李天望教授治疗心因性呃逆临证经验

【摘 要】 心因性呃逆为消化内科常见的疾病。湖北省名中医李天望教授认为治疗呃逆当从整体观念和脏腑辨证入手，结合脾胃地处中焦，沟通上下内外，为气机升降出入之所，治疗以理气、益气、降气为核心，用药顺应脏腑之性、善用归经药、多用温、平，注意追问病史及患者的性格特点，便可收获疗效。

【关键词】

心因性呃逆;临证经验;医案

【中图分类号】R249.2/.7 【文献标志码】 A【文章编号】1007-8517（2022）08-0080-03

Clinical Experience of Professor li Tianwang in Treating Psychogenic Hiccup

ZHAO Hao1 LIU Yougui1 LI Zhiqing2 LI Tianwang2

1.Hubei University of Traditional Chinese Medicine，Wuhan 430000，China;

2.Hubei Hospital of Traditional Chinese Medicine，Wuhan 430000，China

Abstract：

Cardiogenic hiccup is a common disease in gastroenterology.Professor Li Tianwang believed that the treatment of hiccup should start from the overall concept and syndrome differentiation of zang-fu organs，combined with the fact that the spleen and stomach are located in the middle，connecting the upper，lower，inner and outer，and being the place for the movement of Qi，the treatment should focus on regulating Qi，enriching Qi and reducing Qi，and the medication should conform to the nature of zang-fu organs. Also，Professor Li makes good use of meridian medicine， warm-natured and mild-natured medicine.He believed that asking the medical history and the personality characteristics of patients at the same time could obtain the curative effect.

Key words：Cardiogenic Hiccup;Clinical Experience;Medical Record

呃逆是消化系统常见的病种之一，一般具有自限性[1]，当呃逆持续时长大于48 h，经系统排查无器质性疾患，且与精神心理因素密切相关者，被称为心因性呃逆[2]。（剩余4431字）