【摘要】" 胃脘痛在临床上又称为胃痛，它并不是一种单独的一个疾病，而是一种症状，通常还可能伴随着其他症状，本病由多种原因引起，它具有高发病率、高反复率的特点，其主要病因病机是由气血失调导致，是临床上最为常见疾病症状之一，治疗方法多种多样，但病情反复易变化，影响了患者日常生活质量。在现代医学中主要见于急慢性胃炎，消化性溃疡、胃肠道痉挛、功能性消化不良等病，治疗方法主要包括保护胃黏膜、中和胃酸、促进胃动力、解痉止痛等治疗。胃脘痛病名最早记载于黄帝内经，古代医学认为其病因病机主要与气血关系密切，认为气为血之帅，血为气之母，气与血的关系十分密切，气不能运行，则血不能通达全身，不通则痛，故治气每可和血，治血亦须调气。六腑以通为用，胃气主降，胃的通降失职，从而变生胃脘疼痛诸症。对胃脘痛的治疗，古代医学认为首先应着重在气在血的调治，并根据症候辨病的主症及兼症分清气实、气虚、血实、血虚四种证型，按照证型辨证论治。通过从中医气血虚实、生活起居、饮食、情志等方面结合对胃脘痛治疗进行论述。

    【关键词】" 胃脘痛；中医；气血虚实；饮食；情志

    中图分类号" R256.33" "文献标识码" A" " 文章编号" 1671-0223(2025)02--04

    Treatment of gastric duct pain from the deficiency and deficiency of Qi and blood and the emotions of life and diet" Miao Hua， Lou Didong. School of Medicine of Basic Sciences， Guizhou University of Traditional Chinese Medicine， Guiyang 550000， China

    【Abstract】" Epigastric pain is also known as stomach pain in clinical practice， it is not a single disease， but a symptom， usually may be accompanied by other symptoms， the disease caused by a variety of reasons， it has a high incidence， difficult to cure rate， high recurrence rate characteristics， the main cause of disease is caused by Qi and blood disorders.It is one of the most common disease symptoms in clinical practice ......