摘要
Abstract
The names of epigastric pain in the past dynasties are as follows:epigastric pain,gastric cavity pain,stomach-heart pain,heart pain,heart center pain,abdominal pain,xinxia pain,heart-spleen pain,stomach pain,spleen-heart pain,etc.Before Tang and Song Dynasties," epigastric pain" was often confused with heart pain.After Jin and Yuan Dynasties,"epigastric pain" was gradually separated from heart pain,and developed and perfected.The ancient physicians think;its pathogenesis etiology is due to lack of endowment,disability of middle energizer,improper diet and overtiredness,damaged spleen and stomach,emotional damage,disharmony of qi and blood,blood stasis and stagnation of collaterals,pain because of obstruction,six exogenous factors,blocked stomach,insects gathering in the stomach,pain in the stomach,etc.In terms of treating epigastric pain,there are such following TCM therapies:method of nourishing the spleen and stomach,nourishing yin and liver,regulating qiflowing for harmonizing stomach,method of resisting foreign aggression and pacifying the interior,warming spleen and stomach for dispelling cold,warming and melting water retention,relieving dyspepsia,eliminating phlegm and clearing heat,removing blood stasis and purgative method,acupuncture and moxibustion,health cultivation and food therapy.The understanding of the above dynasties not only determines the theoretical basis of Chinese traditional medicine for treating epigastric pain,still affecting our ideas of treating this disease,but also has an important inspiration to clinical practice.关键词
胃脘痛/病名/病因病机/源流考Key words
epigastric pain/disease name/etiology and pathogenesis/origin分类
医药卫生