脾虚湿热型痞证病机与治疗探讨

Discussion on pathogenesis and therapy of syndrome of feeling fullness and distention in upper abdomen with spleen-asthenia and damp-heat

关键词:  脾虚湿热  痞证  指针  小柴胡汤  温胆汤

Key words:  spleen-asthenia and damp-heat  syndrome of feeling fullness and distention in upper abdomen  puncturing by tip of finger  Xiaochaihu decoction  Wendan decoction

摘要:

痞证病机多由脾虚为先, 进而气机郁滞, 影响中焦运化, 湿浊、瘀血内生, 气机升降失常所致。初步探讨了临床常见的脾虚湿热型痞证病因病机, 认为小柴胡汤合温胆汤加减治疗脾虚湿热型痞证切合病机, 配合指针治疗疗效明显。

Abstract:

The pathogenesis of syndrome of feeling fullness and distention in upper abdomen is caused primarily by insufficiency of the spleen and then stagnation of Qi affecting the transportation and transformation of Zhongjiao, leading to the endogenous formation of damp, turbid pathogen and blood stasis, and finally a disorder of rising and falling of Qi. This article preliminarily discussed the common causes and pathogenesis of the syndrome of feeling fullness and distention in upper abdomen with spleen-asthenia and damp-heat and considered that taking Xiaochaihu decoction and modified Wendan decoction was consist with the pathogenesis of this syndrome and combining with puncturing by tip of finger in the treatment could obtain much more better effect.