Discussions on Characteristics of Syndrome， Treatment and Psychosocial Feature of Functional Dyspepsia based on “Liver <italic style="font-style: italic">Qi</italic> Deficiency Leads to Fear” Theory

Hongliang LIU; Mingyang XUAN; Lingbo ZHANG; Yuning BAI

doi:10.13288/j.11-2166/r.2022.10.008

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Discussions on Characteristics of Syndrome， Treatment and Psychosocial Feature of Functional Dyspepsia based on “Liver Qi Deficiency Leads to Fear” Theory

更新时间：2022-05-11

- Discussions on Characteristics of Syndrome， Treatment and Psychosocial Feature of Functional Dyspepsia based on “Liver Qi Deficiency Leads to Fear” Theory
- Journal of Traditional Chinese Medicine Vol. 63, Issue 10, Pages: 931-935(2022)
- 作者机构：
  
  1.中国中医科学院广安门医院，北京市西城区北线阁5号，100053
  2.山东省聊城市东昌府区中医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2022.10.008
  CLC：
- Received：08 November 2021，
  
  Revised：2021-12-20，
  
  Published：17 May 2022
- 稿件说明：
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柳红良,宣铭杨,张令波等.基于“肝气虚则恐”探讨功能性消化不良证治规律与社会心理特征[J].中医杂志,2022,63(10):931-935.

LIU Hongliang,XUAN Mingyang,ZHANG Lingbo,et al.Discussions on Characteristics of Syndrome， Treatment and Psychosocial Feature of Functional Dyspepsia based on “Liver Qi Deficiency Leads to Fear” Theory[J].Journal of Traditional Chinese Medicine,2022,63(10):931-935.
柳红良,宣铭杨,张令波等.基于“肝气虚则恐”探讨功能性消化不良证治规律与社会心理特征[J].中医杂志,2022,63(10):931-935. DOI： 10.13288/j.11-2166/r.2022.10.008.

LIU Hongliang,XUAN Mingyang,ZHANG Lingbo,et al.Discussions on Characteristics of Syndrome， Treatment and Psychosocial Feature of Functional Dyspepsia based on “Liver Qi Deficiency Leads to Fear” Theory[J].Journal of Traditional Chinese Medicine,2022,63(10):931-935. DOI： 10.13288/j.11-2166/r.2022.10.008.

摘要

功能性消化不良（FD）是典型的心身疾病，临床要心身并治。中医理论“因郁致病、因病致郁”的心身互动关系，蕴含着生物-心理-社会医学模式，与罗马Ⅳ标准提出的FD的“脑-肠互动异常”机制一致。“肝气虚则恐，实则怒”，肝气虚证不仅在证治关系上对肝气郁证作到有力补充，同时也蕴含着“因恐致病、因病致恐”的心身互动关系，临床对于FD的治疗具有重要的理法意义。肝气虚与肝气郁、肝气虚与胆气虚应加以鉴别，而肝气虚引起FD具有典型的病症以及心理特点。大补肝汤加减治疗肝气虚引起的FD，临床取得较好的疗效。

Abstract

Functional dyspepsia （FD） is a typical psychosomatic disease in need of treatment on both body and mind. The interaction between mind and body， following the theory of “constraint leads to disease， and disease produces depression”in traditional Chinese medicine （TCM）， reflects the bio-pyscho-social medical model and keeps consistency with “abnormal brain-gut communication” of Rome Ⅳ criteria. According to the principle of“liver

deficiency leads to fear while

excess leads to anger”， liver

deficiency syndrome supplements the

constraint syndrome in differentiated treatment， and manifests the interaction between mind and body of “constraint leads to disease， and disease produces depression”， thereby proving guidance on treatment principles and methods of FD. Liver

deficiency should be differentiated from liver

constraint as well as gallbladder qi deficiency， and FD caused by liver

deficiency has typical symptoms and psychosocial characteristics.

Modified Dabugan Decoction

（大补肝汤加减） is commonly used for FD caused by liver

deficiency may achieve has good clinical effect.

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references

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Discussions on Characteristics of Syndrome， Treatment and Psychosocial Feature of Functional Dyspepsia based on “Liver Qi Deficiency Leads to Fear” Theory

DOI：10.13288/j.11-2166/r.2022.10.008

摘要

Abstract

关键词

Keywords

references