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1.山东中医药大学中医学院 济南 250014
2.山东中医药大学第一临床医学院
3.山东中医药大学附属医院
Prof. ZHANG Yunsong, Ph.D., Chief Physician, Master’s Supervisor. Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No.16369, Jingshi Road, Lixia District, Shandong 250014. E-mail: ys66zh@hotmail.com
Received:18 September 2022,
Published Online:03 March 2023,
Published:30 April 2023
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XIE Weijian, ZHU Xiaolin, WANG Tairan, et al. Analysis of the convergence therapeutic method for pattern of stomach excess and spleen deficiency based on five elements theory[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(4): 496-501.
XIE Weijian, ZHU Xiaolin, WANG Tairan, et al. Analysis of the convergence therapeutic method for pattern of stomach excess and spleen deficiency based on five elements theory[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(4): 496-501. DOI: 10.3969/j.issn.1006-2157.2023.04.008.
胃强脾弱是一种以脾虚为本、胃亢为标的慢性脾胃疾病中的疑难病证。此证发生时,脾胃功能失调,其提供精微物质、濡养全身的复合功能减低,进而使得其他功能失调,多个脏腑受损,累及全身各部。基于五行学说,我们对胃强脾弱证的病机进行了探赜和解读,认为胃强脾弱证是以“土”行为中心的五行功能异常、关系紊乱的综合征,明确胃强脾弱证的4种基础分型和相关辐辏治法,在主治“土”行的基础上,对其他四行功能加以综合调节。在临床实践中,将辐辏治法与传统的健脾和胃治法联合应用,进行整体化治疗,明显提高疗效,为相关理论研究和临床实践提供了新思路。
Stomach excess and spleen deficiency is a chronic and knotty pattern of the system of spleen and stomach
which is based on deficiency of the spleen and hyperfunction of the stomach. When this pattern occurs
the relationship between the spleen and stomach is disordered
and their complex function of providing nutrition for the whole body is reduced; then
the other viscera are damaged and dysfunctional
affecting all parts of the body. Based on five elements theory
we explored and interpreted the pathogenesis of stomach excess and spleen deficiency pattern
and put forward that stomach excess and spleen deficiency is a pattern of abnormal function and a disordered relationship of the five elements at the center of the earth. Then
we established the four basic classifications of the pattern of stomach excess and spleen deficiency and the related method of convergence therapy
regulating the other four functions comprehensively on the basis of treating the earth function. In clinical practice
combining convergence therapy with the traditional therapy of invigorating the spleen and regulating the stomach can improve the curative effect
which provides a new idea for related theoretical research and clinical practice.
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