| 马莹,陶春晖.邱明义运用《伤寒论》八法治疗胃脘痛经验[J].浙江中医药大学学报,2020,44(7):618-622. |
| 邱明义运用《伤寒论》八法治疗胃脘痛经验 |
| Experience of QIU Mingyi in the Treatment of Epigastric Pain with Eight Methods from Treatise on Febrile Diseases |
| DOI：10.16466/j.issn1005-5509.2020.07.004 |
| 中文关键词: 经方 胃脘痛 伤寒论 辨治要点 八法 验案 邱明义 临证经验 |
| 英文关键词: classical prescriptions epigastric pain Treatise on Febrile Diseases key points of differentiation and treatment eight methods proven cases QIU Mingyi clinical experience |
| 基金项目:邱明义名老中医传承工作室建设项目(鄂财社发[2016]104号) |
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| 中文摘要: |
| [目的]总结邱明义教授运用《伤寒论》八法治疗胃脘痛的辨治要点、方法及临证遣方用药经验。[方法]通过复习《伤寒论》中有关胃脘痛的治疗条文，概述胃脘痛的病因病机及部位、症状，结合邱明义教授在脾胃系统辨治方面的经验、临床辨治要点和辨治方法，从临证诊治思维及学术经验入手，总结邱明义教授运用《伤寒论》八法辨治胃脘痛的学术观点及临证诊治思路，并附验案两则加以佐证。[结果]胃脘痛是临床消化系统的常见症状，邱明义教授运用经方辨治胃脘痛，从辨虚实、审新久、鉴寒热、参宏微等方面辨证施治，将《伤寒论》中治疗胃脘痛的内容归纳为益气补虚法、温中健脾法、养阴润胃法、调和脾胃法、清热散结法、降逆和胃法、疏肝和胃法、泄热安中法等8种基本治疗方法。验案一辨为脾胃虚弱、中阳不足证，治以补气健脾、温中祛寒，方用理中丸合异功散加减；验案二辨为肝胃不和、郁而化火证，治以疏肝和胃、降逆清热，方用四逆散合旋覆代赭汤加减，均获良效。[结论]邱明义教授善用经方，临证治疗胃脘痛，以《伤寒论》中的八法为基础，随证加减，临床应用效果显著。 |
| 英文摘要: |
| [Objective] To summarizes main points， methods and clinical experience of Professor QIU Mingyi’s in the treatment of epigastric pain with the eight methods from Treatise on Febrile Diseases.[Methods] Through summing up the articles in the treatment of epigastric pain in Treatise on Febrile Diseases， combined with Professor QIU Mingyi’s experience in the differentiation and treatment of the spleen and stomach system， the main points and methods of clinical differentiation and treatment， starting from his thinking of clinical diagnosis and treatment and academic experience， Professor QIU Mingyi’s academic viewpoint and clinical diagnosis and treatment thinking of eight methods of treating epigastric pain with classical prescriptions were summarized， and two cases were attached to support it.[Results] Epigastric pain is a common symptom of the digestive system. Professor QIU Mingyi treats epigastric pain with classical prescriptions， syndrome differentiation and treatment are carried out from the aspects of distinguishing between deficiency and excess， distinguish the old from the new， judging cold and heat， and participating in macro and micro， the treatment of epigastric pain in Treatise on Febrile diseases can be divided into eight basic treatment methods， such as supplementing Qi and tonifying the spleen， nourishing Yin and moistening the stomach， regulating the spleen and the stomach， clearing heat and dispersing stagnation， reducing adverse reaction and harmonizing the stomach， soothing the liver and the stomach， and regulating heat and tranquilizing the stomach. The first case was identified as weakness of the spleen and stomach， deficiency of Yang syndrome， which was treated with invigorating Qi and the spleen， warming middle-Jiao and dispersing cold， and Lizhong pill combined with Yigong powder were adopted. The second case was identified as disharmony of liver and stomach， depression and fire syndrome， which was treated with soothing the liver and stomach， reducing adverse and clearing heat， and Sini powder combined with Xuanfu Daizhu decoction was adopted. Both the patients achieved good results.[Conclusion] Professor QIU Mingyi treats epigastric pain， on the basis of the eight methods from Treatise on Febrile Diseases， makes good use of the classical prescriptions， modified according to the syndromes， and the clinical effect is remarkable. |
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