胃痛的临床表现症状

胃痛的临床表现症状 多见急慢性胃炎，胃、十二指肠溃疡病，胃神经官能症。也见于胃粘膜脱垂、胃下垂、胰腺炎、胆囊炎及胆石症等病。如打嗝、胀气、恶心、呕吐、腹泻、胸闷等症状。由于每种疾病表现的症状不同，胸闷烧心、吐酸水、打嗝等症状。那么胃痛到底有哪些表现症状呢, 1、疼痛的位置 胃位于上腹部，胸骨下放凹陷、肚脐上方(靠近心窝处)处。如果将肚子划分为四个区域来看，左侧偏中上的部分这一区域的疼痛，最有可能是胃痛。不过，也有可能是食道、十二指肠、胆、肝或胰等疾病引起，所以还需要以疼痛的时间、伴随症状等，作为判断的准则。 2、疼痛时间 胃痛是发生在餐后或餐前?食用某些食物后?或在过饥过饱暴饮暴食等状况下发生的。由于胃不适大多与进食有很密切的关系，因此，从饮食的时间、习惯、内容、种类等作为辨别的准则，也较有准确性。 3、观察症状 胃不适伴随症状繁多，如打嗝、胀气、恶心、呕吐、腹泻、胸闷等，由于每种疾病表现的症状不同，如果伴随胸闷烧心、吐酸水、打嗝等症状，可能是食道疾病;假如伴随空腹疼痛、饱胀饿痛、打嗝具酸味、甚至吐血等症状，可能是胃溃疡，但如果打嗝、黄疸、发烧等症状，与胃可能无关，或是胆囊的问题。因此不能忽视腹痛外所伴随的各项症状。 4、到医院检查 如果情况复杂，难以判定是哪个位置不舒服及发作的时间与疼痛的性质，应马上到医院请医生帮助诊断与检查，这才是最直接且准确的方法。 家庭治疗措施 胃病治疗除了一些常规的药物治疗食疗之外，我们还可以采用中医养身保健的方法足疗进行治疗。足疗原本就是平常老百姓用来进行保健的方法，现在运用到胃病的治疗当中其效果也非常的好，能治病防病、强身健体。人体的足部是五脏六腑的投影区域，在脚部上有六十多个穴位都和人体的内脏器官有着相应的联系，所以进行足疗其实不仅能治疗胃病，还可以保健防病。目前常用的是稳迈舒运动按摩轮，由按摩轮带动的下肢整体协调运动，涉及大腿、小腿、膝关节、踝关节、脚底及脚趾等多个部位肌肉、骨骼，并重点针对足底和足侧产生按摩效果，结合穴位使用可有效治疗胃病，使用时可以针对按摩下面的几个穴位。 1、太阳神经丛 这个穴位在脚底底部，二三脚趾掌关节下面，用手取寻找这个穴位的时候，可以摸到有一个凹陷的地方。找到位置之后进行按摩，按照从下往上的方向进行按摩。 2、胃 按摩两脚大脚趾下的第一骨节部位处的凹陷位置，左右脚的按摩方向稍微有些差别，左脚应从外往内按摩，右脚则从内往外按摩。 3、肾上腺 太阳神经丛下面的最深处，用手指去寻找可以感觉有一小洞凹陷，肾上腺在脚底的位置是最深的凹陷部位，这个反射区比较难找到。在按摩的时候以一按一放的方式进行。 4、胰脏 than ? 5mm; elevation deviation was less than ? 5mm work surface height difference is not more than 3mm on the one end to the other end; wrong tooth at the joint is less than 1mm. Side rail mounting: side rail installation take each side rail on two points. During the installation process, use tensioner to adjust the side rail. Side rail hole top center within the scope of the work is less than +2~-1mm, scope of work at a 4-to-2; wrong tooth less than 1mm at the joint work surface flatness 2mm lateral curvature RADIUS is less than ? 5mm sealing plate surface distortion is less than 1mm. Reinforcement process of adjustment is completed, in order to prevent tank deformation or displacement, welded tank side of the door, then welded reinforcing side, lap length is not less than 100mm. Door installation: the lintel the installation focuses on family Center sill plane distance h is less than ? 3mm; work surface flatness of less than 2mm; combination of surface dislocation is less than 0.5mm surface distortion is less than 1.5mm. Mode with the side rail. Grid slot bi-directional gate leaf on a car lift and lower grille blade adjustment is completed with pin connection, then try connecting rod. After you check the accessories complete the fastening, hanging out the bottom opening and closing test in still water as a whole. 8.2.3 tainter and hinge installation Setup: Pivot fixed bearing installation ? orbit stitching, alignment ? arm splicing, installation connected with the headstock ? ? ? welding door leaf side connecting plates welded, water seal installation ? clean, and wipe off. 8.2.3.1 hinge installation and 胰脏的反射区在两脚脚底内侧，胃的下面，用手触摸的时候可以感觉到有一些微凸的颗粒。左右脚按摩有差，左脚从外往内按，右脚从内往外按。 5、十二指肠 十二指肠的反射区在两脚脚底内侧，胰脏反射区的下面膀胱反射区的上面，在用手摸的时候可以感到有凹陷，同样的按摩的方法是左脚从外往内按，右脚从内往外按。 6、肝胆 肝胆的位置在脚底一半的上方，和三四脚趾掌关节下方位置，在用手摸的时候可以感觉有长条的凹陷沟，这里便是胆的反射区，在按摩肝胆反射区是应从下往上按。 7、胸部淋巴腺 胸部淋巴腺是淋巴的总开关，它的位置在脚部脚背上，在大脚趾和第二脚趾之间凹陷的地方。按摩的时候从脚的外侧往脚跟方向推按。 8、上身淋巴腺 上身淋巴腺的位置在两脚脚背内侧，位于脚踝关节的上方，用手的摸的时候也有凹陷感，进行按摩的时候用从外往内按摩的方式进行。 苦辣土敷脐疗法 苦辣土渗透性强，性热，外用贴脐治疗肠胃冷痛，胀气绞痛，呕吐吞酸及食道反流，胃轻瘫，消化不良，胃动力不足，饭后饱胀及消化不良性腹泻等。 敷脐方法:苦辣土5克，加米醋揉成饼状加热，贴神厥穴(肚脐)，外用胶布固定。24小时更换一次，7-10天一疗程。[5] 缓解措施 胃痛发作时，可以吃酵母粉、苏打饼干，因为它们是碱性的，可以中和引发胃痛的胃酸。 缓解胃痛的小方法: 1、吃点东西。胃痛常常是因为饥饿产生的，这个时候如果有软质食物的话，吃一点，比如面包、饼干等是很管用的，但不要喝牛奶，也不要吃硬的东西。平时可以买些苏打饼干放在办公桌里，以备不时之需。 2、放松腹部。胃痛的时候，尽量把皮带松开，这样可以保障胃气流通顺畅，让腹部舒服一点。经常胃痛的人，平常尽量穿舒适宽松的衣服，以避免腹部受压。 3、给点温暖。胃寒的人常常是因为受了冷的食物的刺激而发作的，这个时候喝点热水，或是用热水袋敷一会儿胃部，效果也是比较明显的。 4、调整睡姿。对于持久在晚上发生胃酸逆流的人来说，最好采取右侧在上、左侧在下的睡姿，同时把头部垫高，这样就可避免胃酸逆流。 治疗原则 治疗胃痛，首应辨其疼痛的虚、实、寒、热性质及病在气在血，然后审证求因，给予恰当的三伏贴治疗。大抵新病暴痛，痛势急迫而痛处拒按者多属实证;久病痛缓，病势绵绵而痛处喜按者，多属虚证;寒证疼痛，喜温熨热饮，遇寒则疼增;热症疼痛，喜凉畏冷饮，遇热则痛剧;以胀痛为主，或痛引胸胁，疼痛每因情志变化而增减,此多为气滞;痛处固定不移，多为刺痛者，常属久病血瘀;若烦热似饥，舌红无苔或少津者，多属胃阴不足之证。 胃痛的治法，古虽有“通则不痛”的原则,但决不限于“通”之一法，临证之时，应运用四诊八纲，详加审察，根据病者的不同情况，确立恰当的治疗方法。 肝气犯胃 than ? 5mm; elevation deviation was less than ? 5mm work surface height difference is not more than 3mm on the one end to the other end; wrong tooth at the joint is less than 1mm. Side rail mounting: side rail installation take each side rail on two points. During the installation process, use tensioner to adjust the side rail. Side rail hole top center within the scope of the work is less than +2~-1mm, scope of work at a 4-to-2; wrong tooth less than 1mm at the joint work surface flatness 2mm lateral curvature RADIUS is less than ? 5mm sealing plate surface distortion is less than 1mm. Reinforcement process of adjustment is completed, in order to prevent tank deformation or displacement, welded tank side of the door, then welded reinforcing side, lap length is not less than 100mm. Door installation: the lintel the installation focuses on family Center sill plane distance h is less than ? 3mm; work surface flatness of less than 2mm; combination of surface dislocation is less than 0.5mm surface distortion is less than 1.5mm. Mode with the side rail. Grid slot bi-directional gate leaf on a car lift and lower grille blade adjustment is completed with pin connection, then try connecting rod. After you check the accessories complete the fastening, hanging out the bottom opening and closing test in still water as a whole. 8.2.3 tainter and hinge installation Setup: Pivot fixed bearing installation ? orbit stitching, alignment ? arm splicing, installation connected with the headstock ? ? ? welding door leaf side connecting plates welded, water seal installation ? clean, and wipe off. 8.2.3.1 hinge installation and 本证按其不同情况，可分为气滞、火郁、血瘀三种类型。 (1)气滞 主证胃脘胀满，痛引两胁，嗳气频繁，噫气或失气后疼痛稍减，舌苔薄白，脉沉弦。 分析情志不畅，气郁不舒，肝气横逆犯胃，胃失和降而疼痛;气病多游走，胁为肝之分野，故痛引两胁;胃气上逆故嗳气频繁，噫气失气后，气逆暂缓，故疼痛亦稍减，苔白，脉沉弦为肝郁之象。 治则疏肝理气，和胃止痛。 选穴肝俞、脾俞、胃俞、中脘、梁门、章门、手三里、足三里。可重用按揉背腰镇痛法，晃拨俞穴行气法，捏拿背肌理气法与推揉腹部和中法。 若痛甚而噫气呕恶者，可同取双内关、双内庭、以利气止痛;如泛呕酸水，时时嘈杂;且肝胆互为表里，肝热则胆火上乘，故见口干而苦;苔黄脉弦数乃肝胃郁热所致。 治则疏肝、泄热和胃。 选穴肝俞、胃俞、三焦俞、大肠俞、章门、手三里、足三里。可重用按揉背腰镇痛法，提拿捏背助运法，按揉腹部消积法，揉压阳阴清热法，加用推揉胸胁疏肝法(见发热)。 痛甚者，可用拇、食指分别捏拿两侧血海、梁丘、如痛已缓和，肝脾未调，可用双手拇指对揉、对压两侧三焦俞，单拇指按揉中脘，以调理三焦。 (3)血瘀 主证痛有定处而拒按，多为刺痛，食后更甚，或见吐血便黑，甚则舌紫，脉涩。 分析久痛入络，络脉损伤，故吐血便黑;瘀血为有形之物，故痛有定处而拒按;食与瘀并，故食后痛剧;瘀血阻滞血行不畅故舌紫、脉涩。 治则活血化瘀，通络止痛。 选穴肝俞、脾俞、胃俞、章门、内关、劳宫、梁丘、内庭。重用按揉背腰镇痛法，晃拨俞穴行气法，捏拿背肌理气法，擦摩上腹散寒法;配用揉压阳明清热法，加用远端诱导止痛法(双拇指同取两侧内关、劳宫、梁丘、内庭)。 如呕血便血不止，以药物治疗为主，待病情稳定后，方可施术手法。 病邪阻滞 (1)饮食阻滞 主证胃脘胀痛，嗳腐，厌食或呕吐，吐后痛减，舌苔厚腻，脉滑实。 分析食停胃中，传化失常，故胃脘痛胀;饮食停滞，胃气不降而反上逆，故嗳腐或呕吐;吐后积滞去而痛减;食浊熏蒸故苔厚腻;胃气与宿食相搏，故脉滑实有力。 治则消食导滞。 选穴脾俞、三焦俞、梁门、天枢、手三里、足三里。可重用提拿捏脊健运法，按揉腹部消积法，拿揉抖颤导滞法，配用按压背腰镇痛法与揉压阳明清热法。 胀痛甚者，可双拇指同按双侧天枢，以行气导滞;食滞化热，可晃拨两侧大肠俞。 (2)寒伤胃阳 主证因受凉饮冷而胃痛暴作，痛势较剧，喜温熨热饮，泛吐清水，或有恶寒发热，苔白脉紧。 分析突受寒邪，胃中阳气不得宣通，正邪交争，故胃痛暴作;恶寒发热，苔白为寒邪外袭所致;脉紧主寒主痛。 治则温胃散寒止痛。 than ? 5mm; elevation deviation was less than ? 5mm work surface height difference is not more than 3mm on the one end to the other end; wrong tooth at the joint is less than 1mm. Side rail mounting: side rail installation take each side rail on two points. During the installation process, use tensioner to adjust the side rail. Side rail hole top center within the scope of the work is less than +2~-1mm, scope of work at a 4-to-2; wrong tooth less than 1mm at the joint work surface flatness 2mm lateral curvature RADIUS is less than ? 5mm sealing plate surface distortion is less than 1mm. Reinforcement process of adjustment is completed, in order to prevent tank deformation or displacement, welded tank side of the door, then welded reinforcing side, lap length is not less than 100mm. Door installation: the lintel the installation focuses on family Center sill plane distance h is less than ? 3mm; work surface flatness of less than 2mm; combination of surface dislocation is less than 0.5mm surface distortion is less than 1.5mm. Mode with the side rail. Grid slot bi-directional gate leaf on a car lift and lower grille blade adjustment is completed with pin connection, then try connecting rod. After you check the accessories complete the fastening, hanging out the bottom opening and closing test in still water as a whole. 8.2.3 tainter and hinge installation Setup: Pivot fixed bearing installation ? orbit stitching, alignment ? arm splicing, installation connected with the headstock ? ? ? welding door leaf side connecting plates welded, water seal installation ? clean, and wipe off. 8.2.3.1 hinge installation and 选穴胃俞、脾俞、中脘、梁丘、内庭。可重用按揉背腰镇痛法，捏拿背肌利气法，搓擦胃俞温中法，推揉腹部和中法。配用提拿捏背健运法与擦摩上腹三寒法。 脾胃虚弱 (1)脾胃虚寒 主证胃痛隐隐，泛吐清水，喜暖喜按，神疲乏力，四肢欠温，舌淡苔白，脉细缓无力。 分析脾胃虚弱，寒气凝滞，故胃痛隐隐;中阳不运，水饮停聚，故痛不甚而珐吐清水，喜暖喜按;脾阳虚故四肢欠温，神疲乏力，舌淡、脉细缓无力。 治则温脾健胃。 选穴肝俞、脾俞、三焦俞、梁门、中脘、章门、手三里、足三里。除拿揉抖颤导滞法和揉压阳明清热法不易使用，以上基本手法均可使用。 痛发之时，可拿搓胃俞，双拇指同按梁门，以温中止痛，痛止后，可按基本手法施术。如脾胃虚寒，而肝有郁热，除胃痛外，尚见泛铉呕吐，时觉饥嘈，食则不舒，四肢欠温，舌边红绛，苔白中黄，脉弦细者，可用双拇指同取双章门、立拳滚上腹部寒热并投，肝胃同治。 (2)胃阴不足 胃痛隐隐，心烦嘈杂，口干欲饮，大便干燥，苔少或剥脱，舌光红少津，脉主证 细微数。 分析胃阴不足，胃络失养故胃痛隐隐;阴虚生内热，故心烦嘈杂，口干欲饮，大便干燥;舌红少津，苔花剥，脉细微数皆为胃阴不足之征象。 缓解胃痛的姿势 跪姿前倾 双膝跪地，从膝盖到脚趾都要接触到地面，上半身保持直立，双手自然下垂。缓慢坐下，直到体重完全压在脚踝上，双手自然放在膝上，保持正常呼吸。保持该姿势约30秒，放松后再将上半身向前倾。重复做3,5次。该动作有助于消除胀气、胃肠综合征(如胃肠痉挛、腹泻等)，还可强化大腿肌肉。 伏地挺身 俯卧(趴在床或地板上)，全身放松，前额触碰地面，双腿伸直，双手弯曲与肩平放，手肘靠近身体，掌心向下。 双手支撑，抬起头、胸部，双腿仍接触地面，直到感觉胸腹完全展开。保持该姿势约10秒钟。重复做3,5次。这能消除胀气、解除便秘、锻炼背肌，对脊椎矫正有一定的帮助。 站立弯膝 双脚分开与肩同宽站立，双手轻放膝上，身体微向前弯。深吸一口气，吐气时缓慢收缩腹部肌肉，让腹部肌肉呈凹陷状，但不要勉强用力，否则会感到不舒服。保持该姿势5,20秒，不要憋气，然后顺势将肺部气体排出，放松肌肉。重复4,7次。这个动作对缓解消化不良与便秘很有帮助。 瑜伽饮食疗法 可选用如下食疗药膳: 1(莲子粥:莲子30克，大米100克。按常法煮粥，每天使用，连续服1个月。适用于脾胃虚弱者食用。 2(银耳红枣粥:银耳20克，红枣10克，糯米150克。按常法煮粥。适用于脾胃虚弱导致的胃痛患者。 3(莼菜羹:蒓菜250克，冬笋25克，香菇20克，榨菜丝15克，将莼菜洗净切than ? 5mm; elevation deviation was less than ? 5mm work surface height difference is not more than 3mm on the one end to the other end; wrong tooth at the joint is less than 1mm. Side rail mounting: side rail installation take each side rail on two points. During the installation process, use tensioner to adjust the side rail. Side rail hole top center within the scope of the work is less than +2~-1mm, scope of work at a 4-to-2; wrong tooth less than 1mm at the joint work surface flatness 2mm lateral curvature RADIUS is less than ? 5mm sealing plate surface distortion is less than 1mm. Reinforcement process of adjustment is completed, in order to prevent tank deformation or displacement, welded tank side of the door, then welded reinforcing side, lap length is not less than 100mm. Door installation: the lintel the installation focuses on family Center sill plane distance h is less than ? 3mm; work surface flatness of less than 2mm; combination of surface dislocation is less than 0.5mm surface distortion is less than 1.5mm. Mode with the side rail. Grid slot bi-directional gate leaf on a car lift and lower grille blade adjustment is completed with pin connection, then try connecting rod. After you check the accessories complete the fastening, hanging out the bottom opening and closing test in still water as a whole. 8.2.3 tainter and hinge installation Setup: Pivot fixed bearing installation ? orbit stitching, alignment ? arm splicing, installation connected with the headstock ? ? ? welding door leaf side connecting plates welded, water seal installation ? clean, and wipe off. 8.2.3.1 hinge installation and 段;冬笋、香菇、榨菜分别切丝;锅中放入鲜汤，烧沸加入冬笋丝、香菇丝、榨 菜丝，同煮至沸，再加入莼菜，汤沸后加盐，出锅后淋上麻油即成。此羹鲜美清 淡，具有止呕止痢、消除解毒的功效，可用于胃及十二指肠溃疡、胃痛、呕吐、 高血压等病症的辅助食疗。 than ? 5mm; elevation deviation was less than ? 5mm work surface height difference is not more than 3mm on the one end to the other end; wrong tooth at the joint is less than 1mm. Side rail mounting: side rail installation take each side rail on two points. During the installation process, use tensioner to adjust the side rail. Side rail hole top center within the scope of the work is less than +2~-1mm, scope of work at a 4-to-2; wrong tooth less than 1mm at the joint work surface flatness 2mm lateral curvature RADIUS is less than ? 5mm sealing plate surface distortion is less than 1mm. Reinforcement process of adjustment is completed, in order to prevent tank deformation or displacement, welded tank side of the door, then welded reinforcing side, lap length is not less than 100mm. Door installation: the lintel the installation focuses on family Center sill plane distance h is less than ? 3mm; work surface flatness of less than 2mm; combination of surface dislocation is less than 0.5mm surface distortion is less than 1.5mm. Mode with the side rail. Grid slot bi-directional gate leaf on a car lift and lower grille blade adjustment is completed with pin connection, then try connecting rod. After you check the accessories complete the fastening, hanging out the bottom opening and closing test in still water as a whole. 8.2.3 tainter and hinge installation Setup: Pivot fixed bearing installation ? orbit stitching, alignment ? arm splicing, installation connected with the headstock ? ? ? welding door leaf side connecting plates welded, water seal installation ? clean, and wipe off. 8.2.3.1 hinge installation and