通讯作者: 陈婕, chenjie_zy@126.com

DOI：10.12201/bmr.202508.00032

Based on the principle of Treating the middle jiao as balance to discuss the mechanism of action of Banxia Xingxin decoction in the treatment of functional dyspepsia

• 摘要：功能性消化不良是一种常见的胃肠道功能性疾病，中医认为该病是由脾虚气滞，胃失和降，中焦气机升降失衡所致。清代医家吴鞠通提出“治中焦如衡”这一理论，是脾胃病的治疗原则。本文从“中焦失衡”探讨了功能性消化不良的发病机制，包括升降失衡、阴阳失衡、藏泻失衡三个方面。半夏泻心汤通过辛开苦降、寒热平调及虚实兼顾来调畅气机，恢复脾胃的生理功能，与“治中焦如衡”这一理论思想一致。因此，本文基于“治中焦如衡”探讨功能性消化不良的病机及半夏泻心汤治疗功能性消化不良的作用机制，为功能性消化不良的临床研究和治疗提供更多理论依据和思路。

  关键词： 治中焦如衡; 半夏泻心汤; 功能性消化不良; 作用机制

   

  Abstract: Functional dyspepsia is a common functional disease of the gastrointestinal tract, which is believed to be caused by spleen deficiency and stagnation of qi, loss of gastric harmony, and imbalance of the elevation of qi in the middle jiao. Wu Jutong, a doctor in the Qing Dynasty, proposed the theory of “treating the middle jiao as balance” as a treatment principle for spleen and stomach diseases. This article discusses the pathogenesis of functional dyspepsia from the “middle jiao imbalance”, including the imbalance of elevation and descent, the imbalance of yin and yang, and the imbalance of zang and diarrhea. Banxia Xiexin Decoction regulates qi and restores the physiological functions of the spleen and stomach through the use of pungent, bitter and bitter remedies, the equalization of cold and heat, and the balance between deficiency and solidity, which is in line with the theoretical idea of “treating the middle jiao as balance”. Therefore, this article discusses the pathogenesis of functional dyspepsia based on the theory of “treating the middle jiao as balance” and the mechanism of action of Banxia Xiexin Decoction in treating functional dyspepsia, so as to provide more theoretical basis and ideas for the clinical research and treatment of functional dyspepsia.

  Key words: Treating middle Jiao as balance; Banxia Xiexin Decoction; Functional Dyspepsia; Mechanism of Action

  提交时间：2025-08-13

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• 序号	提交日期	编号	操作
  1	2025-06-30	10.12201/bmr.202508.00032V1	下载

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