Discussion on the pathogenesis of symptom overlap in functional gastrointestinal disorders based on the relevance thinking in the Inner Canon of Yellow Emperor
-
摘要: 《黄帝内经》是中医学最早的经典著作，其创立了中医学理论体系，所体现的关联性思维可以很好地阐释功能性胃肠病(functional gastrointestinal disorders，FGIDs)症状重叠现象发生的病机。将上、下消化道症状作为脾胃系统的整体表现，并放在以整个人为背景的基础上加以认知，认为经络循行是FGIDs症状重叠发生的路线基础，脏腑功能失调是FGIDs症状重叠发生的关键节点，气机升降失衡是FGIDs症状重叠发生的病理环节，“调中复衡”是治疗FGIDs症状重叠的中心法则，以此深入认识FGIDs症状重叠现象发生的中医病机，可以更好地指导临床治疗。
-
关键词:
- 《黄帝内经》 /
- 经络 /
- 藏象学说 /
- 气机升降 /
- 功能性胃肠病症状重叠
Abstract: The Inner Canon of Yellow Emperor is the earliest classic work of Traditional Chinese Medicine(TCM), creating a theoretical system of TCM. The relevance thinking embodied in it can well explain the pathogenesis of symptom overlap in functional gastrointestinal disorders(FGIDs). We consider upper and lower gastrointestinal symptoms as the overall manifestation of the spleen and stomach system, and recognize the symptoms based on the entire human background. We believe that the circulation of meridians is the route basis for the occurrence of FGIDs symptom overlap, the dysfunction of Zang-fu is the key node for the occurrence of FGIDs symptom overlap, the imbalance of Qi movement is the pathological link for the occurrence of FGIDs symptom overlap, and regulating the middle and restoring the balance is the central principle for treating FGIDs symptom overlap. Therefore, a thorough understanding of the TCM pathogenesis of FGIDs symptom overlap can better guide clinical treatment. -
-
[1] 邢玉瑞. 关于中医原创思维方法体系的初步研究[J]. 中医杂志, 2012, 53(1): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201201007.htm
[2] 陈旻湖, 杨云生, 唐承薇. 消化病学[M]. 北京: 人民卫生出版社, 2019: 829-829.
[3] Douglas A. 罗马Ⅳ: 肠-脑互动异常[M]. 北京: 科学出版社, 2016: 4-4.
[4] Sperber AD, Bangdiwala SI, Drossman DA, et al. Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study[J]. Gastroenterology, 2021, 160(1): 99-114. doi: 10.1053/j.gastro.2020.04.014
[5] 黄智炜, 颜秀娟, 陈胜良. 十二指肠炎症与功能性胃肠病症状重叠的研究进展[J]. 胃肠病学, 2023, 28(2): 120-124. doi: 10.3969/j.issn.1008-7125.2023.02.009
[6] 关海鸥, 王莉鹏, 胡玲. 关联性思维与模糊语言: 中国古代文论审美依托[J]. 社会科学战线, 2011, 196(10): 267-268. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZX201110053.htm
[7] 王庆其, 周国琪, 陈晓, 等. 黄帝内经百年研究大成[M]. 上海: 上海科学技术出版社, 2018: 150-150.
[8] 佚名. 黄帝内经素问[M]. 北京: 人民卫生出版社, 2012: 47-47.
[9] 许滔, 吴光炯. 《内经》的复杂性思维探析[J]. 中国实验方剂学杂志, 2010, 16(14): 232-233. doi: 10.3969/j.issn.1005-9903.2010.14.071
[10] 邢玉瑞. 中国传统思维与中医学术创新[J]. 中国中医基础医学杂志, 2017, 23(2): 199-200. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC201702020.htm
[11] 佚名. 灵枢经[M]. 北京: 人民卫生出版社, 2012: 69-69.
[12] 张树剑, 荣培晶. 结构经络向功能经络的范式转变--兼论"脑摄经络"假说[J]. 针刺研究, 2022, 47(12): 1-8. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ202212012.htm
[13] 明·张景岳. 类经[M]. 北京: 中国医药科技出版社, 2011: 18-18.
[14] 罗鹏飞, 任红艳. 《黄帝内经》脏腑气机理论[J]. 河南中医, 2019, 39(2): 173-175. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZY201902004.htm
[15] 刘瑞, 鲍艳举, 花宝金. 《黄帝内经》中气机升降理论思想的探讨[J]. 世界中医药, 2014, 9(3): 299-301. doi: 10.3969/j.issn.1673-7202.2014.03.010
[16] 唐旭东. 董建华"通降论"学术思想整理[J]. 北京中医药大学学报, 1995, 18(2): 45-48. doi: 10.3321/j.issn:1006-2157.1995.02.015
[17] 张北华, 张泰, 王凤云, 等. 脾胃病治疗中的"调中复衡"理论[J]. 中医杂志, 2021, 62(9): 737-742. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202111002.htm
[18] 温永天, 王凤云, 唐旭东, 等. 运用调中复衡理论诊治功能性胃肠病症状重叠的思路和方法[J]. 中医杂志, 2022, 63(1): 17-20. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202201006.htm
[19] 唐旭东, 马祥雪. 传承董建华"通降论"学术思想, 创建脾胃病辨证新八纲[J]. 中国中西医结合消化杂志, 2018, 26(11): 893-896. https://www.zhangqiaokeyan.com/academic-journal-cn_detail_thesis/02012103980365.html
-
计量
- 文章访问数: 90
- 施引文献: 0
下载: