摘要
反流性食管炎伴抑郁状态的发病率日益增高,为脾胃科常见疾病之一。反流性食管炎伴抑郁状态的病位在少阳,主要病机为少阳枢机不利。少阳不利、中气失和,宜治以和解少阳、和胃降逆,方选小柴胡汤;少阳失转、相火妄动,宜治以调和少阳、输布相火,方选柴胡桂枝龙骨牡蛎汤;少阳郁遏、湿热弥漫,宜治以分消走泄、开利少阳,方选蒿芩清胆汤。本文从少阳为枢探析反流性食管炎伴抑郁状态的病因病机及方治,旨在为其的辨治提供新思路。
The incidence rate of reflux esophagitis with depression is increasing,which is one of the common diseases in the department of spleen and stomach.The location of reflux esophagitis with depression is in Shaoyang,and the main pathogenesis is the dysfunction of the Shaoyang axis.In terms of treatment,the main approach is to choose a formula and use a combination of tonifying and tonifying agents.Shaoyang is unfavorable and the middle qi is disharmonious.It is advisable to treat it by reconciling Shaoyang,harmonizing the stomach,and reducing adverse reactions.The prescription is Xiaochaihu decoction;If Shaoyang loses its power and the fire is in disorder,it should be treated to harmonize Shaoyang and spread the fire,and then choose Chaihu Guizhi Longgu Muli decoction;Shaoyang depression and damp heat are prevalent,and it is advisable to treat them by dividing and dissipating diarrhea,and promoting Shaoyang.The prescription is Haoqin Qingdan decoction.This article explores the etiology and pathogenesis and drugs and treatment of reflux esophagitis with depression from the perspective of Shaoyang,aiming to provide new ideas for the diagnosis and treatment of reflux esophagitis with depression.
作者
胡洋
胡素芹
罗磊
李明彦
曾朔
闫志焕
许阳
吴文涛
张勤生
HU Yang;HU Suqin;LUO Lei;LI Mingyan;ZENG Shuo;YAN Zhihuan;XU Yang;WU Wentao;ZHANG Qinsheng(Henan University of Chinese Medicine,Zhengzhou 450046,China;Henan Province Hospital of Traditional Chinese Medicine,The Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450002,China)
出处
《中医药学报》
2026年第1期6-9,共4页
Acta Chinese Medicine and Pharmacology
基金
国家自然科学基金项目(82305074)
国家中医药管理局中国中医药科技发展中心联合研究项目(CXZH202304)
河南省中医药传承与创新人才工程(仲景工程)中医药学科领军人才项目(豫卫中医函[2021]08号)
2022年度河南省重点研发与推广专项(科技攻关)支持项目(222102310240)
河南省中医药科学研究专项(2023ZY2074)。
关键词
反流性食管炎伴抑郁状态
少阳枢机
少阳不利
和解少阳
Gastroesophageal reflux disease with depressive state
Shaoyang pivot mechanism
Shaoyang dysfunction
Harmonizing the Shaoyang
