{"id":9178,"date":"2024-06-06T01:50:57","date_gmt":"2024-06-06T01:50:57","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e8%83%83%e7%97%85%e8%85%b9%e8%83%80%e5%8f%8d%e9%85%b8%e5%91%83%e9%80%86%e4%b8%80%e4%be%8b\/"},"modified":"2025-05-09T10:51:04","modified_gmt":"2025-05-09T00:51:04","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e8%83%83%e7%97%85%e8%85%b9%e8%83%80%e5%8f%8d%e9%85%b8%e5%91%83%e9%80%86%e4%b8%80%e4%be%8b","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e8%83%83%e7%97%85%e8%85%b9%e8%83%80%e5%8f%8d%e9%85%b8%e5%91%83%e9%80%86%e4%b8%80%e4%be%8b\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u7ecf\u65b9\u6cbb\u7597\u80c3\u75c5\u8179\u80c0\u53cd\u9178\u5443\u9006\u4e00\u4f8b"},"content":{"rendered":"

患者，男，30多岁，亚裔，主诉为近两年胃病反复发作。症状为饭后腹胀，反酸，不能多食，频繁呃逆，大便不舒畅，偶尔胃痛。患者身形偏壮，头面油腻，似大柴胡汤<\/a>人，自述平日容易上火，稍多食则呃逆饱胀不适，非常难受。查体心下硬满，腹鸣。舌淡略水滑，边齿痕，舌根厚腻。左脉浮紧，右脉紧，且微结于关。<\/p>\n

从患者来看，不能因为其体质面（大柴胡）而只看到其热的一面，也要看到其寒的一面，表现为有水饮的紧脉，中药需寒热并用来解决问题。<\/p>\n

予以经方加减治疗两周时间，患者感觉大好，诸症消退。<\/p>\n

针对烧心反酸的治疗，现代治疗思维喜欢采取所谓中和胃酸的方法，西药就不提了，中药一般多采用海螵蛸。这几乎已经是某种加减定式。但从中医调气机的角度来看这还是一个治标的办法，本案中没有用任何中西药的制酸剂，烧心反酸问题也解决了，这就是明证。<\/p>\n

该患者说：“我之前在网上查过，我的情况就是典型的胃病，跟幽门螺杆菌感染的症状一模一样，我网上也查到了可以消灭幽门螺杆菌的胃药和保健品。”<\/p>\n

如果患者真的通过消灭幽门螺杆菌的方法，他的问题会获得康复吗？我希望读者从这个案例思考一下，不用制酸剂，也不用杀灭病菌的方法，而是通过传统中医方法重新调整患者的气机，其症状就完全消失了，那么这些胃病“常见”的治疗手段及其背后的治疗原理，您还觉得是那么的理所当然吗？<\/p>\n

 <\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

\n

医案编号：062<\/p>\n","protected":false},"excerpt":{"rendered":"

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