中医药对胃脘痛的认识及进展

Understanding and Progress of TCM in Gastric Pain

摘要: 胃脘痛是指以胃脘近心窝处疼痛为主症的病证，是临床常见病，也是一个主要症状，常伴有上腹胀、纳呆、恶心、呕吐、嘈杂、反酸、嗳气等症状。中医的胃脘部位包含的脏器不只是胃，尚有肝之左叶、胆、胰、脾。故中医的胃脘痛不同于西医疾病的“胃痛”。本文从胃脘痛病名的沿革、病因病机、辨证论治等方面作一综述。

Abstract: Gastric pain refers to the condition primarily characterized by pain in the area near the heart, a common clinical symptom and a major symptom, often accompanied by upper abdominal distension, poor appetite, nausea, vomiting, noise, acid reflux, belching, and other symptoms. In traditional Chinese medicine, the region known as the gastric area encompasses not only the stomach but also the left lobe of the liver, gallbladder, pancreas, and spleen. Therefore, gastric pain in traditional Chinese medicine differs from “stomach pain” in Western medicine. This article provides a review of the history of gastric pain, etiology and pathogenesis, and differential diagnosis and treatment of gastric pain.