名中医张雅丽治疗肝郁脾虚型胃痞病经验浅析
A Preliminary Analysis of the Experience of Renowned Traditional Chinese Medicine Practitioner Zhang Yali in Treating Epigastric Fullness Due to Liver Depression and Spleen Deficiency

张雅丽教授在胃痞病的治疗上从肝郁脾虚的视角出发，剖析其病因病机，认为胃痞病是以脾胃虚弱为本，肝气郁滞为标，根本病机在于脾胃功能失调，升降失司，气机壅塞。在治疗时，张雅丽教授以调和肝脾、调畅气机为核心治法，自创“消痞方”作为胃痞病治疗的常用方，并依据患者症状灵活加减。临床施治中，张雅丽教授强调辨病先于辩证，结合饮食禁忌、情志调畅、烟酒禁忌作为基本治疗手段，以常衡变，疗效显著。
Professor Zhang Yali, in her treatment of epigastric fullness (gastric distension syndrome), approaches the condition from the perspective of liver qi stagnation and spleen deficiency. She analyzes the etiology and pathogenesis of the disease, proposing that the fundamental mechanism lies in the dysfunction of the spleen and stomach, with impaired ascending and descending functions and obstructed qi movement. In treatment, Professor Zhang emphasizes harmonizing the liver and spleen and regulating qi movement as the core therapeutic principles. She has developed a proprietary formula, “Xiaopi Decoction”, for the treatment of epigastric fullness, which can be modified according to the patient’s specific symptoms. In clinical practice, Professor Zhang stresses the importance of disease identification before syndrome differentiation, integrating dietary restrictions, emotional regulation, and avoidance of smoking and alcohol as basic therapeutic measures. By maintaining a balanced approach and adapting to changes, she has achieved significant therapeutic outcomes.