·19·江西中医药大学学报2023年10月第35卷第5期JOURNALOFJIANGXIUNIVERSITYOFCM2023Vol.35No.5●临床经验●江一平胃滞肝郁理论及其应用★熊雯雯1江一平2李丰兰3徐如龙4（1.江西中医药大学南昌330004；2.江西中医药大学附属医院南昌330006；3.南昌市青云谱区三家店街道昌南社区卫生服务中心南昌330001；4.南昌市第九医院南昌330002）［摘要］江一平认为肝胃痞病常是互为影响的，其治疗亦应多方考虑，临床常见证型有肝气犯胃证。其在长期的临床实践中总结出有胃滞肝郁之证型，该证多为情志抑郁、暴饮暴食、膏粱厚味、嗜饮醇酒等因素阻滞气机导致胃气郁滞、气机升降失常，影响肝气生发，日久致脂液痰湿蓄积于肌肤、血管和脏腑中。肝与脾胃关系密切，脾胃功能正常，气机升降协调，则有助于肝主疏泄，反之，胃气郁滞亦会引起肝脏疏泄功能失常，治疗应当从胃立论，运用理气和胃、清胃降火、通降胃气、益气健胃、消食和胃、滋养胃阴的方法治疗。［关键词］胃滞肝郁证；肝病；从胃立论；江一平中图分类号：R249文献标志码：AJIANGYi-ping'sTheoryofStomachStagnationandLiverDepressionanditsApplicationXIONGWen-wen1,JIANGYi-ping2,LIFeng-lan3,XURu-long41.JiangxiUniversityofChineseMedicine,Nanchang330004,China;2.TheAffiliatedHospitalofJiangxiUniversityofChineseMedicine,Nanchang330006,China;3.NanchangCommunityHealthServiceCenter,SanjiadianStreet,QingyunpuDistrictofNanchang,Nanchang330001,China;4.NanchangNinthHospital,Nanchang330002,China.[Abstract]JIANGYi-pingbelievesthatliverandstomachruffiandiseasesoftenaffecteachother,andtheirtreatmentshouldalsobeconsideredinmanyways.ThecommonclinicalsyndromesareliverQiinvadingthestomach.JIANGYi-pingsummedupthesyndrometypeofstomachstagnationandliverdepressioninlong-termclinicalpractice,thissyndromeismostlycausedbyemotionaldepression,overeating,fattydiet,alcoholismandotherfactors,whichblocktheQimachine,leadtoleadstostagnationofstomachqi,abnormalriseandfallofQimachine,andaffectsLiverQirising.Overtime,fatliquidphlegmanddampnessaccumulateintheskin,bloodvesselsandviscera.Theliveriscloselyrelatedtothespleenandstomach,thefunctionofthespleenandstomachisnormal,andtheriseandfallofQimachineiscoordinated,whichishelpfulfortheliverto...
