摘要
胃食管反流病(GERD)是指胃、十二指肠内容物反流进入食管,从而引起以反酸、烧心为主要临床表现的消化系统疾病。中医学认为GERD的发生与发展与少阳枢机不利密切相关,少阳经位于半表半里,是人体气机升降的枢纽,少阳枢机不利可引起气机失调、湿浊内生、相火妄动,从而出现反流等相关症状。笔者基于“少阳为枢”理论,提出调节少阳枢机治疗GERD的思路,采用调畅气机、祛湿化浊、清泻相火等治则,并以小柴胡汤、蒿芩清胆汤、大柴胡汤等代表方随证加减,效果显著。
Gastroesophageal reflux disease(GERD)is a digestive disorder in which the contents of the stomach and duodenum reflux into the esophagus,causing acid reflux and heartburn as the main clinical manifestations.In traditional Chinese medicine(TCM),the occurrence and development of GERD are closely related to dysfunction of the Shaoyang pivot.The Shaoyang meridian,located between the half-exterior and half-interior,serves as the pivotal point for the rise and fall of qi in the human body.Dysfunction of the Shaoyang pivot can lead to qi imbalance,generation of internal dampness and turbidity,and hyperactivity of the ministerial fire,resulting in reflux and related symptoms.Based on the theory of"Shaoyang as the pivot",this study proposes the treatment strategy of regulating the Shaoyang pivot,applying principles of regulating qi,eliminating dampness and turbidity,and clearing and descending ministerial fire.Representative formulas such as Xiaochaihu Decoction,Haoqin Qingdan Decoction,and Dachaihu Decoction are modified according to symptoms,achieving significant therapeutic effects.
作者
刘畅
田依冰
温艳东
LIU Chang;TIAN Yibing;WEN Yandong(Department of Gastroenterology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Department of Internal Medicine,Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040)
出处
《北京中医药》
2025年第10期1337-1340,共4页
Beijing Journal of Traditional Chinese Medicine
基金
中国中医科学院眼科医院高水平中医医院项目(GSP2-01,GSP3-06)。
关键词
胃食管反流病
少阳为枢
和解少阳
中医药疗法
gastroesophageal reflux disease
Shaoyang as the pivot
harmonizing Shaoyang
traditional Chinese medicine treatment
