[1]张毅堃,陆星瑶,胡鸿毅.寒温统一论视角下的脾胃病证治[J].陕西中医,2024,(10):1382-1385.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.019]
　ZHANG Yikun,LU Xingyao,HU Hongyi.The syndrome differentiation of spleen-stomach disease from perspective of theory of cold and heat syndrome differentiation combination[J].,2024,(10):1382-1385.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.019]
点击复制

寒温统一论视角下的脾胃病证治
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年10期
页码:
1382-1385
栏目:
学术探讨
出版日期:
2024-10-05

文章信息/Info

Title:
The syndrome differentiation of spleen-stomach disease from perspective of theory of cold and heat syndrome differentiation combination
作者:
张毅堃; 陆星瑶; 胡鸿毅
(上海中医药大学附属龙华医院,上海 200032)
Author(s):
ZHANG Yikun; LU Xingyao; HU Hongyi
(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)
关键词:
脾胃病;  寒温统一论;  伤寒论;  气机;  温病;  辛开苦降
Keywords:
Spleen-stomach disease;  Cold and heat syndrome differentiation combination;  Shanghan Lun;  Air compressor;  Warm disease;  Pungent dispersion bitter purgation
分类号:
R 256.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.10.019
文献标志码:
A
摘要:
寒温统一论是外感热病治疗过程中重要的指导理论,临床提倡寒温结合治疗。外邪是导致脾胃病的重要因素,伤寒温病皆可致脾胃病的发生,且内伤脾胃病亦可由外邪久治不愈引起,临床上往往表现为寒热虚实错杂。故寒温统一论中的治疗法则亦可运用到脾胃病的治疗当中。本文结合伤寒、温病经典,从脾胃生理病理出发,总结寒温统一论辨治下的脾胃病治法,归纳为“辛开苦降”“寒热并用”“清宣祛邪”三大方面,兼顾脾胃病治疗中阴阳特征、气机升降、邪正关系,并通过现代生理学、药理学研究阐释寒温统一类方治疗脾胃病的机制,为临床治疗疑难脾胃病提供了新的思路。
Abstract:
The theory of unification of cold and warmth is an important guiding principle in the treatment of exogenous fever and advocates the combination of cold and warmth.Pathogenic qi are important factors leading to spleen and stomach diseases in clinical.Cold or heat exopathogens can lead to spleen and stomach diseases.Prolonged treatment of exopathogens can cause internal spleen and stomach diseases,which are often characterized by a mixture of cold,heat,deficiency and solidity.Therefore,the therapeutic rules in the unified theory of cold and warmth can be applied to the treatment of spleen and stomach diseases.This article combines the classics of treatise on febrile diseases and warm diseases,and summarizes the treatment of spleen and stomach disorders under the unified theory of cold and warmth from the physiology and pathology of the spleen and stomach.It can be summarized into three major principles:“Xinkai kujiang”“Combination of cold and heat” and “purifying and declassifying pathogenic qi”.These therapeutic principles consider the characteristics of yin and yang,the movement of qi,and the relationship between healthy qi and pathogenic qi in the treatment of spleen and stomach diseases.We elucidates the mechanism of cold and warmth unified formulas in the treatment of spleen and stomach diseases through modern physiological and pharmacological studies.We also provide new ideas for the clinical treatment of difficult spleen and stomach diseases.

参考文献/References:

[1] 叶进.仲景重脾胃思想之探究[J].中医文献杂志,2022,40(4):26-30,36.
[2] 谭蔡麟,杨永宏,王先兵,等.叶天士“胃阴学说” 的临证价值[J].上海中医药杂志,2017,51(8):37-39.
[3] 陈桦逸.清代温病名家对《伤寒论》脾胃病证治的继承与发展[J].陕西中医,2014,35(4):475-476.
[4] 武冰.寒温统一论学术源流考辨[D].北京:北京中医药大学,2008.
[5] 张崇岭,王军,高蕾.从阳明证试述张锡纯寒温统一思想[J].上海中医药杂志,2020,54(2):48-50.
[6] 廖若晨,张卫.《伤寒论》三阳经传变规律探讨[J].陕西中医,2019,40(11):1616-1618.
[7] 崔亚东,刘晓燕,张玉鑫,等.《黄帝内经》五脏辨证与《伤寒论》六经辨证中三阴病关系研究[J].陕西中医,2024,45(1):80-83,87.
[8] 王政山,沈福珍.从“阳道实,阴道虚”谈脾胃分治的临床应用[J].环球中医药,2020,13(12):2067-2069.
[9] 刘媛媛,胡素敏.《得心集医案》从脾胃辨治温病医案赏析[J].江苏中医药,2023,55(3):57-59.
[10] 李同享,薛西林.辛开苦降法在脾胃病中的证治研究进展[J].中医药临床杂志,2012,24(12):1242-1243.
[11] 张明选.温病学典籍中几种特色治法[J].中医杂志,2012,53(3):259-261.
[12] 朱丽,聂炜珏,孙志广.“辛开苦降方”的现代研究进展[J].中国中医基础医学杂志,2021,27(9):1522-1524,1531.
[13] 魏玮,郝建军.辛开苦降法与寒热并治的关系探讨[J].山西中医,2004,18(2):1-3.
[14] 贝润浦.姜春华教授运用温补清泄双向调节治疗疑难杂症的经验[J].辽宁中医杂志,1982,15(1):14-17.
[15] 雷云霞.蔡淦教授治疗脾胃病临床用药经验介绍[J].新中医,2005,12(10):10-11.
[16] 王恒鑫,刘桂余,郭振兴,等.透邪法在治疗湿热型脾胃病中的应用[J].陕西中医,2021,42(8):1108-1111.
[17] 王家平,程华焱,彭艳霞.吴鞠通运用辛开苦降法治疗脾胃病[J].长春中医药大学学报,2012,28(5):806-607.
[18] 郭琴,张立石,王颖,等.乌梅丸及其拆方对 TNBS 致溃疡性结肠炎大鼠的作用研究[J].中国中医基础医学杂志,2021,27(7):1099-1103.
[19] LU D X,LIU F,WU H,et al.Wumei pills attenuates 5-fluorouracil-induced intestinal mucositis through Toll-like receptor 4/myeloid differentiation factor 88/nuclear factor-κB pathway and microbiota regulation[J].World Journal of Gastroenterology,2022,28(32):4574.
[20] WANG W,XU C,LI X,et al.Exploration of the potential mechanism of Banxia Xiexin decoction for the effects on TNBS-induced ulcerative colitis rats with the assistance of network pharmacology analysis[J].Journal of Ethnopharmacology,2021,277:114197.
[21] 张续,赵莉平,安荣.肠易激综合征生物标志物研究进展[J].陕西医学杂志,2022,51(8):1038-1041.
[22] 丁晓洁,孙喜灵,于晓飞,等.乌梅丸对腹泻型肠易激综合征模型大鼠肠道菌群和炎症因子的影响[J].辽宁中医杂志,2019,46(6):1296-1299,1345.
[23] 侯红星.半夏泻心汤治疗HP感染相关性胃炎的疗效分析[J].中国现代药物应用,2018,12(17):204-205.
[24] 吴新辉,周烨鑫,成克用,等.半夏泻心汤全方及其不同组分对幽门螺杆菌感染小鼠的作用及机制分析[J].中医药信息,2018,35(3):17-20.
[25] 张平,李嘉琪,刘雪峰,等.基于网络药理学及实验验证连朴饮治疗幽门螺杆菌阳性口周痤疮的作用机制[J].世界中医药,2023,18(13):1839-1846.
[26] KAYAMA H,OKUMURA R,TAKEDA K.Interaction between the microbiota,epithelia,and immune cells in the intestine[J].Annual Review of Immunology,2020,38:23-48.
[27] 马军,韩棉梅,宋雨鸿.乌梅丸联合中药敷贴治疗寒热错杂型肠易激综合征疗效及对Th1/Th2细胞因子的影响[J].陕西中医,2017,38(2):156-158.
[28] 马兴婷,张慧田,李合国.乌梅丸加减对寒热错杂型慢性浅表性胃炎患者 PGⅠ、PGⅡ、GEDPRO-CG 的影响分析[J].中国中西医结合消化杂志,2019,27(2):106-110.
[29] 陈风慧,王晓华,范春梅.补充外源性维生素D对老年溃疡性结肠炎患者氧化-抗氧化失衡、肠道黏膜屏障和临床预后的影响[J].陕西医学杂志,2018,47(12):1634-1637.
[30] 惠毅,闫曙光,李京涛.乌梅丸对溃疡性结肠炎大鼠结肠上皮组织MUC2和TFF3的影响[J].陕西中医,2015,36(9):1268-1269.

相似文献/References:

[1]徐艳琴,李 进,曾庆松,等.增液承气汤联合西药治疗脾胃病疗效研究*[J].陕西中医,2019,(6):726.
[2]李灿梅,黄竞瑶,程开远,等.名中医陈国忠基于“阳气怫郁”论治脾胃病并焦虑抑郁经验[J].陕西中医,2024,(12):1683.[doi:DOI:10.3969/j.issn.1000-7369.2024.12.021]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(82074366)
更新日期/Last Update: 2024-10-08