摘要
胃食管反流病(GERD)是消化科常见病和多发病,是一种消化道动力障碍性疾病。该病有三种类型:反流病性食管病(NERD)、反流性食管炎(RE)和巴雷特食管,严重者还可导致食管狭窄、食管腺癌等。发病有逐渐增加的趋势,且趋于年轻化的患者逐渐增多。西医主要以口服PPI、胃肠动力药、胃黏膜保护剂联合应用对症治疗,但存在效果欠佳,复发率高,药物副反应大、患者花费较高等弊端,难以从根本上解决反流问题。查阅文献及临床研究发现中药治疗GERD疗效显著,临床要求和接受中医药治疗的人群逐渐增多。文献研究多从脾胃肝胆论治本病,以调畅气机、和胃降逆为主要治法。本文从中医脏腑八纲(气、血、阴、阳、寒、热、虚、实)辨证理论探讨胃食管反流病的病因病机,认为在中医脏腑八纲辨证理论指导下,在辨证准确的前提下,治疗该病在疏肝解郁、健脾益气、和胃降逆的基础上需兼顾脏腑气血阴阳的平衡,祛邪实的同时适时补正虚,最终以恢复脏腑功能正常为本而治愈胃食管反流病;同时结合向患者广泛宣教中医养生思想,让患者了解本病的发生、转归,自觉自愿主动的改变不良生活习惯,才能从根本治愈胃食管反流病,并防止其反复发作,以期为临床治疗该病提供思路和方法。
Gastroesophageal reflux disease(GERD)is a common and frequently occurring disease in the digestive department.It is a kind of digestive tract dyskinesia.There are three kinds of diseases:reflux esophagitis,NERD,reflux esophagitis(RE)and Barrett's esophagus.Severe cases can also lead to esophageal stenosis,esophageal adenocarcinoma and so on.The incidence of disease has gradually increased,and the trend of younger patients gradually increased.Western medicine mainly used oral PPI,gastrointestinal motility drugs,gastric mucosal protective agents combined symptomatic treatment,but there are some problems such as poor effect,high recurrence rate,large side effects and high cost of patients,so it is difficult to fundamentally solve the problem of reflux.Literature and clinical studies have found that Chinese medicine has a significant effect on the treatment of GERD,and the number of people with clinical requirements and traditional Chinese medicine is gradually increasing.The literature research is mainly from the spleen and stomach liver and gallbladder on the treatment of the disease.This paper from the eight classes of TCM(Qi,blood,yin and Yang,cold,heat,deficiency and excess)dialectical theory to explore the etiology and pathogenesis of gastroesophageal reflux disease in traditional Chinese medicine,that eight classes under the guidance of dialectical theory,based on dialectical accurate,the basic treatment of the disease in the liver qi stagnation,spleen qi,Heweijiangni on the need to balance between Qi and blood,yin and Yang,and timely correction of virtual reality Quxie,eventually to restore the normal function of organs for the cure of gastroesophageal reflux disease;combined with TCM widely thought education to the patients,so that patients understand the occurrence of the disease,the change of active,willing bad habits,can fundamentally cure gastroesophageal reflux disease,and prevent the repeated attacks,in order to provide ideas and methods for the clinical treatment of the disease.
作者
赵智宏
徐杰
ZHAO Zhihong;XU Jie(The Department of Spleen and Stomach Disease, Fourth Affiliated Hospital of Xinjiang Medical University ,Urumqi 830002)
出处
《陕西中医》
2019年第4期515-518,共4页
Shaanxi Journal of Traditional Chinese Medicine
关键词
中医理论
脏腑八纲辨证
胃食管反流病
病机
治疗
Traditional Chinese medicine theory
Zang Fu eight class dialectics
Gastroesophageal reflux disease
Pathogenesis
Treatment
