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郝海蓉基于"木郁达之"论治功能性消化不良

李一平 张瑶瑶 张博文 王鹏伟 郝海蓉

基层中医药2025,Vol.4Issue(2):26-31,6.
基层中医药2025,Vol.4Issue(2):26-31,6.DOI:10.20065/j.cnki.btcm.20250027

郝海蓉基于"木郁达之"论治功能性消化不良

Hao Hairong's Treatment of Functional Dyspepsia by"Facilitating Stagnant Liver"

李一平 1张瑶瑶 1张博文 1王鹏伟 1郝海蓉2

作者信息

  • 1. 山西中医药大学(山西 太原 030024)
  • 2. 山西中医药大学附属医院脾胃病科(山西 太原 030024)
  • 折叠

摘要

Abstract

Functional dyspepsia(FD)is a common digestive system disease in clinical practice.According to the clinical symptoms such as postprandial fullness and abdomen pain,FD can be classified into the categories of"stomach numbness"and"epigastric pain"in traditional Chinese medicine(TCM).Modern medicine thinks the disease incidence is mainly related to gastrointestinal movement dysfunction,high visceral sensitivity,helicobacter pylori(HP)infection,and mental and psychological factors,and symptomatic treatment is usually adopted.The illness can easily recur,and the long-term curative effect is poor.In contrast,TCM syndrome differentiation and treatment of FD have significant clinical effects.The treatment rule of"facilitating stagnant liver"was recorded in the Six Yuan Zhengji Da Lun of Basic Questions,which has been widely used in clinical practice by physicians for many years.Hao Hairong believed that liver stagnation was the key cause and pathogenesis of FD,and liver stagnation and soil deficiency were the root of the disease;emotional disorder was an important influencing factor,and the brain-gut axis was related to the pathogenesis of liver and spleen diseases.Therefore,in the treatment of this disease based on the theory of"facilitating stagnant liver",the internal treatment focuses on dredging the liver and strengthening the spleen,combined with modified Chaiping Decoction and Xiaoyao San as the main prescription.The external treatment is supplemented with acupuncture therapy,and joint psychological counselling and individual treatment can obviously improve the symptoms of patients,with good clinical effects.

关键词

功能性消化不良/木郁达之/疏木扶土/郝海蓉/临床经验

Key words

functional dyspepsia/Mu Yu Da Zhi/dredging liver and strengthening spleen/Hao Hairong/clinical experience

引用本文复制引用

李一平,张瑶瑶,张博文,王鹏伟,郝海蓉..郝海蓉基于"木郁达之"论治功能性消化不良[J].基层中医药,2025,4(2):26-31,6.

基金项目

山西省中医药管理局科研课题计划(2024ZYYC007) (2024ZYYC007)

山西省基础研究计划(202203021221288) (202203021221288)

山西省卫健委科研课题计划(2021039) (2021039)

基层中医药

2097-1222

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