发表日期
2006-08-18
治疗内科病症之10(英汉对照)——呃逆Hiccup
来源:内科病症之10 编辑:戈泉 阅读:
:: 食积 Retention of Food ::
主症
呃声洪亮,脘腹胀满,厌食,舌苔厚腻,脉滑实。
Main Manifestations
Loud hiccup, epigastric and abdominal distention, anorexia, thick, sticky tongue coating, rolling and forceful pulse.
:: 气滞 Stagnation of Qi ::
主症
呃呃连声,常因情志改变,发病或加重,胸胁胀痛,烦闷不舒,苔薄,脉弦有力。
Main Manifestations
Continual hiccups, the attack of hiccups is caused by emotional changes or in severe case. Distending pain and chest congestion and hypochondriac pain, thin tongue coating, string-taut and forceful pulse.
:: 胃寒 Cold in Stomach ::
主症
呃逆得热则减轻,遇寒则甚,脘痛喜温,舌苔白润,脉迟缓。
Main Manifestations
The hiccup is alleviated by warmth and aggravated by cold, discomfort and pain in the epigastrium, preference for warmth, thin, white coating, slow pulse.
:: 胃气衰败 Decline of Stomach-Qi ::
主症
呃声低而无力,神疲气怯,形体消瘦,舌质淡,体胖有齿痕,苔白,脉细弱或结代。
Main Manifestations
Hiccup is low and weak, lassitude, emaciation, light tongue proper, enlarged tongue with dental indentations, thready, weak and irregularly intermittent pulse.
治法
取胃经及有关腧穴为主。食积气滞者,针刺用泻法;胃寒则针灸并施;胃气衰败则用重灸,以和胃、降逆、平呃。
Treatment
Select the points of the Stomach meridian and some other related points as the principal points. Reducing manipulation is applied for retention of food and stagnation of Qi while both acupuncture and moxibustion are used for cold in the stomach. Heavy moxibustion is applied for the decline of stomach-Qi to pacify the stomach, facilitate the descent of Qi and check hiccup.
处方
中脘、足三里、膈俞、内关、太渊、攒竹
Prescription
Zhongwan(VC12), Zusanli(ST36), Geshu(BL17), Neiguan(PC6), Taiyuan(LU9), Cuanzhu(SL2).
随证配穴
食积:梁门、天枢;
气滞:膻中、太冲;
胃寒:上脘;
胃气衰败:关元。
Additional Points
Add Liangmen (ST21) and Tianshu (ST25) for food retention.
Add Shanzhong (CV17) and Taichong (LR3) for stagnation of Qi.
Add Shangwan (CV13) for cold in the stomach.
Add Guanyuan (CV4) for the decline of stomach-Qi.
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