周德生辨治中风后顽固性呃逆经验
Zhou Desheng's Experience of Treating Intractable Hiccup After Stroke
DOI:10.16367/j.issn.1003-5028.2022.05.0149
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1.湖南中医药大学,湖南 长沙 410208
2.湖南中医药大学第一附属医院,湖南 长沙 410007
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尹倩, 李中, 刘利娟, 等. 周德生辨治中风后顽固性呃逆经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2022.05.0149
YIN Qian, LI Zhong, LIU Li-juan, et al. Zhou Desheng's Experience of Treating Intractable Hiccup After Stroke[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2022.05.0149
尹倩, 李中, 刘利娟, 等. 周德生辨治中风后顽固性呃逆经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2022.05.0149 DOI:
YIN Qian, LI Zhong, LIU Li-juan, et al. Zhou Desheng's Experience of Treating Intractable Hiccup After Stroke[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2022.05.0149 DOI:
周德生教授认为,中风后呃逆病机为气机升降失衡,治病必本于阴阳升降之理,使清者升、浊者降,治疗以升降气机,重镇降逆为主,兼潜降浊邪,镇摄亢阳,用药首选代赭石、龙骨、牡蛎、石决明、珍珠母等金石介贝之属。阴阳气血升降失调,气机运行不畅,血液、津液不能畅行,留滞其中而成瘀血、痰浊之证,采用丁香、檀香、木香、川楝子、蒲黄、红花、三棱、莪术等理气活血。呃逆寒证,采用丁香柿蒂汤治疗;呃逆热证,即胃火上逆之证,采用橘皮竹茹汤治疗,亦可配伍清热药物。气机郁滞证、脾胃阳虚证、胃阴不足证,分别选用五磨饮子、理中丸、益胃汤治疗。法虽各异,总以和胃降逆为法则。
Professor Zhou Desheng believes that the pathogenesis of hiccup after stroke is disturbance in ascending and descending of ,qi, movement, and the treatment must be based on the principle of the ascending and descending of yin and yang for ascending the clearing and descending the turbid. The treatment is mainly to ascend and descend ,qi, movement, lower counterflow of ,qi, with heavy settling medicinals, and potentially reduce the turbidity, and suppress the hyperactivity of yang. The first choice for medication is metal, stone, shellfish, such as Daizheshi (,Haematitum,), Longgu (,Os Draconis,), Muli (,Concha Ostreae,), Shijueming (,Concha Haliotidis,), Zhenzhumu (,Concha Margaritiferae Usta,), etc. If there is disturbance in ,qi, and blood, yin and yang, ascending and descending, if ,qi, movement is not running smoothly, and the blood and body fluid cannot flow smoothly, and they will accumulate and result in the syndrome of blood stasis and phlegm turbidity. Dingxiang (,Flos Caryophylli,), Tanxiang (,Lignum Santali Albi,), Muxiang (,Radix Aucklandiae,), Chuanlianzi (,Fructus Toosendan,), Puhuang (,Pollen Typhae,), Honghua (,Flos Carthami,), Sanleng (,Rhizoma Sparganii,), Ezhu (,Rhizoma Curcumae,), etc. can be used to regulate ,qi, and activate blood circulation. For hiccup with cold syndrome, Clove and Persimmon Decoction can be used for treatment. For hiccup with heat syndrome, that is, the syndrome of ascend ,qi, of stomach fire, Tangerine Peel and Bamboo Shavings Decoction can be used for treatment, and heatclearing drugs can also be combined. For ,qi, stagnation syndrome, spleen-stomach yang deficiency syndrome and stomach yin deficiency syndrome, Five-Grinding Decoction, Center-Regulating Pill, Stomach-Replenishing Decoction can be selected for treatment respectively. Although the treatment method is different, it always takes harmonizing the stomach and lowering the counterflow of ,qi, as the principle.
顽固性呃逆中风丁香柿蒂汤橘皮竹茹汤五磨饮子理中丸益胃汤周德生
intractable hiccupstrokeClove and Persimmon DecoctionTangerine Peel and Bamboo Shavings DecoctionFive-Grinding DecoctionCenter-Regulating PillStomach-Replenishing DecoctionZhou Desheng
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