qi attacking stomach,syndrome differentiation and diagnostic points were analyzed to recognize the prescription ideas of Chaiyu Erchen decoction. WANG Kungen's ex- perience of Chaiyu Erchen decoction in treating syndrome of liver Qi attacking stomach were summarized through the study of clinical cases. Results :Syndrome of liver Qi attacking stomach referred to hyperactivity of live Qi over-restricting the earth,not the obstruction of the earth and the wood,which should be treated by soothing the live Qi,assisted by reducing the stomach Qi with herbs bitter in taste to harmonize the stomach. The analysis on cases of stomach distension,stomachache and insomnia showed that Chaiyu Erchen decoction had the effects of soothing the liver Qi to harmonize the stomach,effective in treating syndrome of liver Qi attacking stomach. Conclusion :The effects of Chaiyu Erchen decoction were soothing the liver Qi to harmonize the stomach. Syndrome of liver Qi attacking stomach manifested as stomach distension,stom- achache,mass in the right hypochondrium and sour regurgitation could be treated by adding or reducing Chaiyu Erchen decoction.
作者 孙洁 沈淑华 智屹慧 黄立权 林友宝 王坤根 SUN Jie,SHEN Shuhua,ZHI Yihui,HUANG Liquan,LIN Youbao Tutor:WANG Kungen (The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310053,China)
出处 《山东中医药大学学报》 2016年第4期338-340,共3页 Journal of Shandong University of Traditional Chinese Medicine
基金 第五批全国老中医药专家学术经验继承工作继承人(编号:浙中医药[2012]53号) 王坤根名中医工作室(编号:国中医药人教函[2012]149号)
关键词 肝气犯胃 肝胃不和 柴郁二陈汤 清疏肝气 苦降和胃 liver Qi attacking stomach disharmony of the liver and stomach Chaiyu Erchen decoction soothing the liver Qi reducing the stomach Qi with herbs bitter in taste
作者简介 孙洁(1975-),男,湖北孝感人,副主任医师,医学博士,主要从事气化理论在男科疾病诊治中的运用研究。 [通信作者]王坤根(1945-),男,浙江桐庐人,主任医师,主要从事脾胃理论在内科杂病诊治中的运用研究.E-mail:wkg1220@163.com
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