| 李宛芝,姜德友.姜德友教授胆胃不和系列病证治疗思维探析[J].浙江中医药大学学报,2023,47(12):1430-1435. |
| 姜德友教授胆胃不和系列病证治疗思维探析 |
| Exploration of Professor JIANG Deyou’s Thinking on the Treatment for A Sequence of Gallbladder and Stomach Disharmony |
| DOI：10.16466/j.issn1005-5509.2023.12.008 |
| 中文关键词: 胆胃不和 胆胃综合征 精神障碍 失眠 审机辨病 转方 |
| 英文关键词: gallbladder and stomach disharmony cholestogastric syndrome mental disorder insomnia discriminate pathogenesis and differentiate disease transferred prescription |
| 基金项目:国家中医药管理局龙江医学流派传承工作室项目(LPGZS2012-14)；国家中医药管理局姜德友全国名老中医药专家传承工作室项目；黑龙江省中医药管理局科研项目-龙江医派研究(ZHY12-Z095) |
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| 中文摘要: |
| [目的] 总结姜德友教授治疗胆胃不和系列病证的临床经验。[方法] 从胆胃不和的生理、病理入手，分析胆胃不和的病证、病机，明确其治疗思路，进而组方用药，并以两则病例作为临床例证。[结果] 胆胃不和往往会产生胆胃综合征、精神障碍、失眠等一系列的病变。针对此类病证的共同病机，姜教授采用扶土汤加利胆药治疗胆胃综合征，高兴汤治疗精神障碍，高兴汤转扶土汤治疗失眠，取效显著。两则验案中，患者既有胃炎、胆囊炎、脂肪肝等胆胃综合征的症状，也存在精神障碍、失眠等情志方面的问题，治以“和胃利胆，理气化痰；解郁和中，条畅枢机；养护胃气，安神助眠”后，均取得显效。[结论] 姜教授对胆胃不和的病因病机具有独到见解，其临床思维和采用复法施治并适时转方的治疗方法，值得学习借鉴和临床推广。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of Professor JIANG Deyou in the treatment of gallbladder and stomach disharmony. [Methods] This paper analyzes the identification and treatment ideas of Professor JIANG in the treatment of a series of symptoms of gallbladder and stomach disharmony， expounds understanding of the etiology and pathogenesis of the disease， and attaches clinical medical cases to verify the treatment. [Results] Gallbladder and stomach disharmony often produces cholestogastric syndrome， mental disorders， insomnia and series of diseases. Professor JIANG emphasizes discriminating the mechanism of disease in clinical diagnosis. In view of the pathological mechanism of gallbladder and stomach disharmony of the three diseases， Futu Decoction with choleretic drugs were used to treat cholestogastric syndrome， Gaoxing Decoction to treat mental disorders， and first Gaoxing Decoction then Futu Decoction to treat insomnia. In both cases， although the patients had symptoms of gallbladder and stomach disharmony such as gastritis， cholecystitis， and fatty liver， as well as emotional problems such as mental disorders and insomnia， this treatment achieved significant results. [Conclusion] Professor JIANG has unique insights in the etiology and pathogenesis of gallbladder and stomach disharmony， and the treatment method has achieved significant clinical efficacy， which is worth learning and imitating. |
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