姜莉云教授基于“陽主陰從”觀論治功能性消化不良臨證經(jīng)驗(yàn)

【摘 要】 功能性消化不良屬中醫(yī)“胃痞”范疇，姜莉云教授臨證以陰陽為綱，立足陽主陰從觀，認(rèn)為功能性消化不良患者多以脾腎陽虛為發(fā)病基礎(chǔ)，濕困脾土、氣運(yùn)不暢為該疾病的誘發(fā)及加重因素。擅以扶陽大法施治，每獲良效，具體診療思路為扶助元陽，溫補(bǔ)脾陽；燥濕健脾，脾旺土厚；暖肝順氣，氣運(yùn)得暢。

【關(guān)鍵詞】 陽主陰從；脾腎陽虛；寒濕困脾；肝寒氣滯

【中圖分類號(hào)】R249.2/.7

【文獻(xiàn)標(biāo)志碼】 A    【文章編號(hào)】1007-8517（2024）17-0085-04

DOI：10.3969/j.issn.1007-8517.2024.17.zgmzmjyyzz202417020

Professor Jiang Liyun’s Clinical Experience in Treating Functional Dyspepsia Based

on the Concept of “Yang Governs Yin”

ZHAN Rong1 MAO Wangqi1 ZHANG Xiao1 LIU Jiayi1 JIANG Liyun2*

1.The Third Affiliated Hospital of Yunnan University of Traditional Chinese Medicine， Kunming 650011， China;

2.Department of Spleen， Stomach， and Hepatology， Kunming Hospital of Traditional Chinese Medicine， Kunming 650011， China

Abstract：Functional dyspepsia belongs to the category of gastric distension in traditional Chinese medicine. Professor Jiang Liyun takes yin and yang as the main principle in his clinical practice， and based on the view that yang dominates yin， he believes that patients with functional dyspepsia mostly have spleen and kidney yang deficiency as the basis of onset， and dampness and stagnation of spleen and soil， as well as poor qi circulation， are the inducing and aggravating factors of the disease. Proficient in using the great method of nourishing yang for treatment， and every time good results are achieved， the specific diagnosis and treatment approach is to support the yuan yang and warm and replenish the spleen yang; Dampness and dryness strengthen the spleen， and the spleen is vigorous and the soil is thick; Warm the liver and promote qi circulation.

Key words：Yang Dominates and Yin Follows; Spleen and Kidney Yang Deficiency; Cold Dampness Trapping the Spleen; Liver Cold Qi Stagnation

功能性消化不良是指不能用器質(zhì)性、系統(tǒng)性或代謝性疾病來解釋的臨床綜合癥候群。（剩余5592字）