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--> 00:03.681\n各位同道，\n\n00:03.681 --> 00:04.281\n大家好，\n\n00:04.281 --> 00:05.455\n那么今天呢，\n\n00:05.455 --> 00:10.930\n我们将一起来谈一谈关于中医视角下的消化系统疾病。\n\n00:12.125 --> 00:12.725\n那么。\n\n00:14.022 --> 00:16.622\n下面我们一起来进入今天的话题。\n\n00:19.865 --> 00:22.666\n那么在我们消化系统疾病当中啊，\n\n00:22.666 --> 00:26.666\n随着快节奏高压力的现代生活节奏，\n\n00:27.166 --> 00:33.765\n那么饮食不规律正在悄然侵蚀着我们的这种消化系统的健康。\n\n00:34.666 --> 00:38.416\n那么在这个数据调研方面发现。\n\n00:39.578 --> 00:42.379\n那么在胃食管反流病发病率，\n\n00:42.379 --> 00:43.679\n全球患病率呢，\n\n00:43.679 --> 00:47.479\n为2.5%到51.2，\n\n00:47.778 --> 00:48.903\n那么并且呢，\n\n00:48.903 --> 00:51.629\n呈现显著上升的一个趋势。\n\n00:52.340 --> 00:53.665\n那么慢性胃炎呢，\n\n00:53.665 --> 00:56.639\n检出率更是在这个90%左右，\n\n00:56.740 --> 01:00.340\n已经成为普遍的一个健康的隐患。\n\n01:03.630 --> 01:03.854\n那么，\n\n01:03.854 --> 01:08.080\n这个是我们可能平常在门诊当中见到的啊，\n\n01:08.129 --> 01:09.955\n胃镜室操作当中啊，\n\n01:09.955 --> 01:12.180\n比较常见的胃镜报告啊。\n\n01:12.680 --> 01:14.080\n那么这是一个啊，\n\n01:14.080 --> 01:15.705\n反流性食管炎啊，\n\n01:15.705 --> 01:18.430\n洛杉矶分级为B级的这个患者，\n\n01:18.879 --> 01:21.154\n那么胃镜下可以看见啊，\n\n01:21.154 --> 01:24.730\n食管下段粘膜破损长径大于5mm。\n\n01:25.279 --> 01:27.004\n那么同时呢，\n\n01:27.004 --> 01:28.055\n这个患者啊，\n\n01:28.055 --> 01:31.080\n还有这个食管的这个裂孔疝啊，\n\n01:31.430 --> 01:33.004\n腹腔内的这个胃啊，\n\n01:33.004 --> 01:33.480\n通过。\n\n01:34.100 --> 01:37.676\n膈食管裂孔进入胸腔所致的这种疾病，\n\n01:38.125 --> 01:40.625\n那么它常常会导致这个反流。\n\n01:41.176 --> 01:43.500\n那么这个患者的这个胃窦呢，\n\n01:43.500 --> 01:47.475\n还呈现这种充血水肿糜烂的炎性改变。\n\n01:47.875 --> 01:48.801\n那么提示呢，\n\n01:48.801 --> 01:50.875\n胃黏膜有这种损伤啊，\n\n01:50.975 --> 01:52.926\n也是慢性胃窦炎伴糜烂。\n\n01:55.700 --> 01:56.100\n那么，\n\n01:56.100 --> 02:02.750\n这是从这个西医的这种胃镜来认识人体的胃的这种疾病。\n\n02:03.250 --> 02:03.700\n那么，\n\n02:03.700 --> 02:05.176\n从中医学的角度，\n\n02:05.176 --> 02:08.800\n那么对这个患者又该怎样的这种认识呢？\n\n02:09.050 --> 02:10.251\n那么今天啊，\n\n02:10.251 --> 02:13.026\n我们将从这五个方面来入手，\n\n02:13.026 --> 02:21.151\n谈一谈这个中医学对这个消化系统疾病的这种认知治疗以及调理。\n\n02:23.223 --> 02:24.848\n那么首先我们看一看啊，\n\n02:24.848 --> 02:29.548\n中医对三大系统消化系统疾病的这种病名归属，\n\n02:29.548 --> 02:32.173\n以及核心的这种病机啊。\n\n02:34.332 --> 02:36.182\n那么反流性食管炎呢，\n\n02:36.182 --> 02:40.957\n它因为这个具有这个反酸烧心胸骨后啊，\n\n02:40.957 --> 02:43.031\n烧灼痛的这个症状，\n\n02:43.432 --> 02:51.132\n那么归属于中医学的这个腹酸食管丹嘈杂胸痹等中医的这种范畴。\n\n02:52.731 --> 02:53.182\n那么，\n\n02:53.182 --> 02:54.757\n食管内孔疝呢，\n\n02:54.757 --> 02:57.382\n患者都有这个反酸嗳气，\n\n02:57.531 --> 03:03.781\n胃脘痞满那么多从中医学的这个胃脾吞酸来论治，\n\n03:04.281 --> 03:06.007\n如果伴有吞咽困难呢，\n\n03:06.007 --> 03:07.382\n则归属噎膈。\n\n03:07.932 --> 03:08.382\n那么，\n\n03:08.382 --> 03:10.332\n慢性胃窦炎伴糜烂啊，\n\n03:10.332 --> 03:13.481\n患者有时候往往会有这个胃脘疼痛啊，\n\n03:13.481 --> 03:14.432\n胀满啊，\n\n03:14.531 --> 03:17.031\n那么这时候它是属于中医学的啊，\n\n03:17.031 --> 03:19.031\n胃脘痛脾满范畴。\n\n03:19.682 --> 03:21.507\n那么它的这种糜烂呢，\n\n03:21.507 --> 03:22.531\n多于这个胃。\n\n03:22.611 --> 03:23.436\n淤阻啊，\n\n03:23.436 --> 03:24.736\n湿热内蕴有关。\n\n03:24.736 --> 03:25.787\n那么既往呢，\n\n03:25.787 --> 03:30.061\n在这个慢性胃炎的中西医结合诊疗啊，\n\n03:30.061 --> 03:31.311\n专家意见里面，\n\n03:31.462 --> 03:35.361\n他也把内镜下的这个胃镜下的这种表现，\n\n03:35.361 --> 03:40.912\n和中医的相关症型进行了相关的这种归纳和分析啊。\n\n03:41.011 --> 03:43.361\n那么这个从糜烂上来看啊，\n\n03:43.361 --> 03:44.236\n多属于啊，\n\n03:44.236 --> 03:46.761\n胃络淤阻和湿热内蕴相关的。\n\n03:48.470 --> 03:53.621\n那么对于这些消化系统常见这个疾病的核心病机啊，\n\n03:53.621 --> 03:57.270\n那么是这个脾胃升降失常气机的逆乱。\n\n03:57.921 --> 03:59.546\n那么中医学认为呢，\n\n03:59.546 --> 04:02.921\n脾胃是全身气机升降的枢纽，\n\n04:03.270 --> 04:04.695\n那么脾主升清，\n\n04:04.695 --> 04:05.871\n胃主降浊。\n\n04:06.171 --> 04:08.395\n那么一旦平衡被打破啊，\n\n04:08.395 --> 04:10.121\n就会导致这个疾病。\n\n04:10.621 --> 04:14.996\n那么可以看到这个脾为这个后天之本啊，\n\n04:14.996 --> 04:16.270\n主消化啊，\n\n04:16.520 --> 04:18.721\n那么脾胃和肝胆那么。\n\n04:18.959 --> 04:19.658\n为这个啊，\n\n04:19.658 --> 04:24.334\n表里那么病机的这个核心呢，\n\n04:24.334 --> 04:25.859\n是胃气上逆啊。\n\n04:26.158 --> 04:27.609\n那么啊，\n\n04:27.609 --> 04:29.859\n胃失通降导致胃酸啊，\n\n04:29.859 --> 04:30.609\n食物啊，\n\n04:30.609 --> 04:34.658\n浊气上逆是三种疾病共同的核心病理机制。\n\n04:35.209 --> 04:39.558\n那么发病的这种病机的根本是脾气的亏虚啊。\n\n04:39.759 --> 04:40.183\n那么，\n\n04:40.183 --> 04:41.058\n脾主身清，\n\n04:41.058 --> 04:42.033\n脾主肌肉，\n\n04:42.033 --> 04:42.884\n气虚呢，\n\n04:42.884 --> 04:45.334\n则肌肉薄弱无力，\n\n04:45.334 --> 04:48.709\n托举脏器是食管内孔疝的根本成因。\n\n04:49.539 --> 04:51.389\n那么在情志方面啊，\n\n04:51.389 --> 04:52.739\n那么肝湿疏泄，\n\n04:52.739 --> 04:55.588\n那么情志抑郁会导致肝气郁结，\n\n04:55.639 --> 04:56.688\n横逆犯胃，\n\n04:56.938 --> 04:58.838\n干扰胃的和降功能，\n\n04:58.838 --> 05:00.989\n进一步加重气机的逆乱。\n\n05:01.588 --> 05:03.313\n那么在外邪方面啊，\n\n05:03.313 --> 05:04.764\n饮食不节啊，\n\n05:04.764 --> 05:06.188\n暴饮暴食啊，\n\n05:06.338 --> 05:08.414\n嗜食生冷辛辣啊，\n\n05:08.414 --> 05:10.389\n或者外感湿热之邪啊，\n\n05:10.489 --> 05:12.039\n都可以损伤脾胃，\n\n05:12.039 --> 05:13.989\n打破升降的一个平衡。\n\n05:16.255 --> 05:18.029\n那么从病因来分析啊，\n\n05:18.029 --> 05:20.980\n那么这个消化系统这些常见疾病，\n\n05:20.980 --> 05:23.554\n它是一种多因素交织的结果。\n\n05:23.804 --> 05:25.730\n那么包括了饮食啊，\n\n05:25.730 --> 05:27.304\n饮食不节啊，\n\n05:27.304 --> 05:29.105\n包括了暴饮暴食啊，\n\n05:29.204 --> 05:31.855\n还有过度饮这个酒啊，\n\n05:31.855 --> 05:33.304\n浓茶咖啡啊，\n\n05:33.304 --> 05:34.654\n这些刺激性的饮食。\n\n05:35.404 --> 05:37.554\n那么其他还有情志的因素啊，\n\n05:37.554 --> 05:42.605\n肝气犯胃那么长期的焦虑抑郁思虑过度啊，\n\n05:42.855 --> 05:46.304\n那么还有体质先天的这种因素啊。\n\n05:46.535 --> 05:47.834\n先天禀赋不足啊，\n\n05:47.834 --> 05:49.035\n脾胃虚弱啊，\n\n05:49.135 --> 05:52.385\n或者年老体衰脏腑的功能的减退。\n\n05:52.984 --> 05:54.635\n那么其他还有这个啊，\n\n05:54.635 --> 05:58.035\n劳逸适度损耗这个中气。\n\n05:58.535 --> 06:00.385\n那么外邪的因素啊，\n\n06:00.385 --> 06:02.334\n比如说幽门螺旋杆菌啊，\n\n06:02.535 --> 06:03.984\n那么幽门螺杆菌呢，\n\n06:03.984 --> 06:05.334\n在中医理论上啊，\n\n06:05.334 --> 06:08.285\n归属这个湿毒邪毒的这个范畴。\n\n06:09.381 --> 06:13.182\n那么再看一下这些疾病的辨证和论治啊。\n\n06:13.731 --> 06:18.381\n那么依据胃食管反流病中西医结合诊疗专家共识意见啊，\n\n06:18.381 --> 06:20.131\n那么将这个病呢，\n\n06:20.532 --> 06:24.457\n最常见的这个归为了这个六个的症型，\n\n06:24.457 --> 06:30.532\n包括了有肝胃不和症、肝胃郁热症、中虚气逆症、脾胃湿热症。\n\n06:31.848 --> 06:33.049\n胃络瘀阻症，\n\n06:33.049 --> 06:34.348\n寒热错杂症。\n\n06:36.024 --> 06:38.975\n那我们首先来看一看第一个肝胃不和症。\n\n06:39.274 --> 06:41.674\n肝胃不和症它核心的病机呢，\n\n06:41.674 --> 06:45.125\n有反酸嘈杂邪热的胀满的不适啊，\n\n06:45.125 --> 06:47.174\n嗳气的频繁的发作啊，\n\n06:47.725 --> 06:48.875\n那么次症呢，\n\n06:50.174 --> 06:51.350\n伴随特征呢，\n\n06:51.350 --> 06:53.825\n每因情绪不畅而症状加重，\n\n06:53.825 --> 06:55.024\n有恶心欲吐。\n\n06:55.674 --> 06:56.875\n那么舌脉呢，\n\n06:56.875 --> 06:58.000\n体征呢，\n\n06:58.000 --> 06:59.875\n苔薄白，\n\n06:59.875 --> 07:00.774\n脉象弦。\n\n07:01.274 --> 07:02.674\n那么病理机制呢，\n\n07:02.674 --> 07:05.924\n它是由于这种肝气郁结木郁称。\n\n07:06.023 --> 07:07.347\n土横逆犯胃啊，\n\n07:07.347 --> 07:09.372\n胃气适于和降而上逆，\n\n07:09.972 --> 07:12.972\n那么要采用这种沐浴达之的治疗原则，\n\n07:12.972 --> 07:15.972\n以疏肝理气和胃降逆为核心治法。\n\n07:16.372 --> 07:17.398\n那么选方呢，\n\n07:17.398 --> 07:19.423\n采用这个柴胡疏肝散，\n\n07:19.572 --> 07:22.923\n那么可以和悬浮带者来降逆和胃。\n\n07:24.378 --> 07:24.528\n那么，\n\n07:24.528 --> 07:25.354\n阵型二呢，\n\n07:25.354 --> 07:27.278\n是这个单位预热症啊，\n\n07:27.729 --> 07:29.454\n那么它的核心呢，\n\n07:29.454 --> 07:30.303\n是主症呢，\n\n07:30.303 --> 07:31.854\n是烧心比较明显，\n\n07:31.854 --> 07:33.729\n伴有反酸的这种嘈杂。\n\n07:34.428 --> 07:35.678\n那么自症呢，\n\n07:35.678 --> 07:36.678\n是心烦易怒，\n\n07:36.678 --> 07:38.128\n两胁胀满不适，\n\n07:38.128 --> 07:38.979\n口干苦，\n\n07:38.979 --> 07:40.628\n大便干结秘结。\n\n07:41.229 --> 07:42.753\n那么舌质是红的，\n\n07:42.753 --> 07:44.229\n苔是黄腻的，\n\n07:44.329 --> 07:45.979\n脉象悬硕有力。\n\n07:46.378 --> 07:46.829\n那么，\n\n07:46.829 --> 07:49.053\n它的病机是由于肝郁化火，\n\n07:49.053 --> 07:50.128\n肝火犯胃，\n\n07:50.178 --> 07:51.553\n导致胃热炽盛，\n\n07:51.553 --> 07:52.678\n胃气上逆。\n\n07:53.079 --> 07:54.479\n治疗的原则是。\n\n07:54.660 --> 07:55.309\n疏肝解郁，\n\n07:55.309 --> 07:56.410\n清热泻火，\n\n07:56.410 --> 07:57.434\n和胃降逆，\n\n07:57.434 --> 07:58.510\n制酸止痛。\n\n07:59.059 --> 07:59.559\n那么，\n\n07:59.559 --> 08:00.410\n选用啊，\n\n08:00.410 --> 08:01.609\n代表方式啊，\n\n08:01.609 --> 08:03.709\n化肝煎和左金丸啊，\n\n08:03.709 --> 08:08.859\n加减能够做到清肝热平肝气的作用。\n\n08:09.910 --> 08:10.385\n那么，\n\n08:10.385 --> 08:12.309\n第三个中虚气逆症啊，\n\n08:12.309 --> 08:13.334\n它的主症呢，\n\n08:13.334 --> 08:14.859\n是反酸啊，\n\n08:14.859 --> 08:16.984\n反吐清闲嗳气啊，\n\n08:16.984 --> 08:20.035\n胃脘隐痛不适伴随的次症呢，\n\n08:20.035 --> 08:21.559\n是神疲乏力啊，\n\n08:21.709 --> 08:22.809\n少气懒言，\n\n08:22.809 --> 08:24.010\n食欲不振啊，\n\n08:24.010 --> 08:24.559\n腹胀。\n\n08:24.623 --> 08:25.324\n大便稀，\n\n08:25.773 --> 08:27.824\n典型的舌脉是舌质淡，\n\n08:27.824 --> 08:28.574\n舌体胖，\n\n08:28.574 --> 08:29.373\n有齿痕，\n\n08:29.424 --> 08:30.674\n舌苔薄白，\n\n08:30.924 --> 08:33.124\n脉沉细或者细弱无力。\n\n08:33.773 --> 08:35.273\n那么病机分析，\n\n08:35.273 --> 08:35.848\n是啊，\n\n08:35.848 --> 08:36.749\n脾胃气虚，\n\n08:36.749 --> 08:37.674\n运化失职，\n\n08:37.874 --> 08:39.773\n那么导致中气下陷，\n\n08:39.773 --> 08:40.924\n未持和降。\n\n08:41.700 --> 08:44.299\n那么治疗大法是以补为主啊，\n\n08:44.400 --> 08:46.000\n治以健脾益气，\n\n08:46.000 --> 08:47.150\n升阳举陷，\n\n08:47.400 --> 08:48.775\n那么代表方呢？\n\n08:48.775 --> 08:49.275\n是啊，\n\n08:49.275 --> 08:51.099\n加味补中益气汤。\n\n08:52.815 --> 08:54.916\n第四是脾胃湿热症啊，\n\n08:55.116 --> 08:56.190\n胃脘嘈杂，\n\n08:56.190 --> 08:57.541\n口苦口臭啊，\n\n08:57.541 --> 08:59.065\n舌红苔黄腻。\n\n08:59.666 --> 09:02.166\n那么它由于是这种湿热内生，\n\n09:02.366 --> 09:04.416\n蕴结中焦阻滞气机，\n\n09:04.416 --> 09:05.765\n胃气上逆啊，\n\n09:06.265 --> 09:07.616\n那么治疗原则呢，\n\n09:07.616 --> 09:08.716\n是清热化湿，\n\n09:08.716 --> 09:09.741\n理气和胃。\n\n09:09.741 --> 09:10.591\n代表方呢，\n\n09:10.591 --> 09:11.091\n是啊，\n\n09:11.091 --> 09:12.815\n清中饮连补饮。\n\n09:14.268 --> 09:15.817\n肾型五呢，\n\n09:15.817 --> 09:16.968\n胃络瘀阻症，\n\n09:17.168 --> 09:19.518\n那么它的主症是胃脘刺痛，\n\n09:19.518 --> 09:20.593\n痛有定处，\n\n09:20.593 --> 09:22.018\n夜间加重啊，\n\n09:22.418 --> 09:25.893\n那么是由于久病入络导致气滞血瘀，\n\n09:25.893 --> 09:27.768\n胃络受阻所致。\n\n09:28.367 --> 09:31.492\n那么它的治疗原则是活血化瘀，\n\n09:31.492 --> 09:32.567\n理气止痛。\n\n09:32.817 --> 09:36.168\n选用失窍散和丹参饮配伍。\n\n09:37.133 --> 09:37.583\n那么，\n\n09:37.583 --> 09:38.934\n最后一个寒热错杂，\n\n09:38.934 --> 09:42.184\n它是由胃脘灼热与隐痛喜温并存，\n\n09:42.484 --> 09:47.133\n反酸与呕清水交替出现寒热症状错杂。\n\n09:47.684 --> 09:49.359\n那么舌质是偏红的，\n\n09:49.359 --> 09:51.059\n舌苔黄腻啊，\n\n09:51.059 --> 09:51.833\n或者啊，\n\n09:51.833 --> 09:52.783\n黄白相间。\n\n09:53.434 --> 09:54.758\n那么本虚标实，\n\n09:54.758 --> 09:56.184\n脾胃气虚为主，\n\n09:56.184 --> 09:58.434\n寒热邪气互结于中焦。\n\n09:58.934 --> 10:02.484\n那么采用这种辛开苦降寒温并用的方法，\n\n10:02.684 --> 10:03.908\n代表方式啊，\n\n10:03.908 --> 10:05.133\n半夏泻心汤，\n\n10:06.033 --> 10:07.083\n那么在特色。\n\n10:07.155 --> 10:08.280\n疗法方面啊，\n\n10:08.280 --> 10:10.354\n我们可以采用针灸的疗法，\n\n10:10.505 --> 10:11.905\n疏通经络啊，\n\n10:11.905 --> 10:12.854\n调和气血。\n\n10:13.155 --> 10:13.604\n那么，\n\n10:13.604 --> 10:16.854\n针灸通过特定的穴位调节脏腑的功能，\n\n10:16.854 --> 10:18.255\n恢复脾胃的升降。\n\n10:18.755 --> 10:19.155\n那么，\n\n10:19.155 --> 10:20.155\n常用的穴位呢，\n\n10:20.155 --> 10:22.155\n我们可以啊，\n\n10:22.205 --> 10:24.905\n这个针灸内关穴来宽胸理气，\n\n10:25.205 --> 10:26.205\n和胃降逆。\n\n10:26.705 --> 10:27.179\n那么，\n\n10:27.179 --> 10:28.054\n足三里啊，\n\n10:28.054 --> 10:29.054\n调和脾胃，\n\n10:29.054 --> 10:30.155\n补中益气。\n\n10:30.604 --> 10:31.005\n那么，\n\n10:31.005 --> 10:31.854\n中脘穴呢，\n\n10:31.854 --> 10:33.405\n和胃健脾啊，\n\n10:33.405 --> 10:34.205\n降逆。\n\n10:34.796 --> 10:35.346\n利水，\n\n10:36.395 --> 10:37.995\n那么艾灸的疗法呢，\n\n10:37.995 --> 10:42.346\n可以起到这个温阳散寒补中益气的一个作用，\n\n10:42.645 --> 10:46.695\n适用于脾胃虚寒或者中虚气逆的这种患者。\n\n10:47.745 --> 10:48.971\n按摩推拿呢，\n\n10:48.971 --> 10:52.846\n它可以用这个摩腹法调理脾胃，\n\n10:53.096 --> 10:53.971\n或者啊，\n\n10:53.971 --> 10:55.995\n采用点揉穴位啊，\n\n10:55.995 --> 10:57.046\n固本培元。\n\n10:58.846 --> 11:00.195\n我们再来看一下啊，\n\n11:00.195 --> 11:01.796\n饮食的这种调理，\n\n11:02.046 --> 11:04.070\n那么总体的饮食原则呢，\n\n11:04.070 --> 11:05.745\n要饮食有节啊，\n\n11:05.745 --> 11:07.346\n温暖熟少啊，\n\n11:07.346 --> 11:09.495\n细嚼慢咽戒酒啊，\n\n11:10.096 --> 11:11.495\n限酒戒烟。\n\n11:12.523 --> 11:12.997\n那么，\n\n11:12.997 --> 11:14.247\n辨证施食呢，\n\n11:14.247 --> 11:18.572\n对于虚寒性的体质的人群也进食生冷瓜果。\n\n11:18.822 --> 11:20.322\n那么推荐呢，\n\n11:20.773 --> 11:24.172\n选用这个温热易消化的食物啊。\n\n11:24.523 --> 11:24.973\n那么，\n\n11:24.973 --> 11:28.172\n可以选用生姜大枣茶、红芪山药粥。\n\n11:29.223 --> 11:29.697\n那么，\n\n11:29.697 --> 11:32.973\n对于热湿淤体质的患者啊，\n\n11:33.223 --> 11:35.723\n那么对于肝胃郁热的这个啊，\n\n11:35.723 --> 11:39.072\n患者饮食要偏淡清淡偏凉，\n\n11:39.523 --> 11:41.348\n比如绿豆啊，\n\n11:41.348 --> 11:42.422\n冬瓜苦。\n\n11:42.640 --> 11:45.090\n瓜可以用菊花枸杞茶，\n\n11:45.090 --> 11:45.989\n清肝热，\n\n11:46.440 --> 11:48.614\n脾胃湿热的这个人群呢，\n\n11:48.614 --> 11:49.690\n可以啊，\n\n11:49.690 --> 11:51.465\n食用清热啊，\n\n11:51.465 --> 11:52.940\n清淡利湿之品，\n\n11:53.190 --> 11:54.265\n比如薏米啊，\n\n11:54.265 --> 11:55.640\n赤小豆啊，\n\n11:55.640 --> 11:57.039\n薏米赤小豆粥啊，\n\n11:57.039 --> 11:58.789\n健脾祛湿的效果比较好。\n\n11:59.453 --> 12:01.953\n那么对于胃络淤阻型的人群啊，\n\n12:01.953 --> 12:04.354\n宜食用软烂易消化的食物。\n\n12:04.554 --> 12:06.203\n那么辅以黑木耳啊，\n\n12:06.203 --> 12:07.054\n桃仁啊，\n\n12:07.304 --> 12:09.703\n可用这个三七藕粉根啊，\n\n12:09.703 --> 12:11.254\n帮助活血化瘀，\n\n12:11.254 --> 12:12.354\n通络止痛。\n\n12:13.354 --> 12:14.379\n最后啊，\n\n12:14.379 --> 12:14.804\n第五，\n\n12:14.804 --> 12:16.903\n我们来看看日常的这种养生，\n\n12:17.403 --> 12:19.729\n那么情志的调理也是非常重要。\n\n12:19.729 --> 12:23.028\n对于消化系统疾病要做到疏肝解郁，\n\n12:23.028 --> 12:24.304\n心平气和。\n\n12:25.046 --> 12:25.221\n那么，\n\n12:25.221 --> 12:26.671\n起居有常啊，\n\n12:26.671 --> 12:28.896\n顺应自然劳逸的结合。\n\n12:29.896 --> 12:32.221\n那么在体重管理方面啊，\n\n12:32.221 --> 12:35.546\n要注意这个身体重BMI值。\n\n12:35.997 --> 12:36.497\n那么，\n\n12:36.497 --> 12:36.947\n肥胖，\n\n12:36.947 --> 12:39.760\n它有些隐患是引起胃食管反流，\n\n12:39.760 --> 12:43.046\n食管裂孔疝的这种重要的危险因素。\n\n12:43.497 --> 12:43.971\n那么，\n\n12:43.971 --> 12:45.046\n要控制体重，\n\n12:45.046 --> 12:46.546\n减少腹压。\n\n12:47.192 --> 12:49.893\n他们的核心病机是相同的，\n\n12:50.143 --> 12:53.793\n那么皆是来源于脾胃功能的失调。\n\n12:54.442 --> 12:56.242\n那么脾胃失调，\n\n12:56.242 --> 12:57.492\n气机失常，\n\n12:57.992 --> 12:59.242\n这是它的核心。\n\n12:59.692 --> 13:01.942\n那么气机升降失常，\n\n13:02.192 --> 13:03.793\n那么导致啊，\n\n13:04.192 --> 13:06.418\n这个胃气的上逆啊，\n\n13:06.418 --> 13:08.143\n脾气的这种下陷，\n\n13:08.343 --> 13:14.067\n那么从而导致了反流性食管炎、食管裂孔疝啊，\n\n13:14.067 --> 13:15.843\n慢性胃窦炎的发生。\n\n13:17.648 --> 13:18.098\n那么，\n\n13:18.098 --> 13:19.698\n对疾病有了认识之后，\n\n13:19.698 --> 13:23.723\n我们应该怎样对这个疾病进行辨证啊，\n\n13:23.723 --> 13:25.098\n怎样进行论治？\n\n13:25.549 --> 13:27.273\n那么对于中医学啊，\n\n13:27.273 --> 13:29.874\n我们并不是对一个疾病啊，\n\n13:29.874 --> 13:31.374\n采用机械的啊，\n\n13:31.374 --> 13:35.749\n用某一个方子一味药来治疗这个病，\n\n13:35.999 --> 13:39.398\n我们要对这个病进行详细的辩证啊。\n\n13:39.799 --> 13:40.273\n那么，\n\n13:40.273 --> 13:42.499\n通过一个整体的这种观念，\n\n13:42.648 --> 13:44.848\n坚持辨证论治的方法，\n\n13:44.999 --> 13:47.499\n那么对患者进行阵型。\n\n13:47.705 --> 13:48.479\n的分析啊，\n\n13:48.479 --> 13:51.554\n前面也提到了分为这个六个阵型。\n\n13:52.104 --> 13:55.330\n那么通不同阵型采用不同的啊，\n\n13:55.330 --> 13:56.104\n代表方。\n\n13:56.505 --> 13:59.280\n那么通过内外合治的方法啊，\n\n13:59.280 --> 14:02.405\n比如说中药的内服啊，\n\n14:02.554 --> 14:06.205\n针灸推拿等多种啊，\n\n14:06.205 --> 14:07.804\n那么传统的方法，\n\n14:08.104 --> 14:11.155\n那么从根源上来调理啊，\n\n14:11.155 --> 14:13.354\n脾胃脏腑的这种功能，\n\n14:13.655 --> 14:15.679\n从而恢复人体啊，\n\n14:15.679 --> 14:17.054\n气血阴阳。\n\n14:17.708 --> 14:18.807\n动态的平衡，\n\n14:19.408 --> 14:21.507\n那么对于中医学来说啊，\n\n14:21.507 --> 14:24.007\n那基本的概念就是阴阳啊，\n\n14:24.257 --> 14:26.158\n那么阴平阳秘啊，\n\n14:26.307 --> 14:31.507\n阴平阳和那么是维持人体内环境稳态啊，\n\n14:31.507 --> 14:33.107\n脏腑功能正常，\n\n14:33.408 --> 14:40.257\n那么人体处于一个健康状态的一个基本的概念也是一个和的概念啊。\n\n14:40.708 --> 14:42.732\n那么对于辨证论治，\n\n14:42.732 --> 14:46.708\n我们采用这个多维调理固本培元的方法。\n\n14:47.809 --> 14:50.033\n那么在治疗之后啊，\n\n14:50.033 --> 14:52.309\n那么平时当中我们要做到啊，\n\n14:52.309 --> 14:54.008\n未病先防啊。\n\n14:54.359 --> 14:55.359\n那么对于啊，\n\n14:55.359 --> 14:58.658\n中医学很强调这个预防的这种治疗啊，\n\n14:59.059 --> 15:00.758\n预防疾病的发生，\n\n15:01.008 --> 15:01.958\n那么所以呢，\n\n15:01.958 --> 15:04.083\n对疾病是三分治啊，\n\n15:04.083 --> 15:04.958\n七分养。\n\n15:05.591 --> 15:05.841\n那么，\n\n15:05.841 --> 15:10.390\n疾病的这个康复与防复发是非常的重要。\n\n15:10.791 --> 15:13.841\n那么它有赖于我们日常的养护。\n\n15:14.140 --> 15:14.591\n那么，\n\n15:14.591 --> 15:21.565\n保持一个清淡的一个饮食舒畅心情与作息的一个规律啊，\n\n15:21.565 --> 15:24.416\n顺应四时那么这才是啊，\n\n15:24.416 --> 15:28.190\n守护脾胃健康的一个根本的原则。\n\n15:29.143 --> 15:32.119\n那么我们要做到在日常生活当中啊，\n\n15:32.119 --> 15:34.494\n做到起居有常啊，\n\n15:34.494 --> 15:35.794\n身心同调。\n\n15:43.822 --> 15:46.822\n那么对于消化系统的这个疾病啊，\n\n15:46.822 --> 15:48.197\n我们讲究啊，\n\n15:48.197 --> 15:51.721\n一个和那么前面我们也讲到了，\n\n15:51.771 --> 15:54.796\n那么中医学强调一个阴平阳秘，\n\n15:54.796 --> 15:56.721\n阴平阳和啊，\n\n15:56.971 --> 15:59.646\n那么脾和胃的功能啊，\n\n15:59.646 --> 16:02.021\n正常那么通过一个和字，\n\n16:02.221 --> 16:04.072\n那么可以体现出啊，\n\n16:04.072 --> 16:07.771\n我们一个健康的稳态的内环境。\n\n16:08.271 --> 16:13.471\n那么对于脾胃病我们强调要三分治七分养。\n\n16:14.112 --> 16:14.312\n那么，\n\n16:14.312 --> 16:15.163\n通过啊，\n\n16:15.163 --> 16:17.562\n这个制氧的这种结合，\n\n16:17.562 --> 16:21.713\n那么才能维持我们体内啊内环境的这种平衡。\n\n16:22.013 --> 16:23.437\n那么防治啊，\n\n16:23.437 --> 16:24.562\n消化系统啊，\n\n16:24.562 --> 16:26.112\n胃病的这种发生。\n\n16:26.513 --> 16:27.713\n那么通过啊，\n\n16:27.713 --> 16:30.112\n以上的这个啊，\n\n16:30.112 --> 16:31.312\n今天的介绍，\n\n16:31.562 --> 16:35.812\n那么希望大家能够在今后的日常生活当中啊，\n\n16:35.963 --> 16:37.713\n做好调养防治。\n\n16:37.963 --> 16:41.312\n那么祝愿大家拥有一个健康的未来。\n\n16:43.317 --> 16:46.593\n那么这就是我给大家分享的内容啊，\n\n16:46.593 --> 16:47.367\n谢谢大家。\n\n","v0347cg10004d9cp3ha7dld8oib7ri9g",1017,768,"2026-07-17 00:04:07","2026-08-06 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