刘友桂 李云海

    【摘 要】 痞证是自觉心下痞塞，胸膈胀满，触之无形，按之柔软，压之无痛为主症的病证。文章从痞证的渊源、病因病机、辨证分型、治法等方面总结痞证的学术思想和临床经验。根据病因病机和临床特征将痞证分为“胃痞”“肝痞”“肺痞”，采用“辛开苦降、泻中寓补、甘温扶脾、调和肝脾、开宣肺气”五法展开辨证论治。

    【关键词】 痞证;“五法”;医案

    【中图分类号】R249.2/.7? 【文献标志码】 A? 【文章编号】1007-8517(2021)16-0082-04

    Analysis of“Five Methods”in the Treatment of Epigastric Fullness

    LIU Yougui LI Yunhai*

    Hubei university of traditional Chinese medicine，Wuhan 430061，China

    Abstract：Main features of Epigastric Fullness are self-conscious stomach obstruction，diaphragms full，invisible touch，soft touch，press painless.This paper summarizes the academic thought and clinical experience of Epigastric Fullness from its origin，etiology and pathogenesis，dialectical classification and treatment.According to the etiology and pathogenesis、clinical features，the epigastric fullness were divided into “stomach Epigastric Fullness”“liver Epigastric Fullness”and“lung Epigastric Fullness”.The treatments? based on syndrome differentiation of Epigastric Fullness were verified by opening pungent flavour and dropping bitter、“combining tonifying and drain”“tonifying with sweet and warm”“regulation liver and spleen”“opening qi of lungs”. ......