吉林中医药2018，Vol.38Issue(2)：130-133,4.DOI:10.13463/j.cnki.jlzyy.2018.02.002
结胸证与阳明腑实证辨析
Discrimination of chest binding syndrome and Yangming Fu-viscera excess
摘要
Abstract
Objective To explore the similarities and differences between chest binding syndrome and Yangming Fu-viscera excess, and to guide the clinical syndrome differentiation and treatment. By referring to the related ancient books and documents, we discriminate the chest binding syndrome and Yangming Fu-viscera excess from the aspects of disease location, syndrome characteristics and clinical application, and discuss the similarities and differences between the two syndromes. chest binding syndrome is more extensive, which can be reached to the chest and the lateral thorax, and coherent diaphragm, decurrent to the abdomen, the basic pathogenesis is "hot" and "water knot in the chest", syndrome is characterized by abdominal pain with chest hard refused to press, the main therapeutic principles is purging heat by water; Yangming Fu-viscera excess were mainly located in the middle Jiao stomach and intestine. The basic pathogenesis is deficiency of Yangming Jinkui and evil heat entering inside, hot and dry stool are combined together, Fuqi being obstructed; The characteristics of the syndrome are the stuffiness, fullness, dryness, harden. Relaxing bowels and discharging heat is the main method of treatment. There are many similarities between chest binding syndrome and Yangming Fu-viscera excess, but the location, pathogenesis, syndrome characteristics and treatment methods are different, so we should distinct the two very carefully when we in clinic. In clinic, we should carefully examine the pathogenesis and distinguish the difference.关键词
结胸/胃实/阳明腑实Key words
chest binding syndrome/stomach excess/Yangming Fu-viscera excess分类
医药卫生引用本文复制引用
王娟,陈敏..结胸证与阳明腑实证辨析[J].吉林中医药,2018,38(2):130-133,4.基金项目
上海市科学技术委员会计划项目(15401930800) （15401930800）
上海市进一步加快中医药事业发展三年行动计划(ZY3-JSFC-2-2018). （ZY3-JSFC-2-2018）
