Discussion on the pathogenesis of symptom overlap in functional gastrointestinal disorders based on the relevance thinking in the Inner Canon of Yellow Emperor
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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。
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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. -
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