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中国人民解放军总医院
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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
100853, 北京市复兴路28号
电话:010-66936756
传真:010-66936756
E-mail: zhlndqg@mode301.cn
创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
徐文慧,严晶,孙志广.老年人功能性消化不良的五脏论治[J].中华老年多器官疾病杂志,2019,18(1):64~68
老年人功能性消化不良的五脏论治
Dialectical treatment for functional dyspepsia in the elderly based on the theory of Five Zang-organs
投稿时间:2018-08-29  修订日期:2018-11-13
DOI:10.11915/j.issn.1671-5403.2019.01.015
中文关键词:  老年人;功能性消化不良;五脏;整体观念;辩证论治
英文关键词:aged; functional dyspepsia; Five Zang-organs; holistic concept; treatment based on syndrome differentiation
基金项目:江苏省自然科学基金(BK20151008)
作者单位E-mail
徐文慧 南京中医药大学第二附属医院江苏省第二中医院呼吸科,南京 210029  
严晶 南京中医药大学第二附属医院江苏省第二中医院呼吸科,南京 210029  
孙志广 南京中医药大学第二附属医院江苏省第二中医院呼吸科,南京 210029 sunzg5201@sina.com 
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中文摘要:
      我国逐渐进入老龄化社会,老年性疾病发生率也日益增长,病情多反复迁延,严重影响了老年人的生活质量。而脾胃病是常见的老年慢性疾病,其中功能性消化不良较为特殊,因其发病机制尚未明确,加上无明显器质性改变,西医治疗效果欠佳。老年人处于多器官功能渐衰阶段,在中医看来,此阶段素体虚弱,气血不足,脾失健运,证治常常交替复杂,在症状表现上各有不同,又因其易复发,成为脾胃病门诊的一大难题。中医学的两大理论强调整体观念,辩证论治,认为人体是以五脏为中心的有机整体,此病虽病位在脾胃,但与五脏密切相关。笔者认为从五脏角度辩治老年功能性消化不良是临床诊治的一大突破口。
英文摘要:
      With China having gradually entered an aging society, the incidence of geriatric diseases is increasing. Recurrence and prolonged course of the diseases are quite common, which seriously affects the quality of life in the elderly. Disorders involving the spleen and stomach are common chronic diseases in the elderly, and among them, functional dyspepsia is relatively special. Since its pathogenesis remains unclear, and no obvious organic changes are observed, the therapeutic effect of western medicine is barely satisfactory. The elderly are in decline of multiple organ function, so, in view of traditional Chinese medicine, this stage is characte-rized by weakness of body, deficiency of Qi and blood, abnormality of the spleen transportation and transformation, and alternation and complexity in syndrome differentiation and treatment. Because these diseases have diverse signs and symptoms and are of high incidence of recurrence, they become a major problem in the outpatient clinic. The two theories of traditional Chinese medicine emphasize the holistic concept and treatment based on syndrome differentiation, so the body is regarded as an organic whole centering on the Five Zang-organs. Although these diseases are located in the spleen and stomach, they are closely associated with the Five Zang-organs. We believe that treating functional dyspepsia from the view of the Five Zang-organs is a major breakthrough in the clinical diagnosis and treatment for the elderly.
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