摘要
非糜烂性胃食管反流病病位虽在食管,属胃所主,但与肝关系密切。在病名方面,古籍中无固定的病名,根据其临床症状可归为吐酸、胸痛、梅核气等范畴,这些病名皆与肝脏有关;在病因病机方面,情志失调、饮食不节等引起的肝失疏泄,或肝郁化热作酸,或气郁痰阻中焦,导致肝气犯胃是病因病机的关键;在辨证论治方面,肝胃郁热在临床中最为多见,因此,疏肝和胃是其基本原则,临床用药也多在柴胡疏肝散、左金丸、四逆散等古方基础上加减,或在自拟方基础上加以疏肝解郁清热药物。
Non-erosive gastroesophageal reflux disease is the main body of the stomach, but is closely related to the liver. In terms of disease name, there is no fixed disease name in ancient books. According to its clinical symptoms, it can be classified into the category of vomiting acid, chest pain and may nuclear gas, all of which are related to the liver. In the etiology and pathogenesis, the losing of liver caused by dissonance, improper diet, etc., produces acid, or qi obstruction, leading to liver qi damaged stomach, which is the key of pathogenesis. In syndrome differentiation and treatment, liver stomach heat is common in clinic, therefore, the liver and stomach is the basic principle of clinical medication use. Based on the viewpoints, Chaihu Shugan San, Zuojin Wan or Sini San are used in clinical. And the medicine of soothe the liver and relieve depression and clear the heat was used on the basis of self-formulated prescription.
作者
徐亭亭
朱生樑
XU Tingting;ZHU Shengliang(Yueyang Hospital of Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China;Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)
出处
《长春中医药大学学报》
2018年第3期480-482,共3页
Journal of Changchun University of Chinese Medicine
基金
上海市科委课题"疏肝和胃方联合雷贝拉唑治疗难治性胃食管反流病的多中心临床研究"(13401902801)
关键词
非糜烂性胃食管反流病
从肝论治
病因病机
辨证论治
non-erosive gastroesophageal reflux disease
treating from liver
etiology and pathogenesis
treatment based on syndrome differentiation
