First, stomach pain, the name of Chinese medicine. Most of them are caused by exogenous cold pathogen, dietary injury, emotional imbalance and spleen and stomach deficiency and cold. The stomach is the main pathological organ, which is often closely related to the liver and spleen. The main pathogenesis of stomachache is stagnation of stomach qi and disharmony. The treatment is mainly to regulate qi and stomach, and corresponding treatment methods are adopted according to different syndromes.
Second, the name of stomachache was first recorded in Neijing. For example, "Syndrome of Pathogenic Zang-fu Organs Caused by Lingshu" points out: "People with stomach diseases, abdominal distension and stomachache should use it with caution." Neijing first proposed that the occurrence of stomachache was related to the liver and spleen, and also put forward the theory of pathogenic cold and food injury.
Third, in Ming and Qing Dynasties, the treatment of epigastric pain was further proposed. "The True Story of Medicine" said: "There are nine kinds of heartache in ancient prescriptions, all of which are in the stomach but not in the heart." "The upstream qi surges up, and the downstream qi lifts up, which is cold and warm, hot and warm, artificially cultivated, truly purified, scattered and left." The True Story of Medical Abdominal Pain also points out that we should understand and apply the method of "general principle is painless" from the perspective of syndrome differentiation.
Fourth, the location of stomach pain is in the stomach, which is closely related to the liver and spleen. The basic pathogenesis is the obstruction of stomach qi, which leads to the decline of stomach disharmony, and the pain of failure. Pathological factors mainly include qi stagnation, cold coagulation, heat depression, dampness resistance and blood stasis. Pathological: the early stage is mostly empirical; In the later stage, it is often spleen and stomach weakness, but it is often mixed with excess and deficiency.
Five, the treatment is mainly to regulate qi and stomach pain, and then treat deficiency and excess. Those who belong to stomach cold, dispelling cold is the so-called pass; Belonging to eaters, digestion is the so-called communication; Belonging to qi stagnation, regulating qi is the so-called communication; It belongs to heat depression, and releasing heat is called communication; Belonging to blood stasis, removing blood stasis is called dredging; Belonging to yin deficiency, benefiting stomach and nourishing yin is called tong; Yang deficiency, warming spleen and yang, is called tong. Only by adopting corresponding treatment methods according to different pathogenesis can we make good use of the "dredging" method.
Six, stomach pain can be derived from syndromes, such as excessive stomach heat, forcing blood to rush; Or blood stasis block, blood does not follow menstruation; Or weak temper, unable to control blood, can cause hematochezia and hematemesis. Massive bleeding can lead to qi escaping with blood, which is life-threatening.