河南中医2024，Vol.44Issue(6)：811-815,5.DOI:10.16367/j.issn.1003-5028.2024.06.0149
基于"心风"理论探讨胃肠神经官能症证治
Study on Treatment of Gastrointestinal Neurosis Based on the Theory of"Heart Wind"
摘要
Abstract
Gastrointestinal neurosis falls under the scope of"heart wind"in Huangdi's Internal Classic,with the disease location in the heart and involving the spleen and liver.The basic pathogenesis is wind pathogen disturbing the heart spirit,with the pathogen being wind,accompanied by cold,heat,phlegm,and stasis.The treatment principle is to dispel wind and calm the heart.Zhang Zhongjing deepened the theory of heart wind in Huangdi Internal Classic and proposed 11 treatments.The method of dispelling wind and dispersing the liver is used for the type of heart wind caused by liver wind adverse invasion,so Running Piglet Decoction can be adopted.The method of dispelling wind and cold is used for the type of heart wind caused by wind-cold external invasion,so Cinnamon Twig Decoc-tion with Extra Cinnamon can be adopted.The method of dispelling wind and regulating qi is used for heart wind caused by wind block-age and qi counter-flow,so Cinnamon Twig and Fresh Ginger and Immature Bitter Orange Decoction can be adopted.The method of dis-pelling wind and purging phlegm is used for heart wind caused by wind and phlegm blockage,so Immature Bitter Orange and Chinese Chive and Cinnamon Twig Decoction can be adopted.The method of dispelling wind and penetrating heat is used for heart wind caused by wind disturbance and heat accumulation,so Gardenia and Prepared Soybean Decoction can be adopted.The method of dispelling wind and invigorating the spleen is used for heart wind caused by wind injuring the spleen and stomach,which should be treated both for the heart and the spleen,so the classified Heart-Draining Decoction can be adopted.The method of dispelling wind and lowering the stomach is used for heart wind caused by wind-heat injuring the stomach,so Coptis Decoction can be adopted.The method of dispelling wind and resolving phlegm is used for heart wind caused by phlegm in the chest and diaphragm,so Melon Stalk Powder can be adopted.The method of dispelling wind and warming the middle energizer is used for heart wind caused by wind and cold damaging the stomach,so Evodia Decoction can be adopted.The method of dispelling wind and regulating the liver is used for heart wind caused by liver inva-ding the heart,so Mume Pill can be adopted.The method of dispelling wind and promoting fluid circulation is used for heart wind caused by wind disturbance and fluid retention,so Cinnamon Twig Decoction removing Shaoyao(Radix Paeoniae Alba seu Rubra)and plus Mahuang(Herba Ephedrae),Xixin(Radix et Rhizoma Asari)and Fuzi(Radix Aconiti Lateralis Preparata)can be adopted.关键词
胃肠神经官能症/"心风"/祛风宁心法/《伤寒论》/张仲景Key words
gastrointestinal neurosis/"heart wind"/method of dispelling wind and calming the heart/Treatise on Cold Damage Diseases/Zhang Zhongjing分类
医药卫生引用本文复制引用
王建康,邓颖萍,陈璐佳,孙常波,张徐,夏煜听..基于"心风"理论探讨胃肠神经官能症证治[J].河南中医,2024,44(6):811-815,5.基金项目
国家中医药管理局全国名老中医药专家传承工作室建设项目{国中医药办人教函[2021]270号｝ （）
第三批宁波市名中医药专家学术经验继承项目{甬卫办中医[2020]150号} （）
浙江省"十三五"中医药重点专科脾胃病科项目{浙卫办中医[2019]1号} （）
