段海辰教授应用调气和血法治疗消化性溃疡经验
|
摘要
段海辰教授认为消化性溃疡多因外邪犯胃、饮食伤胃、情志不畅、素体脾虚导致胃中气机阻滞,从而导致瘀血,气血失调是其发生的病理关键。故段海辰教授认为消化性溃疡临证时无论是何型胃痛均应重视调气和血的作用。本病发作初期清热活血行气以促进"内疮"消散,中期化瘀活血行气以敛疮生肌,后期益气活血行气以促进"内疮"愈合,将调和气血法贯穿本病治疗的始终,缩短疗程,减少复发。
Professor Duan Haichen believes that the reasons for Peptic ulcer mainly are the invasion of external Evil factors,improper diet,bad mood and/or Spleen deficiency,which would stomach Qi stagnation,which then causes Blood stasis at the same time since Qi and Blood usually circulate in parallel. Therefore,Qi and Blood disorders are the key pathogenesis of Peptic ulcer.Based on this thinking,Professor Duan Haichen proposes that in treatment of stomachache induced by Peptic ulcer regulating Qi and Blood would be the key principle. During the early period of the disease,methods of Heat clearing and Blood activating should be used to dismiss the innate sore. In the middle period,the methods of dispelling Blood stasis to activate Blood and Qi circulation should be used to help the recovery of wounds. During the late period,method of activating Qi and Blood is used to guarantee the complete healing of the wounds. In other words,method of reconciling the Qi and Blood is used through the disease treatment process to shorten the course of treatment and reduce the recurrence of the disease.
Professor Duan Haichen believes that the reasons for Peptic ulcer mainly are the invasion of external Evil factors,improper diet,bad mood and/or Spleen deficiency,which would stomach Qi stagnation,which then causes Blood stasis at the same time since Qi and Blood usually circulate in parallel. Therefore,Qi and Blood disorders are the key pathogenesis of Peptic ulcer.Based on this thinking,Professor Duan Haichen proposes that in treatment of stomachache induced by Peptic ulcer regulating Qi and Blood would be the key principle. During the early period of the disease,methods of Heat clearing and Blood activating should be used to dismiss the innate sore. In the middle period,the methods of dispelling Blood stasis to activate Blood and Qi circulation should be used to help the recovery of wounds. During the late period,method of activating Qi and Blood is used to guarantee the complete healing of the wounds. In other words,method of reconciling the Qi and Blood is used through the disease treatment process to shorten the course of treatment and reduce the recurrence of the disease.
引文
[1]葛均波,徐永健.内科学[M].北京:人民卫生出版社,2013:369-373.
[2]刘文忠.日本《消化性溃疡循证临床实践指南(2015年)》解读[J].胃肠病学,2016,21(3):129-137.
[3]宫爱民,桑希生,王艺勤.调气和血法治疗痛泻[J].中华中医药学刊,2007,26(10):2161-2163.
[4]张洪泉,柳丽.丹参饮促进胃溃疡愈合作用及其机理研究[J].中国临床药理学与治疗学,2005,10(7):812-818.
[5]宋宏宾,刘华一.中西医结合治疗消化性溃疡疗效观察[J].山西中医,2016,32(5):28-33.
[6]喻子良,古丽孜热·毛拉,周静.中西医结合治疗幽门螺杆菌相关性消化性溃疡80例临床疗效观察[J].中国医药指南,2011,34(9):416-417.
[7]薛瑞华,张洪泉,张旭东,等.丹参饮胶囊治疗消化性溃疡的临床研究[J].中国药物应用与监测,2005,2(6):1-3.
[8]田建荣,李小江,韩宏伟,等.失笑散合丹参饮治疗消化性溃疡疗效观察[J].河北中医,2012,34(8):1168-1169.
[9]王国中,陈志伟,潘洪明,等.丹参抗大鼠乙醇性胃粘膜损伤的作用及机制[J].中国中西医结合消化杂志,2002,10(6):340-341.
[10]武桂娟,刘泓雨,苏晓悦,等.白及多糖对大鼠应激性溃疡作用机制的探讨[J].中医药学报,2011,38(3):50-52.
[11]高学敏.中药学[M],北京:中国中医药出版社,2007:301-302.
[12]王宪龄,李连珍,荆云,等.牡丹皮镇痛抗炎作用的实验研究[J].河南中医,2005,25(12):26-28.
[13]龙世林,陈雅.牡丹皮药理作用及临床研究进展[J].中国药业,2007,16(3):63-64.
[2]刘文忠.日本《消化性溃疡循证临床实践指南(2015年)》解读[J].胃肠病学,2016,21(3):129-137.
[3]宫爱民,桑希生,王艺勤.调气和血法治疗痛泻[J].中华中医药学刊,2007,26(10):2161-2163.
[4]张洪泉,柳丽.丹参饮促进胃溃疡愈合作用及其机理研究[J].中国临床药理学与治疗学,2005,10(7):812-818.
[5]宋宏宾,刘华一.中西医结合治疗消化性溃疡疗效观察[J].山西中医,2016,32(5):28-33.
[6]喻子良,古丽孜热·毛拉,周静.中西医结合治疗幽门螺杆菌相关性消化性溃疡80例临床疗效观察[J].中国医药指南,2011,34(9):416-417.
[7]薛瑞华,张洪泉,张旭东,等.丹参饮胶囊治疗消化性溃疡的临床研究[J].中国药物应用与监测,2005,2(6):1-3.
[8]田建荣,李小江,韩宏伟,等.失笑散合丹参饮治疗消化性溃疡疗效观察[J].河北中医,2012,34(8):1168-1169.
[9]王国中,陈志伟,潘洪明,等.丹参抗大鼠乙醇性胃粘膜损伤的作用及机制[J].中国中西医结合消化杂志,2002,10(6):340-341.
[10]武桂娟,刘泓雨,苏晓悦,等.白及多糖对大鼠应激性溃疡作用机制的探讨[J].中医药学报,2011,38(3):50-52.
[11]高学敏.中药学[M],北京:中国中医药出版社,2007:301-302.
[12]王宪龄,李连珍,荆云,等.牡丹皮镇痛抗炎作用的实验研究[J].河南中医,2005,25(12):26-28.
[13]龙世林,陈雅.牡丹皮药理作用及临床研究进展[J].中国药业,2007,16(3):63-64.