中医腹诊在脑病辨证中应用

文章信息/Info

• Title:中医腹诊在脑病辨证中应用

• 卷期:2024年22卷2期

• 作者:苏晓明，吴带喜，许文学

• 南方医科大学中医药学院 广东广州 510515

• Author(s): Su Xiaoming ,Wu Daixi,Xu Wenxue

• School of Traditional Chinese Medicine，Southern Medical University，Guangzhou，510515，China

• 关键词中医腹诊 脑病 辨证 综述

• Keywords:Traditional Chinese medicine abdominal diagnosis; encephalopathy; syndrome differentiation; review

• 摘要:脑病具有机制复杂、发病率高、致残率高的特点，作为中西医结合的优势病种，近年来中医在其辨证上发挥着重要作用。中医腹诊是以中医基础理论为指导，结合整体观念、运用经络脏腑辨证，在脑系疾病的诊疗发挥独特作用。本文使用知网（CNKI）检索，归纳近10年来腹诊在脑病诊治中的理论依据，及其在失眠、中风、头痛、眩晕、癫痫等脑病中的特色辨证应用，以期推动中医腹诊在临床上的发展，为疾病早期干预、辨证分型提供新思路。                                                                                                                                                                                

• Abstract:  Encephalopathy is characterized by complex mechanism, high incidence rate and high disability rate. Encephalopathy, as a dominant disease of integrated traditional Chinese and Western medicine, has played an important role in its syndrome differentiation in recent years. Traditional Chinese medicine abdominal diagnosis is guided by the basic theory of traditional Chinese medicine, combined with the overall concept and the differentiation of meridians and viscera, which plays a unique role in the diagnosis and treatment of brain diseases. This paper summarizes the theoretical basis of abdominal diagnosis in the diagnosis and treatment of encephalopathy in recent 10 years and its characteristic dialectical application in encephalopathy such as insomnia, stroke, headache, vertigo and epilepsy. It is hoped to promote the clinical development of traditional Chinese medicine abdominal diagnosis and provide new ideas for early intervention and syndrome differentiation.

  腹诊有广义与狭义之分，广义腹诊是指医生运用望、闻、问、切等手段，以判断内在脏腑、经脉、气血津液等方面的病理变化，为临床治疗提供依据。狭义腹诊指的是运用按诊（切诊）来诊察腹部体征。《通俗伤寒论》中言：“胸腹为五脏六腑之宫城，阴阳气血之发源，若欲知脏腑如何，则莫如按胸腹，名曰腹诊”。汉方医家和久田寅《腹证奇览》中曰：“腹者，生之本，故百病根于此焉，是以诊病必侯其腹”，可见腹诊在临床辨证的重要性。本文所述腹诊为狭义之腹诊。