【摘要】 总结张珍玉教授运用气机升降理论诊治胃脘痛的学术经验，认为胃脘痛病机是气机失调，复气机之关键应以调气为本，调气应主在脏腑脾胃但不离肝胆。胃脘痛之治以中土脾胃之气升降协调为用，或因乙木己土不升，肝脾左旋失职，虚证俱多，以疏肝健脾为主；或因甲木戊土不降，胆胃右转失司，多为实证，治以利胆降气和胃为先；或因肝脾不升胆胃不降，当肝脾胆胃同调。

    【关键词】 胃脘痛 气机失调 气机升降 调气 肝脾左旋 胆胃右转 张珍玉

    An Analysis of Professor Zhang Zhenyu's Academic Experience of Diagnosing and Treating Epigastric Pain Using the Theory of Qi Movement Ascending and Descending/CHEN Jiaxin， GUO Guangling， QIU Xiao， WEI Fengqin. //Medical Innovation of China， 2024， 21(22)： -146

    [Abstract] This paper summarizes professor Zhang Zhenyu's academic experience in the diagnosis and treatment of epigastric pain with the theory of Qi movement ascending and descending that the pathogenesis of epigastric pain is Qi movement disharmony， and the key to restoring Qi movement should be based on regulating Qi. Regulating Qi should be mainly in the zang fu viscera of spleen and stomach but not leave liver and gallbladder. The treatment of epigastric pain is mainly based on the coordination of Qi movement ascending and descending of the spleen and stomach in the middle earth， or because the Yimu Jitu does not rise ......