處方 : 柴胡 黃芩(qin) 芍(shao)藥 枳實 厚(hou)樸 大黃 芒消 甘草
功能主治 : 治傷(shang)寒邪熱內(nei)傳,大便結實,口燥咽干(gan),怕(pa)熱譫語,揭衣狂妄,揚(yang)手擲足,斑黃陽厥,潮熱自汗,胸腹滿硬,繞臍疼(teng)痛者。
用法用量 : 上銼一劑,先(xian)將水(shui)(shui)500毫(hao)(hao)升,滾三(san)沸(fei),后入藥,煎至400毫(hao)(hao)升。臨服入鐵銹(xiu)水(shui)(shui)10~15毫(hao)(hao)升。
摘錄 : 《傷寒六書》卷三
你(ni)的(de)(de)情況(kuang)是(shi)(shi)身(shen)體(ti)里(li)有氣(qi)(qi)堵得慌(huang)并(bing)伴有疼痛,用力或用手敲擊就像吃得過飽(bao)一(yi)樣打嗝.之(zhi)后疼痛減輕,一(yi)會還(huan)是(shi)(shi)原樣,這種情況(kuang)應該是(shi)(shi)氣(qi)(qi)滯兼有氣(qi)(qi)逆的(de)(de)表(biao)現,氣(qi)(qi)不(bu)通所以(yi)(yi)(yi)你(ni)覺得堵得慌(huang),而(er)且中(zhong)醫講不(bu)通則(ze)痛,所以(yi)(yi)(yi)嚴重的(de)(de)時(shi)候(hou)會感到疼痛.敲擊以(yi)(yi)(yi)后可以(yi)(yi)(yi)使氣(qi)(qi)血暫時(shi)得到運行,所以(yi)(yi)(yi)會有呃逆,疼痛也會暫時(shi)緩(huan)解(jie)(jie).但是(shi)(shi)畢竟沒有解(jie)(jie)決根本問題,所以(yi)(yi)(yi)長期不(bu)愈.治療(liao)需(xu)要降氣(qi)(qi)解(jie)(jie)郁,可以(yi)(yi)(yi)服用中(zhong)藥(yao)(yao)湯劑來(lai)治療(liao),最(zui)好是(shi)(shi)找有經(jing)驗的(de)(de)中(zhong)醫來(lai)看病(bing)(bing)開藥(yao)(yao).您可以(yi)(yi)(yi)到中(zhong)醫院(yuan)看消化病(bing)(bing)科或者到專門的(de)(de)中(zhong)醫門診看專家(jia).平時(shi)可以(yi)(yi)(yi)自己注意按摩身(shen)體(ti),少吃能(neng)夠導致氣(qi)(qi)滯和(he)氣(qi)(qi)逆的(de)(de)食(shi)物(wu)和(he)藥(yao)(yao)物(wu),比如(ru)升麻(ma),柴胡,人參等.可以(yi)(yi)(yi)多吃一(yi)些(xie)具有理(li)氣(qi)(qi)和(he)降氣(qi)(qi)作用的(de)(de)食(shi)物(wu),比如(ru)蘿卜,蘿卜籽,橘皮,杏仁,蘇梗(geng)等等.還(huan)可以(yi)(yi)(yi)用玫瑰(gui)花(hua),月季花(hua),綠萼(e)梅花(hua),蘇梗(geng)泡(pao)水喝,具有理(li)氣(qi)(qi)解(jie)(jie)郁的(de)(de)作用,能(neng)夠緩(huan)解(jie)(jie)你(ni)的(de)(de)情況(kuang).
腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)是(shi)一種常(chang)(chang)(chang)見(jian)(jian)(jian)(jian)(jian)(jian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)系(xi)統癥(zheng)狀(zhuang),引(yin)起(qi)(qi)(qi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)因(yin)(yin)(yin)(yin)(yin)主(zhu)要見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)胃(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)、各種原(yuan)因(yin)(yin)(yin)(yin)(yin)所(suo)(suo)(suo)致(zhi)(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)水、腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)腫(zhong)瘤(liu)等(deng)(deng)(deng)(deng)。 一般(ban)說(shuo)(shuo)來胃(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)均有(you)(you)(you)(you)(you)(you)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)膨隆,局限于(yu)(yu)(yu)(yu)(yu)上腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)膨隆多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)胃(wei)(wei)(wei)(wei)(wei)(wei)或(huo)(huo)(huo)(huo)橫(heng)結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)積(ji)(ji)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)所(suo)(suo)(suo)致(zhi)(zhi),小(xiao)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)積(ji)(ji)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)膨隆可(ke)(ke)局限于(yu)(yu)(yu)(yu)(yu)中(zhong)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu),也(ye)(ye)(ye)可(ke)(ke)為(wei)全(quan)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)膨隆,結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)積(ji)(ji)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)膨隆可(ke)(ke)局限于(yu)(yu)(yu)(yu)(yu)下(xia)(xia)(xia)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)或(huo)(huo)(huo)(huo)左(zuo)下(xia)(xia)(xia)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu),幽(you)門(men)(men)梗(geng)(geng)(geng)阻(zu)(zu)時(shi)(shi)(shi)(shi)(shi),上腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)可(ke)(ke)有(you)(you)(you)(you)(you)(you)胃(wei)(wei)(wei)(wei)(wei)(wei)型及(ji)(ji)蠕(ru)動(dong)(dong)波(bo),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)梗(geng)(geng)(geng)阻(zu)(zu)時(shi)(shi)(shi)(shi)(shi)可(ke)(ke)見(jian)(jian)(jian)(jian)(jian)(jian)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)型及(ji)(ji)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)蠕(ru)動(dong)(dong)波(bo),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)鳴音亢進或(huo)(huo)(huo)(huo)減(jian)弱(ruo),腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)炎(yan)(yan)(yan)(yan)患者(zhe)可(ke)(ke)有(you)(you)(you)(you)(you)(you)壓痛(tong)及(ji)(ji)肌緊張。 伴(ban)(ban)(ban)(ban)(ban)隨癥(zheng)狀(zhuang) (1)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)痛(tong):伴(ban)(ban)(ban)(ban)(ban)劇烈腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)痛(tong)時(shi)(shi)(shi)(shi)(shi)應(ying)考慮有(you)(you)(you)(you)(you)(you)急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)膽囊炎(yan)(yan)(yan)(yan),胰(yi)(yi)腺炎(yan)(yan)(yan)(yan),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)梗(geng)(geng)(geng)阻(zu)(zu),急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)炎(yan)(yan)(yan)(yan),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)系(xi)膜(mo)血(xue)(xue)(xue)管(guan)栓塞(sai)或(huo)(huo)(huo)(huo)血(xue)(xue)(xue)栓形成(cheng),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)扭(niu)轉(zhuan),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)套疊等(deng)(deng)(deng)(deng)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)可(ke)(ke)能(neng)(neng)(neng)(neng)。 (2)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)嘔吐:多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)幽(you)門(men)(men)梗(geng)(geng)(geng)阻(zu)(zu),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)梗(geng)(geng)(geng)阻(zu)(zu)等(deng)(deng)(deng)(deng)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian),其(qi)次可(ke)(ke)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)肝(gan)(gan)膽道(dao)(dao)及(ji)(ji)胰(yi)(yi)腺病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian),功能(neng)(neng)(neng)(neng)性(xing)(xing)(xing)(xing)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)不(bu)(bu)(bu)(bu)(bu)(bu)良及(ji)(ji)吞氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)癥(zheng)等(deng)(deng)(deng)(deng)功能(neng)(neng)(neng)(neng)性(xing)(xing)(xing)(xing)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian)有(you)(you)(you)(you)(you)(you)時(shi)(shi)(shi)(shi)(shi)也(ye)(ye)(ye)可(ke)(ke)發生(sheng)(sheng)嘔吐。 (3)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)噯(ai)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi):常(chang)(chang)(chang)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)吞氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)癥(zheng),功能(neng)(neng)(neng)(neng)性(xing)(xing)(xing)(xing)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)不(bu)(bu)(bu)(bu)(bu)(bu)良,慢(man)性(xing)(xing)(xing)(xing)萎縮(suo)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan),胃(wei)(wei)(wei)(wei)(wei)(wei)下(xia)(xia)(xia)垂,潰(kui)瘍(yang)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)及(ji)(ji)幽(you)門(men)(men)梗(geng)(geng)(geng)阻(zu)(zu)等(deng)(deng)(deng)(deng)。 (4)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)便(bian)(bian)(bian)(bian)秘(mi):多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)習(xi)慣(guan)性(xing)(xing)(xing)(xing)便(bian)(bian)(bian)(bian)秘(mi),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)易(yi)(yi)激(ji)綜(zong)合(he)征(zheng)(便(bian)(bian)(bian)(bian)秘(mi)型),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)梗(geng)(geng)(geng)阻(zu)(zu),左(zuo)半結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)癌等(deng)(deng)(deng)(deng)。 (5)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)瀉(xie)(xie):多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)感染,肝(gan)(gan)硬化(hua)(hua)(hua)(hua),慢(man)性(xing)(xing)(xing)(xing)膽囊炎(yan)(yan)(yan)(yan),慢(man)性(xing)(xing)(xing)(xing)胰(yi)(yi)腺炎(yan)(yan)(yan)(yan),吸收(shou)(shou)不(bu)(bu)(bu)(bu)(bu)(bu)良綜(zong)合(he)征(zheng)等(deng)(deng)(deng)(deng)。 (6)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)肛門(men)(men)排(pai)(pai)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)增(zeng)加(jia)(jia):多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)在(zai)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)發酵(jiao)(jiao)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou),結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)內(nei)(nei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)過(guo)多(duo)(duo)(duo)(duo)(duo)(duo),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)易(yi)(yi)激(ji)綜(zong)合(he)征(zheng)等(deng)(deng)(deng)(deng)。 (7)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)發熱(re):多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)傷(shang)(shang)寒(han),急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)炎(yan)(yan)(yan)(yan)癥(zheng),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)結(jie)(jie)核(he)(he),結(jie)(jie)核(he)(he)性(xing)(xing)(xing)(xing)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)炎(yan)(yan)(yan)(yan)及(ji)(ji)敗血(xue)(xue)(xue)癥(zheng)等(deng)(deng)(deng)(deng)。 (8)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)型或(huo)(huo)(huo)(huo)振(zhen)水音:腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)型或(huo)(huo)(huo)(huo)異常(chang)(chang)(chang)蠕(ru)動(dong)(dong)波(bo)多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)梗(geng)(geng)(geng)阻(zu)(zu),如(ru)(ru)(ru)胃(wei)(wei)(wei)(wei)(wei)(wei)部(bu)(bu)(bu)(bu)有(you)(you)(you)(you)(you)(you)振(zhen)水音時(shi)(shi)(shi)(shi)(shi),多(duo)(duo)(duo)(duo)(duo)(duo)考慮為(wei)胃(wei)(wei)(wei)(wei)(wei)(wei)貯留(liu)或(huo)(huo)(huo)(huo)幽(you)門(men)(men)梗(geng)(geng)(geng)阻(zu)(zu)。 (9)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)部(bu)(bu)(bu)(bu)位:上腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)膨脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)者(zhe)多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)萎縮(suo)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan),功能(neng)(neng)(neng)(neng)性(xing)(xing)(xing)(xing)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)不(bu)(bu)(bu)(bu)(bu)(bu)良,肝(gan)(gan)硬化(hua)(hua)(hua)(hua),幽(you)門(men)(men)梗(geng)(geng)(geng)阻(zu)(zu),胃(wei)(wei)(wei)(wei)(wei)(wei)擴(kuo)張或(huo)(huo)(huo)(huo)胃(wei)(wei)(wei)(wei)(wei)(wei)癌,胰(yi)(yi)腺癌等(deng)(deng)(deng)(deng);中(zhong)上腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)膨脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)肝(gan)(gan),膽道(dao)(dao)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian),肝(gan)(gan)曲綜(zong)合(he)征(zheng)等(deng)(deng)(deng)(deng);左(zuo)上腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)膨脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)胃(wei)(wei)(wei)(wei)(wei)(wei)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing),脾(pi)(pi)曲綜(zong)合(he)征(zheng)等(deng)(deng)(deng)(deng);左(zuo)下(xia)(xia)(xia)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)膨脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(例(li)如(ru)(ru)(ru)巨(ju)結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang));全(quan)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)多(duo)(duo)(duo)(duo)(duo)(duo)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)小(xiao)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)或(huo)(huo)(huo)(huo)結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)腔(qiang)(qiang)內(nei)(nei)積(ji)(ji)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)過(guo)多(duo)(duo)(duo)(duo)(duo)(duo),麻痹性(xing)(xing)(xing)(xing)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)梗(geng)(geng)(geng)阻(zu)(zu)等(deng)(deng)(deng)(deng)。 病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)(yin)(yin)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)理 西醫病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)(yin)(yin) 腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)是(shi)由于(yu)(yu)(yu)(yu)(yu)胃(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)內(nei)(nei)存在(zai)過(guo)量(liang)(liang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti),以(yi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)大(da)(da)(da)(da)、皮(pi)色(se)蒼(cang)黃(huang)、甚(shen)(shen)(shen)至脈(mo)(mo)(mo)絡暴露、腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)皮(pi)繃急(ji)(ji)(ji)(ji)如(ru)(ru)(ru)鼓為(wei)特征(zheng),其(qi)主(zhu)要病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)(yin)(yin)及(ji)(ji)發病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機制如(ru)(ru)(ru)下(xia)(xia)(xia): (1)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)發酵(jiao)(jiao) 正常(chang)(chang)(chang)情(qing)況(kuang)下(xia)(xia)(xia),回腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)下(xia)(xia)(xia)端和(he)升結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)有(you)(you)(you)(you)(you)(you)大(da)(da)(da)(da)量(liang)(liang)細(xi)菌(jun)存在(zai)。如(ru)(ru)(ru)果(guo)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)糜在(zai)這段(duan)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)子里,因(yin)(yin)(yin)(yin)(yin)某(mou)種原(yuan)因(yin)(yin)(yin)(yin)(yin)停留(liu)時(shi)(shi)(shi)(shi)(shi)間過(guo)長(chang),在(zai)細(xi)菌(jun)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作用下(xia)(xia)(xia),可(ke)(ke)以(yi)引(yin)起(qi)(qi)(qi)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)糜發酵(jiao)(jiao),產(chan)生(sheng)(sheng)大(da)(da)(da)(da)量(liang)(liang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti),引(yin)起(qi)(qi)(qi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 (2)吸入(ru)空氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi) 吃(chi)東西時(shi)(shi)(shi)(shi)(shi)因(yin)(yin)(yin)(yin)(yin)講(jiang)話或(huo)(huo)(huo)(huo)飲食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)習(xi)慣(guan)不(bu)(bu)(bu)(bu)(bu)(bu)良吸入(ru)大(da)(da)(da)(da)量(liang)(liang)空氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),而(er)引(yin)起(qi)(qi)(qi)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。 (3)胃(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)中(zhong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)吸收(shou)(shou)障礙 正常(chang)(chang)(chang)情(qing)況(kuang)下(xia)(xia)(xia),腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)內(nei)(nei)大(da)(da)(da)(da)部(bu)(bu)(bu)(bu)分(fen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti),經(jing)(jing)(jing)(jing)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)壁(bi)(bi)血(xue)(xue)(xue)管(guan)吸收(shou)(shou)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou),由肺(fei)部(bu)(bu)(bu)(bu)呼吸排(pai)(pai)出(chu)體(ti)(ti)(ti)外(wai)(wai)(wai)。有(you)(you)(you)(you)(you)(you)些(xie)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)壁(bi)(bi)血(xue)(xue)(xue)液循環發生(sheng)(sheng)障礙,影響(xiang)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)腔(qiang)(qiang)內(nei)(nei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)吸收(shou)(shou),從而(er)引(yin)起(qi)(qi)(qi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 (4)胃(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)內(nei)(nei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)排(pai)(pai)出(chu)障礙 因(yin)(yin)(yin)(yin)(yin)某(mou)些(xie)原(yuan)因(yin)(yin)(yin)(yin)(yin),腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)蠕(ru)動(dong)(dong)功能(neng)(neng)(neng)(neng)減(jian)弱(ruo)或(huo)(huo)(huo)(huo)消(xiao)(xiao)(xiao)(xiao)(xiao)失(shi)(shi),所(suo)(suo)(suo)以(yi)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)腔(qiang)(qiang)內(nei)(nei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)排(pai)(pai)不(bu)(bu)(bu)(bu)(bu)(bu)出(chu)體(ti)(ti)(ti)外(wai)(wai)(wai),因(yin)(yin)(yin)(yin)(yin)而(er)引(yin)起(qi)(qi)(qi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 如(ru)(ru)(ru)果(guo)體(ti)(ti)(ti)內(nei)(nei)積(ji)(ji)聚的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)無(wu)法(fa)排(pai)(pai)出(chu)體(ti)(ti)(ti)外(wai)(wai)(wai),會對消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)系(xi)統造成(cheng)壓力(li)(li),使(shi)人(ren)(ren)產(chan)生(sheng)(sheng)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)甚(shen)(shen)(shen)至疼痛(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)(bu)(bu)(bu)(bu)(bu)適(shi)感。頻繁地排(pai)(pai)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(俗(su)稱放屁(pi))、打嗝、覺得腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)或(huo)(huo)(huo)(huo)疼痛(tong),是(shi)許多(duo)(duo)(duo)(duo)(duo)(duo)生(sheng)(sheng)活步調(diao)(diao)快、壓力(li)(li)大(da)(da)(da)(da)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)人(ren)(ren),幾乎每天發生(sheng)(sheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)毛病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing),散(san)布(bu)在(zai)人(ren)(ren)體(ti)(ti)(ti)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)道(dao)(dao)內(nei)(nei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)主(zhu)要來源(yuan)(yuan)有(you)(you)(you)(you)(you)(you)二(er),一是(shi)外(wai)(wai)(wai)在(zai)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)空氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)進入(ru)體(ti)(ti)(ti)內(nei)(nei),當你滔滔不(bu)(bu)(bu)(bu)(bu)(bu)絕(jue)地說(shuo)(shuo)話、嚼口香(xiang)糖(tang)、用吸管(guan)喝飲料,或(huo)(huo)(huo)(huo)囫(hu)圇(lun)吞棗地咽下(xia)(xia)(xia)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)時(shi)(shi)(shi)(shi)(shi),不(bu)(bu)(bu)(bu)(bu)(bu)少空氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)也(ye)(ye)(ye)隨著下(xia)(xia)(xia)肚。另(ling)一個來源(yuan)(yuan)是(shi)大(da)(da)(da)(da)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)內(nei)(nei)細(xi)菌(jun)分(fen)解(jie)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)過(guo)程(cheng)中(zhong)產(chan)生(sheng)(sheng)。 我們(men)吃(chi)下(xia)(xia)(xia)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)進入(ru)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)系(xi)統后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou),由各種消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)酵(jiao)(jiao)素(su)加(jia)(jia)以(yi)分(fen)解(jie),最后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)大(da)(da)(da)(da)約90%消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)完成(cheng)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou),在(zai)小(xiao)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)中(zhong)被(bei)(bei)吸收(shou)(shou)。其(qi)他不(bu)(bu)(bu)(bu)(bu)(bu)被(bei)(bei)小(xiao)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)吸收(shou)(shou)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)進入(ru)大(da)(da)(da)(da)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou),就被(bei)(bei)大(da)(da)(da)(da)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)內(nei)(nei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)細(xi)菌(jun)分(fen)解(jie)利(li)用。細(xi)菌(jun)分(fen)解(jie)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu),便(bian)(bian)(bian)(bian)會產(chan)生(sheng)(sheng)各種氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)。人(ren)(ren)體(ti)(ti)(ti)內(nei)(nei)因(yin)(yin)(yin)(yin)(yin)為(wei)缺乏消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)某(mou)些(xie)碳水化(hua)(hua)(hua)(hua)合(he)物(wu)(例(li)如(ru)(ru)(ru)寡(gua)糖(tang)類(lei)(lei)及(ji)(ji)多(duo)(duo)(duo)(duo)(duo)(duo)醣類(lei)(lei))的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)酵(jiao)(jiao)素(su),所(suo)(suo)(suo)以(yi),攝食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)這一類(lei)(lei)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou),在(zai)小(xiao)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)中(zhong)不(bu)(bu)(bu)(bu)(bu)(bu)被(bei)(bei)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua),到(dao)(dao)大(da)(da)(da)(da)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)便(bian)(bian)(bian)(bian)為(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)菌(jun)所(suo)(suo)(suo)分(fen)解(jie)利(li)用,然后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)產(chan)生(sheng)(sheng)大(da)(da)(da)(da)量(liang)(liang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)體(ti)(ti)(ti)。 中(zhong)醫病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)(yin)(yin) 《諸病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)源(yuan)(yuan)候論·腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)候》:“腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)者(zhe),由陽(yang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)外(wai)(wai)(wai)虛、陰(yin)(yin)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)內(nei)(nei)積(ji)(ji)故(gu)也(ye)(ye)(ye)。陽(yang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)外(wai)(wai)(wai)虛受風冷邪(xie)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),風冷,陰(yin)(yin)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)也(ye)(ye)(ye)。冷積(ji)(ji)于(yu)(yu)(yu)(yu)(yu)府臟(zang)之(zhi)間不(bu)(bu)(bu)(bu)(bu)(bu)散(san),與脾(pi)(pi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)相壅,虛則(ze)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang),故(gu)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)滿而(er)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)微喘(chuan)。” (1)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)(wei)損(sun)傷(shang)(shang) 由于(yu)(yu)(yu)(yu)(yu)小(xiao)兒乳食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)不(bu)(bu)(bu)(bu)(bu)(bu)節、饑(ji)飽無(wu)度,或(huo)(huo)(huo)(huo)營(ying)養(yang)不(bu)(bu)(bu)(bu)(bu)(bu)良,均會損(sun)傷(shang)(shang)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)(wei),使(shi)脾(pi)(pi)失(shi)(shi)健運(yun),升降(jiang)失(shi)(shi)節,氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯不(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)正常(chang)(chang)(chang)運(yun)行(xing)而(er)致(zhi)(zhi)脘(wan)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)滿。 (2)情(qing)志(zhi)因(yin)(yin)(yin)(yin)(yin)素(su) 由于(yu)(yu)(yu)(yu)(yu)嬌慣(guan)小(xiao)兒多(duo)(duo)(duo)(duo)(duo)(duo)有(you)(you)(you)(you)(you)(you)任性(xing)(xing)(xing)(xing),所(suo)(suo)(suo)欲(yu)不(bu)(bu)(bu)(bu)(bu)(bu)遂(sui),情(qing)志(zhi)不(bu)(bu)(bu)(bu)(bu)(bu)舒暢,肝(gan)(gan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)因(yin)(yin)(yin)(yin)(yin)而(er)郁結(jie)(jie),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)機失(shi)(shi)調(diao)(diao),可(ke)(ke)致(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)急(ji)(ji)(ji)(ji)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 (3)濕(shi)熱(re)蘊結(jie)(jie) 夏秋(qiu)季節外(wai)(wai)(wai)感濕(shi)熱(re)之(zhi)邪(xie),不(bu)(bu)(bu)(bu)(bu)(bu)得宣化(hua)(hua)(hua)(hua),壅滯于(yu)(yu)(yu)(yu)(yu)中(zhong)焦(jiao),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)機郁阻(zu)(zu),使(shi)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)(wei)升降(jiang)功能(neng)(neng)(neng)(neng)失(shi)(shi)調(diao)(diao),以(yi)致(zhi)(zhi)胸(xiong)悶腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 (4)中(zhong)寒(han) 小(xiao)兒多(duo)(duo)(duo)(duo)(duo)(duo)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)冷飲或(huo)(huo)(huo)(huo)衣被(bei)(bei)過(guo)薄,感受寒(han)邪(xie),寒(han)邪(xie)直中(zhong)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)(wei),使(shi)脾(pi)(pi)陽(yang)不(bu)(bu)(bu)(bu)(bu)(bu)振(zhen),不(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)溫(wen)(wen)化(hua)(hua)(hua)(hua)水濕(shi),水谷精微物(wu)質不(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)輸布(bu),壅積(ji)(ji)于(yu)(yu)(yu)(yu)(yu)中(zhong)焦(jiao)而(er)成(cheng)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 此外(wai)(wai)(wai),肝(gan)(gan)傷(shang)(shang)則(ze)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)(xue)凝(ning)滯,脈(mo)(mo)(mo)絡阻(zu)(zu)塞(sai),形成(cheng)積(ji)(ji)聚。病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)久傷(shang)(shang)腎(shen),腎(shen)陽(yang)不(bu)(bu)(bu)(bu)(bu)(bu)足,無(wu)以(yi)溫(wen)(wen)養(yang)脾(pi)(pi)土,蒸化(hua)(hua)(hua)(hua)水濕(shi),腎(shen)陰(yin)(yin)虧損(sun),肝(gan)(gan)失(shi)(shi)滋養(yang),均可(ke)(ke)導致(zhi)(zhi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 常(chang)(chang)(chang)見(jian)(jian)(jian)(jian)(jian)(jian)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)(yin)(yin) 1.胃(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing) (1)胃(wei)(wei)(wei)(wei)(wei)(wei)部(bu)(bu)(bu)(bu)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing):常(chang)(chang)(chang)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)慢(man)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)、胃(wei)(wei)(wei)(wei)(wei)(wei)潰(kui)瘍(yang)、胃(wei)(wei)(wei)(wei)(wei)(wei)下(xia)(xia)(xia)垂、胃(wei)(wei)(wei)(wei)(wei)(wei)擴(kuo)張及(ji)(ji)幽(you)門(men)(men)梗(geng)(geng)(geng)阻(zu)(zu)等(deng)(deng)(deng)(deng)。 (2)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)道(dao)(dao)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing):常(chang)(chang)(chang)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)結(jie)(jie)核(he)(he)、痢(li)疾(ji)(ji)、腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)梗(geng)(geng)(geng)阻(zu)(zu)及(ji)(ji)習(xi)慣(guan)性(xing)(xing)(xing)(xing)便(bian)(bian)(bian)(bian)秘(mi)等(deng)(deng)(deng)(deng)。 (3)其(qi)它:胃(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)神(shen)經(jing)(jing)(jing)(jing)官能(neng)(neng)(neng)(neng)癥(zheng)。 2.肝(gan)(gan)、膽與胰(yi)(yi)腺疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing) 如(ru)(ru)(ru)急(ji)(ji)(ji)(ji)、慢(man)性(xing)(xing)(xing)(xing)肝(gan)(gan)炎(yan)(yan)(yan)(yan),肝(gan)(gan)硬變(bian),慢(man)性(xing)(xing)(xing)(xing)膽囊炎(yan)(yan)(yan)(yan),膽石癥(zheng)及(ji)(ji)胰(yi)(yi)腺炎(yan)(yan)(yan)(yan)等(deng)(deng)(deng)(deng)。 3.腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing) 常(chang)(chang)(chang)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)炎(yan)(yan)(yan)(yan)、結(jie)(jie)核(he)(he)性(xing)(xing)(xing)(xing)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)炎(yan)(yan)(yan)(yan)等(deng)(deng)(deng)(deng)。 4.心(xin)(xin)血(xue)(xue)(xue)管(guan)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing) 常(chang)(chang)(chang)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)心(xin)(xin)力(li)(li)衰竭、腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)系(xi)膜(mo)動(dong)(dong)脈(mo)(mo)(mo)硬化(hua)(hua)(hua)(hua)癥(zheng)、腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)系(xi)膜(mo)動(dong)(dong)脈(mo)(mo)(mo)梗(geng)(geng)(geng)塞(sai)等(deng)(deng)(deng)(deng)。心(xin)(xin)絞痛(tong)和(he)心(xin)(xin)律失(shi)(shi)常(chang)(chang)(chang)亦(yi)可(ke)(ke)反射性(xing)(xing)(xing)(xing)地引(yin)起(qi)(qi)(qi)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)。 5.急(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)感染性(xing)(xing)(xing)(xing)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing) 如(ru)(ru)(ru)敗血(xue)(xue)(xue)癥(zheng)、重(zhong)(zhong)(zhong)(zhong)癥(zheng)肺(fei)炎(yan)(yan)(yan)(yan)及(ji)(ji)傷(shang)(shang)寒(han)等(deng)(deng)(deng)(deng)。 6.其(qi)它 可(ke)(ke)見(jian)(jian)(jian)(jian)(jian)(jian)于(yu)(yu)(yu)(yu)(yu)手術后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)麻痹、肺(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)腫(zhong)、哮(xiao)喘(chuan)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)、低(di)(di)鉀血(xue)(xue)(xue)癥(zheng)、吸收(shou)(shou)不(bu)(bu)(bu)(bu)(bu)(bu)良綜(zong)合(he)征(zheng)、脊(ji)髓(sui)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)變(bian)、藥物(wu)反應(ying)、慢(man)性(xing)(xing)(xing)(xing)盆腔(qiang)(qiang)炎(yan)(yan)(yan)(yan)、附件炎(yan)(yan)(yan)(yan)、結(jie)(jie)締(di)組織(zhi)疾(ji)(ji)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)及(ji)(ji)甲減(jian)等(deng)(deng)(deng)(deng)。 腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)一般(ban)分(fen)以(yi)下(xia)(xia)(xia)幾種類(lei)(lei)型: 一、氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯作脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang):患者(zhe)自(zi)覺上腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)滿堵(du)塞(sai),連及(ji)(ji)肝(gan)(gan)區和(he)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)背,甚(shen)(shen)(shen)則(ze)因(yin)(yin)(yin)(yin)(yin)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)致(zhi)(zhi)痛(tong),每因(yin)(yin)(yin)(yin)(yin)生(sheng)(sheng)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)或(huo)(huo)(huo)(huo)情(qing)志(zhi)刺激(ji)誘發或(huo)(huo)(huo)(huo)加(jia)(jia)重(zhong)(zhong)(zhong)(zhong),伴(ban)(ban)(ban)(ban)(ban)有(you)(you)(you)(you)(you)(you)煩(fan)躁易(yi)(yi)怒,惡心(xin)(xin)嘔吐,食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)少噯(ai)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),甚(shen)(shen)(shen)至吞酸等(deng)(deng)(deng)(deng)。治以(yi)疏達肝(gan)(gan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)、和(he)胃(wei)(wei)(wei)(wei)(wei)(wei)降(jiang)逆。 二(er)、脾(pi)(pi)虛腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang):肝(gan)(gan)炎(yan)(yan)(yan)(yan)日久,長(chang)期食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)欲(yu)不(bu)(bu)(bu)(bu)(bu)(bu)振(zhen),食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)少腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang),食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)加(jia)(jia)重(zhong)(zhong)(zhong)(zhong),伴(ban)(ban)(ban)(ban)(ban)有(you)(you)(you)(you)(you)(you)四肢倦怠乏力(li)(li),少氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)懶言,大(da)(da)(da)(da)便(bian)(bian)(bian)(bian)干稀不(bu)(bu)(bu)(bu)(bu)(bu)調(diao)(diao)、小(xiao)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)重(zhong)(zhong)(zhong)(zhong)墜、四肢不(bu)(bu)(bu)(bu)(bu)(bu)溫(wen)(wen)或(huo)(huo)(huo)(huo)有(you)(you)(you)(you)(you)(you)輕度水腫(zhong)。治以(yi)健脾(pi)(pi)消(xiao)(xiao)(xiao)(xiao)(xiao)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)、升清(qing)降(jiang)濁。 三、血(xue)(xue)(xue)瘀(yu)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang): 病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)小(xiao)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)部(bu)(bu)(bu)(bu)持(chi)續性(xing)(xing)(xing)(xing)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)滿,晝輕夜重(zhong)(zhong)(zhong)(zhong),形體(ti)(ti)(ti)消(xiao)(xiao)(xiao)(xiao)(xiao)瘦(shou),面色(se)蒼(cang)白(bai),指甲青紫、微血(xue)(xue)(xue)管(guan)怒張,舌絳脈(mo)(mo)(mo)澀。查體(ti)(ti)(ti)可(ke)(ke)見(jian)(jian)(jian)(jian)(jian)(jian)肝(gan)(gan)脾(pi)(pi)腫(zhong)大(da)(da)(da)(da),腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)壁(bi)(bi)靜(jing)脈(mo)(mo)(mo)曲張等(deng)(deng)(deng)(deng)。 四、濕(shi)熱(re)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang): 胃(wei)(wei)(wei)(wei)(wei)(wei)脘(wan)少腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)滿,甚(shen)(shen)(shen)至滿腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang),持(chi)續不(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)緩(huan)解(jie),多(duo)(duo)(duo)(duo)(duo)(duo)吃(chi)油膩(ni)則(ze)更甚(shen)(shen)(shen),伴(ban)(ban)(ban)(ban)(ban)有(you)(you)(you)(you)(you)(you)煩(fan)躁,口渴不(bu)(bu)(bu)(bu)(bu)(bu)想喝水,頭暈不(bu)(bu)(bu)(bu)(bu)(bu)清(qing)、惡心(xin)(xin)、厭油膩(ni),大(da)(da)(da)(da)便(bian)(bian)(bian)(bian)粘(zhan)滯不(bu)(bu)(bu)(bu)(bu)(bu)爽,放屁(pi)惡臭、小(xiao)便(bian)(bian)(bian)(bian)黃(huang)赤等(deng)(deng)(deng)(deng)。治以(yi)利(li)濕(shi)為(wei)主(zhu),兼以(yi)清(qing)熱(re)、調(diao)(diao)腸(chang)(chang)(chang)(chang)(chang)(chang)(chang)理氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。 另(ling)外(wai)(wai)(wai)還有(you)(you)(you)(you)(you)(you)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)(wei)虛寒(han)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)、食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)積(ji)(ji)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang),臨床辯證(zheng)應(ying)分(fen)清(qing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)(xue)虛實寒(han)熱(re),不(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)一見(jian)(jian)(jian)(jian)(jian)(jian)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)就理氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),才能(neng)(neng)(neng)(neng)收(shou)(shou)到(dao)(dao)好的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)療效。 編(bian)輯本段(duan) 因(yin)(yin)(yin)(yin)(yin)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)就診(zhen) 1.消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)內(nei)(nei)科(ke)(ke)(ke)(ke) 腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)暖(nuan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)、反酸,進食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)加(jia)(jia)重(zhong)(zhong)(zhong)(zhong)或(huo)(huo)(huo)(huo)有(you)(you)(you)(you)(you)(you)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)瀉(xie)(xie)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren),應(ying)掛(gua)(gua)消(xiao)(xiao)(xiao)(xiao)(xiao)化(hua)(hua)(hua)(hua)內(nei)(nei)科(ke)(ke)(ke)(ke)。 2.普(pu)通(tong)外(wai)(wai)(wai)科(ke)(ke)(ke)(ke) 急(ji)(ji)(ji)(ji)起(qi)(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)、腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)痛(tong),伴(ban)(ban)(ban)(ban)(ban)嘔吐或(huo)(huo)(huo)(huo)不(bu)(bu)(bu)(bu)(bu)(bu)排(pai)(pai)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)、不(bu)(bu)(bu)(bu)(bu)(bu)排(pai)(pai)便(bian)(bian)(bian)(bian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren),應(ying)掛(gua)(gua)普(pu)通(tong)外(wai)(wai)(wai)科(ke)(ke)(ke)(ke)。慢(man)性(xing)(xing)(xing)(xing)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)右上腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)痛(tong)、進食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)油膩(ni)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)(hou)加(jia)(jia)重(zhong)(zhong)(zhong)(zhong)者(zhe),亦(yi)應(ying)掛(gua)(gua)普(pu)通(tong)外(wai)(wai)(wai)科(ke)(ke)(ke)(ke)。 3.婦(fu)科(ke)(ke)(ke)(ke) 經(jing)(jing)(jing)(jing)常(chang)(chang)(chang)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)腰(yao)酸、白(bai)帶多(duo)(duo)(duo)(duo)(duo)(duo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren),應(ying)掛(gua)(gua)婦(fu)科(ke)(ke)(ke)(ke)。 4.肝(gan)(gan)炎(yan)(yan)(yan)(yan)科(ke)(ke)(ke)(ke) 腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)厭油、黃(huang)疽的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren),應(ying)到(dao)(dao)肝(gan)(gan)炎(yan)(yan)(yan)(yan)科(ke)(ke)(ke)(ke)就診(zhen)。 5.結(jie)(jie)核(he)(he)科(ke)(ke)(ke)(ke) 經(jing)(jing)(jing)(jing)常(chang)(chang)(chang)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)伴(ban)(ban)(ban)(ban)(ban)低(di)(di)熱(re)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren),應(ying)掛(gua)(gua)結(jie)(jie)核(he)(he)科(ke)(ke)(ke)(ke)。 6.心(xin)(xin)臟(zang)內(nei)(nei)科(ke)(ke)(ke)(ke) 有(you)(you)(you)(you)(you)(you)心(xin)(xin)臟(zang)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)史,經(jing)(jing)(jing)(jing)常(chang)(chang)(chang)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)者(zhe),應(ying)到(dao)(dao)心(xin)(xin)臟(zang)內(nei)(nei)科(ke)(ke)(ke)(ke)就診(zhen)。 7.神(shen)經(jing)(jing)(jing)(jing)內(nei)(nei)科(ke)(ke)(ke)(ke) 有(you)(you)(you)(you)(you)(you)下(xia)(xia)(xia)肢癱瘓的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren),經(jing)(jing)(jing)(jing)常(chang)(chang)(chang)腹(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)脹(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang)(zhang),應(ying)到(dao)(dao)神(shen)經(jing)(jing)(jing)(jing)內(nei)(nei)科(ke)(ke)(ke)(ke)就診(zhen)。
分類:醫療/疾病 >> 內科
解析:
您好,在確診為咳嗽的情況下,您還應辨別一下是哪一種類型的咳嗽,咳久是易致慢性支氣管炎的。
以下請您對照下,具體您可去看看中醫治療調理:
外感咳嗽
外邪侵犯于肺引起咳嗽,主要是風、寒、熱、燥四種外邪,且往往是兩種以上的外邪共同引起 ,臨床上以風寒咳嗽、風熱咳嗽、燥熱咳嗽為多見。外感咳嗽的治療當以祛邪為主,宣暢肺氣 ,但由于肺為臟腑之華蓋,位高居于膈上,藥力易達病所,故藥宜清揚,所謂“治上焦如羽,非輕不舉”即是。再就本病的特征,宜重視化痰順氣,使痰清氣順,肺氣宣暢,則咳嗽易于治愈。外感咳嗽,大忌斂肺止咳,或病起即予補澀,反使肺氣不暢,外邪內郁,痰濁不易排除,咳嗽愈加劇烈。此外宣肺不可太過,以免損傷正氣。
(1)風寒咳嗽
①癥狀:咳嗽,痰稀薄色白,咽癢。常伴鼻塞、流清涕、噴嚏、惡寒、無汗、頭痛、骨節酸痛等。舌苔白,脈浮。
②病機分析:風寒之邪外束肌表,內郁肺氣,以致肺衛失宣為本證的主要病機。風寒客肺,肺氣閉郁不宣,故咳嗽、咯痰、鼻塞流涕;風寒束表,皮毛閉塞,衛外之陽氣被遏,故惡寒、無汗、頭痛、骨節酸痛;舌苔薄白、脈浮、為風寒之邪束表客肺之象。
③治法:疏散風寒,宣通肺氣。
④方藥:杏蘇散或金沸草散加減。咳嗽較甚者,加金沸草、紫菀;咳而氣急者,去紫蘇加麻黃、蘇子宣降肺氣;表邪較甚者,可斟酌加防風、羌活;若見氣虛者加黨參。
對其兼夾證,需注意隨證施治。
1)外寒內熱:癥見咳嗽聲重音嗄,痰濃不易咯出,咳引胸痛,惡寒鼻塞,或有身熱,口渴咽痛,甚則氣逆而喘,舌苔白膩而黃,舌質紅,脈滑數。此證為風寒外束,肺熱內郁所致,俗稱“寒包火咳”。治宜散寒清熱,用麻杏石甘湯。此證與燥邪傷肺不同,不宜早投清潤之劑。
2)風寒兼濕:證見咳嗽痰多,兼有胸脘作悶,舌苔白膩,脈濡。此為濕邪內郁,復感風寒之邪,肺氣失于宣暢所致。治宜疏散風寒,兼予燥濕去痰,用杏蘇散加厚樸、蒼術之類。
3)風寒夾飲:主要癥狀與風寒證相同,但見咳逆上氣,胸悶氣急,舌質淡紅,苔薄白滑利,脈浮緊或弦滑,此屬風寒外束,飲邪內犯,肺失宣降而發咳嗽,治以疏散風寒以除表邪,溫化寒飲以逐內患,用小青龍湯加減。
(2)風熱咳嗽
①癥狀:咳嗽,痰稠或黃稠,咯痰不爽,口干,咽痛,鼻流黃涕,發熱,汗出,惡風,頭痛,舌苔薄黃 ,脈浮數。
②病機分析:風熱犯肺、肺失清肅、營衛失和為本證的主要病機。風熱犯肺,熱灼肺津,故見咳嗽、痰黃稠、咯痰不爽、口干;風熱之邪從口鼻而入,鼻咽部先受其邪,故鼻流黃涕、咽痛; 風熱客表,營衛失和,故頭痛、發熱、汗出惡風。舌苔薄黃,脈浮數,為風熱初犯肺衛之象。
③治法:疏風清熱,宣肺止咳。
④方藥:桑菊飲加減。如見咳甚者,加魚腥草、枇杷葉、浙貝母、矮地茶;若熱邪較甚,身熱口渴明顯者,加黃芩、知母、瓜蔞加強清泄肺熱之力;咽痛明顯加射干;若風熱傷絡,見鼻衄或痰中帶血絲者,加白茅根、藕節。
兼夾證:
1)風熱兼濕:證見咳嗽痰多,胸悶汗出,舌苔白膩中黃,脈濡數,此為風熱夾濕蘊蒸,邪在上焦, 肺氣失肅所致,宜于桑菊飲中加入杏仁、苡仁之類,以宣氣化濕。
2)風熱夾暑:證見咳嗽胸悶,心煩口渴,溺赤,舌質紅苔薄,脈濡數。由于外感風熱,夾時令之暑濕,侵犯上焦,肺氣不宣,其邪不能從汗外泄所致。宜用香薷、前胡、鮮藿香、佩蘭、六一散之類,以疏風解暑。
(3)溫燥咳嗽
①癥狀:咳嗽少痰,或略有粘痰不易咯出,或痰中帶有血絲、咽干、咽痛、唇、鼻干燥。咳甚則胸痛,初起或有惡寒,發熱等表證。舌苔薄黃而干,舌尖紅,脈細數或無變化。
②病機分析:燥熱犯肺,耗傷津液,故咳嗽少痰,或略有粘痰,咯出不易;熱傷陽絡,則痰中帶血 ;燥勝則干故見咽干,唇鼻干燥;初起或見表證,乃屬燥熱外客,營衛不和。舌尖紅,苔薄黃而干 ,脈細軟,均屬燥熱之征。
③治法:清肺潤燥,疏風清熱。
④方藥:桑杏湯加減。燥熱現象明顯者,加麥冬、知母、石膏;頭痛、發熱甚者,加薄荷、連翹、蟬衣;咽痛明顯者加玄參、馬勃;鼻衄,加白茅根、生地;或用清金潤燥天門冬丸。
(4)涼燥咳嗽
①癥狀:咳嗽、痰少或無痰、喉癢、咽干唇燥、頭痛、惡寒、發熱、無汗。舌苔薄白而干, 脈浮緊。
②病機分析:涼燥之氣,襲表犯肺,使肺氣失宣、表衛失和,為本證的主要病機。與溫燥比較, 干咳無痰或咳嗽痰少,咯痰不利,咽干唇燥等癥,同是“燥勝則干”的表現,不同之處在于,涼燥兼見風寒襲表的癥狀,如頭痛、惡寒、發熱、無汗、苔薄白、脈浮緊等。
③治法:疏散風寒,潤肺止咳。
④方藥:止嗽散加減。
(5)火熱咳嗽
①癥狀:干咳少痰,或痰中帶血,煩渴面赤,胸脅疼痛,便秘。脈洪數或弦數,舌紅。
②病機分析:火邪傷肺,故見干咳痰血;熱聚胸膈,故煩渴胸痛;火灼津傷,燥熱內結,故見便秘。脈數舌紅,屬火邪為患之象。
③治法:清肺瀉火。
④方藥:涼膈散加減。咳甚者,可加枇杷葉、馬兜鈴清肺止咳;煩渴甚者,可加天花粉、知母以清熱生津除煩;痰中帶血者加白茅根、藕節涼血止血。
內傷咳嗽
內傷咳嗽,病程一般較長,有先病在肺而影響他臟者,亦有他臟先傷而病及于肺者。其中尤以肺、脾、腎三臟的關系最為密切。正虛邪實者,當祛邪止咳,兼以扶正;正虛為主者,則當根據虛之所在而著重補正。
(1)痰濕咳嗽
①癥狀:咳嗽多痰,痰白而粘,胸脘作悶,食納不佳,四肢乏力,舌苔白膩,脈象濡滑。
②病機分析:脾虛健運失常,以致痰濕內生,上漬于肺,阻礙氣機,故咳嗽痰白而粘; 痰阻胸膈,氣機不暢,則胸脘作悶;納減,四肢乏力,既因脾胃虛弱,也因濕困脾胃;舌苔白膩,脈象濡滑,為痰濕內聚,氣失宣展之征。
③治法:健脾燥濕,理氣化痰。
④方藥:二陳湯加減。如痰濕較重,痰多,脘悶明顯,加蒼術、厚樸、苡仁、杏仁之類,以增強燥濕化痰之力;證屬寒痰者,加干姜、細辛以溫化;屬風痰者,加制南星、白附子以祛風化痰;痰滯食阻,而見痰多胸痞,食欲不振,苔膩脈滑者,可合三子養親湯順氣降逆、化痰消食。
(2)痰熱咳嗽
①癥狀:咳嗽,痰色黃稠而難排出,甚或痰中帶血,胸悶,口干,口苦,咽痛,舌苔黃膩或黃白相兼,脈滑數。
②病機分析:痰熱蘊肺,肺失宣降,故咳嗽痰黃難出;痰熱化火,灼肺傷絡故見痰血咽痛;痰熱壅盛,氣機不利,故胸悶;口干而苦為熱甚傷津。苔黃,脈滑數均為痰熱之象。
③治法:清熱肅肺,豁痰止咳。
④方藥:清金化痰湯。肺熱壅盛,咳而喘滿、壯熱、口渴者,去桔梗、陳皮,加金銀花、魚腥草、石膏、葶藶子等清熱泄肺。
(3)肝火犯肺
①癥狀:咳嗽氣逆,咳則連聲,甚則咳吐鮮血,或痰帶血絲,胸脅串痛,性急易怒,煩熱口苦,咽喉干燥,面紅目赤。舌苔薄黃少津,脈象弦數。
②病機分析:情志不遂,肝氣郁結化火,逆乘于肺,肺失清肅之權,故氣逆咳嗽不已;木火刑金, 肺絡損傷則咳吐鮮血或痰帶血絲;脅為肝之分野,肝火肆逆,故脅痛;性急易怒,灼熱口苦,咽喉干燥,面紅目赤,均為肝火熾盛之象。脈弦數,苔薄黃少津,為肝郁肺熱津虧之征。
③治法:清肝瀉肺。
④方藥:黛蛤散合瀉白散加味。火熱較盛,咳嗽頻作者,可加山梔、丹皮、貝母、枇杷葉等, 以增強清熱止咳之功效。肝火犯肺之咳嗽,亦可選用《醫醇義》的丹青飲治療。
(4)陰虛咳嗽
①癥狀:干咳無痰,或痰少不爽,口干舌燥,或見咯血。舌紅少苔,脈細數。
②病機分析:陰虛內燥,肺失滋潤,以致肅降無權,肺氣上逆為本證的主要病機。陰虛肺燥,故干咳無痰或痰少而粘,口干舌燥;咳傷肺絡,則見咯血。舌紅少苔、脈細數,為陰虛內熱之征象。
③治法:養陰潤肺,寧嗽止咳。
④方藥:二冬二母湯,口干舌燥甚者,加沙參、百合、生地養陰潤燥;咳嗽甚者,加百部、紫菀、款冬花潤肺止咳;痰粘不利者,加海蛤粉清熱化痰;咯血者加白及、茜草、藕節止血。
陰虛咳嗽而見心煩口干,心驚不寐,口舌生瘡等癥者,為心陰偏虛,可改用玄妙散。陰虛咳嗽而見咳聲連連,五心煩熱,腰膝酸軟,夢遺滑精者,為腎陰偏虛,可改用八仙長壽丸。方中以六味丸滋陰瀉火;麥冬、五味子滋腎潤肺,斂肺止咳。
(5)氣虛咳嗽
①癥狀:咳嗽聲低無力,氣短,痰多清稀,神疲,畏風,自汗,易于感冒,苔薄白質淡,脈弱。
②病機分析:久咳傷肺,或平素體弱,肺氣不足,或脾虛運化不健,水谷精微不能上榮于肺,則肺氣日虛。肺氣虧損,肅降失司則咳嗽,聲低,氣短。肺氣虛衛外不固,腠理不密,故畏風、自汗 ,易感冒;神疲,舌淡苔白,脈弱,均為氣虛之象。
③治法:補益肺氣,化痰寧嗽。
④方藥:補肺湯加減。痰多清稀者,可去桑皮,加白術、茯苓、款冬花,以增強益氣健脾,化痰止咳的功效。白術并可協同人參、黃芪增強益氣固表的作用。
若氣虛咳嗽而見痰多,色白易排出,脘腹痞脹,食少便溏,面色萎黃或微浮、舌質淡、苔白膩者 ,為脾氣偏虛。治宜健脾化濕、補肺祛痰,常用六君子湯加味。若中焦陽虛,氣不化水,濕聚成飲,而見咳嗽反復發作,痰涎清稀,則治宜溫陽化飲,用苓桂術甘湯加味。
(6)陽虛咳嗽
①癥狀:咳嗽反復發作,痰涎清稀,頭眩,心悸,畏寒,肢體沉重,或兼小便不利,舌苔白潤,脈沉滑。
②病機分析:脾腎陽虛,水氣上泛,為本證的主要病機。陽虛不運,水飲內停,上干于肺,故咳嗽、痰涎清稀;陽氣虛衰,衛外不固,易感外邪而誘發,故咳嗽反復發作;水氣上泛故頭眩、心悸;水氣游溢肢體,故肢體沉重;腎陽虧虛,不能化氣行水,則小便不利;陽虛生外寒故見畏寒。苔白潤,脈沉滑,為陽氣不足寒水內停之象。
③治法:溫陽散寒,化氣行水。
④方藥:真武湯加味。咳甚者,可加干姜、細辛、五味子散寒化飲,斂肺止咳;氣機不利,胸脅滿悶者,加白芥子、旋覆花祛痰降氣;短氣甚者,加黨參益氣補虛;大便稀溏者,加干姜溫中散寒。
臨床上常用的治療咳嗽的較為有效的偏方、秘方主要如下:
[方一]
紫蘇、杏仁、生姜、紅糖各lO克。將紫蘇與杏仁搗成泥,生姜切片共煎,取汁去渣,調人紅糖再稍煮片刻,令其溶化,日分2--3次飲用。
本方散風寒,止咳嗽,對外感風寒引起的咳嗽有效。
[方二]
苦杏仁6--10克,生姜3片,白蘿卜100克。上藥打碎后加水400毫升,文火煎至100毫升,可加少量白糖調味,每日1劑,分次服完。
本方散寒化痰止咳,適用于外感風寒咳嗽。
[方三]
橘紅60克,生姜30克,蜂蜜250克。先將橘紅,生姜二味用水煎煮,15分鐘取煎液1次,加水再煎,共取煎液3次,合并煎液,以小火煎熬濃縮,至稠粘時,兌人蜂蜜,至沸停火,裝瓶備用。每日服3次,每次3湯匙。
本方散寒溫肺,化痰止咳,適用于風寒咳嗽
[方四]
生姜10克,飴糖適量。將生姜洗凈,切絲,放人瓷杯內,用滾開水沖泡,加蓋溫浸10分鐘,再加人飴糖適量,代茶頻頻飲服,不拘時間和次數,無須出汗。
本方適用于風寒咳嗽。
[方五]
蔥白5—10節,淡豆豉10克,蘇梗或陳皮3克,紅糖適量。將蔥洗凈,取蔥白,與淡豆豉、陳皮等人砂鍋共煎取汁,再調入紅糖。日分數次,酌量飲用。
本方適用于風寒咳嗽。
[方六]
鮮橄欖4枚,冰糖15克。將橄欖洗凈,劈開加入冰糖和適量的水,煎到出味,一次或分次溫服。
本方清熱止咳,適用于風熱咳嗽。
[方七]
金銀花20克,薄荷5克,蜜糖少量。先煎銀花,取汁約2小碗,藥成前,下薄荷約煎3分鐘,貯瓶內,分次與蜜糖沖勻飲用。
本方適用于風熱所致咳嗽。
[方八]
潔凈絲瓜花10克,蜂蜜適量。將絲瓜花放入瓷杯內,以沸水沖泡,蓋上蓋溫浸10分鐘,再調人蜂蜜,趁熱頓服,每日3次。
本方適用于風熱咳嗽。
[方九]
蛤蚧數只,蜂蜜30克,鮮蘿卜適量。將蛤蚧焙干研末,每次取蛤蚧粉6克,用蜂蜜、蘿卜煎水沖服。
本方養陰清肺,適用于火燥傷陰的干咳。
[方十]
百合(鮮良者)、枇杷(去核)、鮮藕(洗凈,切片)各30克。
將百合、枇杷和藕片合煮汁,調入適量白糖,若冰糖更好,代茶頻頻飲。
本方適用于燥熱傷肺所致的咳嗽。
[方十一]
黃梨適量,飴糖若干。將黃梨去核,搗汁,與飴糖合并煎膏,每服2湯匙,日3次。
本方清肺化痰,潤肺止咳,適用于肺燥咳嗽。
[方十二]
川貝母6--12克(如用川貝母,則用3---6克),蜜糖約15--30克。將川貝母打碎,與蜜糖同置燉盅內,隔水燉服,1次服完。
本方適用于肺燥咳嗽。
[方十三]
橘皮15--20克(鮮者30克),粳米50---100克。
先把橘皮煎取藥汁,去渣,然后加人粳米煮粥,或將橘皮曬干,研為細末,每次用3—5克調入已煮沸的稀粥中,再同煮為粥。
本方順氣,化痰,適用于痰濕犯肺之咳嗽。
[方十四]
小排骨500克,白果30克,調料適量。將小排骨洗凈,加黃酒、姜片、水適量,文火燜1.5小時。白果去殼及紅衣,加入湯內,加鹽調味再煮15分鐘,加味精調勻,并撒上青蔥末。
本方止咳平喘,適用于痰多咳嗽氣喘。
[方十五]
廣柑、白糖各500克。將廣柑去皮核,放小鍋中,加白糖250克,腌漬1日,至廣柑肉浸透糖,加清水適量,文火蒸至汁稠,停火;再將每瓣廣柑肉壓成餅,加白糖250克,拌勻倒盤內,通風陰干,瓶裝,每服5—8瓣,日3次。
本方理氣燥濕化痰,適用于痰多咳嗽之犯肺證。
[方十六]
黃芩、鮮生地各30克,粳米50克。
將二藥加水適量煎煮1小時,撈去藥渣,再加淘清的大米適量,煮爛成粥,1日內分頓連續食用。
本方清火補陰,適用于肝火犯肺之咳嗽。
[方十七]
山梔子9克,杏仁10克,桑白皮12克,豬肺200克。先將豬肺切成片狀,用擠洗去豬肺氣管中的泡沫,與山梔、杏仁、桑白皮一起放入瓦堡內加水堡煮,飲湯食肺。
本方清肝火,補肺陰,可用于肝火犯肺之咳嗽。
[方十八]
法半夏、旋復花、海蛤殼、淡竹茹、陳皮、代赭石、川黃連、桑葉、茯苓、海石粉、炙草各60克。水煎服,1日1劑,分2次。
本方取自清代老中醫張千里醫案,功能瀉肝平肺,降氣化痰,適用于肝火犯肺之咳嗽。
[方十九]
柴胡、半夏、人參、生姜、鱉甲、橘梗、枳實、檳榔、吳萸各150克。水煎服,1日1劑,分2次服。
本方出自《浙江中醫學院學報》,功能疏肝解郁,下氣止咳,適用于肝郁所致之咳喘。
[方二十]
玄參、麥冬各60克,烏梅24克,橘梗30克,甘草15克。上藥揀去雜質,干研后共研,
混勻,分裝,每代18克,開水沖泡,代茶飲。每服1代,日2次。
本方清肺化痰,適用于燥咳痰少。
[方二十一]
梨、生姜、白蜜各適量。梨、姜分別取汁后混合,加白蜜調服。本方潤肺清熱,適用于肺燥咳嗽。
[方二十二]
豬肺1具,豬肚1個,肥公鴨1只,北沙參、白術、冬蟲草各30克,肉桂3克,生姜60克。將豬肺、豬肚沖洗干凈,公鴨去毛及內臟,洗凈,諸藥調勻,分別塞入豬肚、豬肺管和鴨腹內,三物同時下鍋,加水,燒沸,文火燉4個小時,至爛熟將三味分別盛人碗內,慢慢食用。
本方適用于脾肺俱虛之咳嗽。
[方二十三]
紅蘿卜 200克,紅棗12克,加水3碗,煮取1碗,1日,1劑,隨意飲用。
本方理脾肺之氣而止咳。
[方二十四]
落花生45克(不去紅衣),懷山藥30克,粳米100克,冰糖適量。將花生、山藥搗碎,后與粳米相和煮粥,候熟,人冰糖調勻,佐餐食。
本方適用于脾肺皆虛之久咳。
[方二十五]
甜杏仁100粒,核桃肉、豬板油、飴糖、蜂蜜、生姜汁各120克,鮮梨汁250克。
前二味共研細末,豬板油切塊,下鍋炸油,去渣留油,下杏仁、核桃肉末炸炒,至油被吸盡,放人梨汁、姜汁,炒勻,人飴糖、蜂蜜,炒至水汽末全盡,起糖泡,香氣四溢。每服1湯匙,日1次,白開水調下溫服。
本方益腎補肺,適用于肺腎雙虛之咳。
[方二十六]
杏仁、胡桃肉各15克,粳米50克。先搗杏仁,水磨濾汁,取汁和胡桃肉、粳米同煮粥。
本方補腎舒肺,適用于肺腎不足的咳喘氣喘。
[方二十七]
桂枝、附子、熟地黃、山茉萸、山藥、茯苓、丹皮、澤瀉、人參、胡桃肉、生姜。水煎眼,每日1劑,分2次服。
本方益肺補腎,納氣止咳,適用于肺腎氣虛所致咳嗽。
[方二十八]
黃芪、黨參、白術、炙甘草、當歸、陳皮、升麻、柴胡各70克。
水煎服,每日1劑,分2次服。
本方為《脾胃論》補中益氣湯,功能健脾補肺,理氣化痰,適用于脾肺俱虛所致之咳嗽。
[方二十九]
沙參、麥冬、玉竹、桑葉、甘草、天花粉、生扁豆各40克。水煎服,1日1劑,分2次服。
本方為《溫病條辨》中的沙參麥冬湯,功能養陰清肺,化痰止咳,適用于肺陰虧耗所致的咳嗽。
[方三十]
黃芩、山梔、橘梗、麥冬、桑白皮、貝母、知母、瓜蔞仁、橘紅、茯苓、甘草各60克。水煎服,1日1劑,分2次服。
本方清肝瀉火,潤肺化痰,適用于肝火犯肺之咳嗽。
[方三十一]
清炙麻黃6--9克,生石膏20---30克,杏仁、甘草、黃芩、浙貝各6--9克,魚腥草20---30克,細辛、玉桂(后人)、紫菀、款冬花、炙把葉各6--9克。先用凈水浸濕,水高于藥面1寸,1小時后煎藥。石膏先煎半小時,后人群藥,玉桂最后放人5分鐘后即停煎,取藥汁1碗,溫服。隔6小時再煎,亦取藥汁1碗溫服。藥量可根據患者年齡、體質酌情加減。每日1劑。
本方為上海著名中醫顧銘浩驗方,功能宜肺化痰止咳。
用于外感初起,邪人肺經,痰阻氣道,清肅失靈,咳嗽劇發,痰稠色黃,早晚發作更甚,看似痰熱阻肺,實則寒氣內伏之證。
[方三十二]
干絲瓜花10克,蜂蜜適量。絲瓜花放入瓷杯中,以沸水沖泡,溫浸10分鐘,再調入蜂蜜。趁熱頓服,每日3次。
適合用治肺熱咽痛、咳吐黃痰、喘息、胸痛等癥。
絲瓜花甘苦寒,清肺熱為長,兼清熱解毒。臨床適用于急慢性咽炎、鼻竇炎、支氣管炎和肺炎等癥。
[方三十三]
四角蛤500克,火腿肉片、清水筍片各50克,鹽、酒、麻油、肉湯。四角蛤洗凈后,置面盆內,以開水沖過,剝殼取肉,去雜洗凈。將蛤肉、火腿、筍片同時人油鍋中煸炒幾下,烹入料酒,注人肉湯,加鹽,煮至蛤肉熟爛淋上麻油即成。
此湯以咸寒滋陰、利尿、化痰、軟堅散結的蛤肉配竹筍調制而成。竹筍,《本草綱目》稱之有“消渴、利水、益氣、化熱、消痰,爽胃”的功效。故此湯常可作為瘰疬(淋巴結核)、癭瘤、消渴、痰咳以及肺結核等病的食療菜譜。
以上供您參考,還請在正規醫院診療下用藥。
祝您早日康復。
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