Diagnosis and Treatment of Symptom Overlap in Functional Gastrointestinal Disorders based on the Theory of Regulating the Middle and Restoring Balance

Yongtian WEN; Fengyun WANG; Xudong TANG; Lin LYU; Xu LIANG; Yuchen WEI

doi:10.13288/j.11-2166/r.2022.01.005

您当前的位置：

首页 >

文章列表页 >

Diagnosis and Treatment of Symptom Overlap in Functional Gastrointestinal Disorders based on the Theory of Regulating the Middle and Restoring Balance

更新时间：2021-12-27

- Diagnosis and Treatment of Symptom Overlap in Functional Gastrointestinal Disorders based on the Theory of Regulating the Middle and Restoring Balance
- Journal of Traditional Chinese Medicine Vol. 63, Issue 1, Pages: 17-20(2022)
- 作者机构：
  
  1.北京中医药大学研究生院，北京市朝阳区北三环东路11号，100029
  2.中国中医科学院西苑医院
  3.中国中医科学院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2022.01.005
  CLC：
- Received：15 August 2021，
  
  Revised：2021-09-14，
  
  Published：02 January 2022
- 稿件说明：
移动端阅览
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(01):17-20.

WEN Yongtian,WANG Fengyun,TANG Xudong,et al.Diagnosis and Treatment of Symptom Overlap in Functional Gastrointestinal Disorders based on the Theory of Regulating the Middle and Restoring Balance[J].Journal of Traditional Chinese Medicine,2022,63(01):17-20.
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(01):17-20. DOI： 10.13288/j.11-2166/r.2022.01.005.

WEN Yongtian,WANG Fengyun,TANG Xudong,et al.Diagnosis and Treatment of Symptom Overlap in Functional Gastrointestinal Disorders based on the Theory of Regulating the Middle and Restoring Balance[J].Journal of Traditional Chinese Medicine,2022,63(01):17-20. DOI： 10.13288/j.11-2166/r.2022.01.005.

摘要

功能性胃肠病（FGIDs）症状重叠现象在临床上非常普遍，增加了临床诊治的难度。调中复衡理论是在继承脾胃学说和通降论学术思想的基础上，结合长期临床实践所构建的脾胃病治疗理论。基于调中复衡理论，认为脾胃功能失调、气机升降失衡是FGIDs症状重叠现象发生的核心病机，其治疗目标是恢复气机升降平衡及脏腑功能平衡的“两平衡”状态，辨治则以“八纲通胃法”作为具体方法，即以脏腑为纲、多脏腑同调为主，以气血为纲、调气复通降为要，以虚实为纲、补虚泻实为法，以寒热为纲、平调寒热为常。以调中复衡理论为指导，纲目分明，执简驭繁，可为临床诊治FGIDs症状重叠厘清思路。

Abstract

Symptom overlap in functional gastrointestinal disorders （FGIDs） is frequetly occured， which increases the difficulty of clinical diagnosis and treatment. The theory of regulating the middle and restoring the balance is generated based on the inheritance of the spleen-stomach theory and unblocking and purging theory and on the accumulation of long-term clinical practice. According to this theory， the spleen and stomach dysfunction and the imbalance of

movement are the core pathogenesis of FGIDs symptom overlap， and the treatment goal is to restore the dual ba-lance of

movement and

zang

（脏腑） organs function. The method of “unblocking the stomach with eight-principle pattern differentiation” is suggested； in terms of

zang-fu

principle， the combined regulation of multiple

zang

organs is set as the focus； for

-blood principle， it is critical to regulate

and restore unblocking and purging； guided by the deficiency-excess principle， it is suggested to supplement deficiency and drain the excess； following the cold-heat principle， it is usually to regulate cold and heat with even methods. The theory of regulating the middle and restoring the balance has clear principles and makes it easier to be mastered， providing references for clinical diagnosis and treatment of FGIDs symptom overlap.

关键词

Keywords

references

DROSSMAN DA . 罗马Ⅳ：功能性胃肠病（中文翻译版）［M］. 4版 .方秀才，侯晓华，主译. 北京：科学出版社， 2016 ： 3 - 5 .

FORD AC ， MARWAHA A ， SOOD R ， et al . Global pre-valence of， and risk factors for， uninvestigated dyspepsia： a meta-analysis ［J］. Gut ， 2015 ， 64 （ 7 ）： 1049 - 1057 .

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， 113 .

YAO X ， YANG YS ， CUI LH ， et al . The overlap of upper functional gastrointestinal disorders with irritable bowel syndrome in Chinese outpatients： a multicenter study ［J］. J Gastroenterol Hepatol ， 2016 ， 31 （ 9 ）： 1584 - 1593 .

AZIZ I ， PALSSON OS ， TÖRNBLOM H ， et al . Epidemiology， clinical characteristics， and associations for symptom-based Rome IV functional dyspepsia in adults in the USA， Canada， and the UK： a cross-sectional population-based study ［J］. Lancet Gastroenterol Hepatol ， 2018 ， 4 （ 3 ）： 252 - 262 .

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 .

王凤云，张北华，苏博，等 . “调中复衡”理论的内涵及其在脾胃病治疗中的应用［J］. 中医杂志， 2021 ， 62 （ 11 ）： 930 - 933 .

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 - 47 .

唐旭东，卞立群 . 脾胃“通降理论”及其应用：脾胃学说传承与应用专题系列（3）［J］. 中医杂志， 2012 ， 53 （ 14 ）： 1171 - 1173，1181 .

周学海 . 读医随笔［M］. 北京：中国中医药出版社， 2007 ： 170 .

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 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

XU Jingfan's Experience in Treating Spleen and Stomach Diseases with Shichangpu （Rhizoma Acori Tatarinowii）：Based on the Theory of 'Aromatics Acting on the Spleen'

Exploration on the Connotation and Application of the Three Aspects of "Dietary Inquiry" for "Appetite" "Eating Capacity" "Food Preference"

Current Status，Challenges，and Strategies of Basic Research on the Brain-Gut Interaction Theory for Spleen and Stomach Diseases in Traditional Chinese Medicine

Current Status and Prospective of Research on Disease-Syndrome Integrated Animal Models of Spleen and Stomach Diseases in Traditional Chinese Medicine

Application Value of Scales for Symptom & Syndrome Evaluation in Spleen-Stomach Diseases Related New Drug Research and Development

Related Author

LU Weimin

TIAN Panpan

SU Xiaolan

WEI Wei

HU Xinxin

ZHANG Xueping

YANG Chen

WANG Chengxiang

Related Institution

Affiliated Hospital of Nanjing University of Chinese Medicine/Jiangsu Province Hospital of Traditional Chinese Medicine

Emergency General Hospital

Beijing Key Laboratory of Traditional Chinese Medicine Diagnosis and Treatment of Functional Gastrointestinal Disorders

Wangjing Hospital，China Academy of Chinese Medical Sciences

Institute of Spleen and Stomach Diseases，Xiyuan Hospital，China Academy of Chinese Medical Sciences

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰