朱生樑辨治难治性胃食管反流病经验撷英  

Zhu Shengliang’s experience in treatment of refractory gastroesophageal reflux disease

作　　者：王高峰[1] 朱生樑[2] WANG Gaofeng;ZHU Shengliang(Inheritance Studio of Master of Traditional Chinese Medicine,Kunshan Hospital of Traditional Chinese Medicine,Jiangsu Province,Suzhou 215300,China;Department of Gastroenterology,Yueyang integrated Chinese and Western Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]江苏省昆山市中医院国医大师传承工作室,江苏苏州215300 [2]上海中医药大学附属岳阳中西医结合医院消化科,上海200437

出　　处：《上海中医药杂志》2020年第1期30-32,共3页Shanghai Journal of Traditional Chinese Medicine

摘　　要：介绍朱生樑教授辨治难治性胃食管反流病的经验。认为难治性胃食管反流病的辨证难点在于涉及多个脏腑,病程中又易形成内生之邪,相似证候、性质不同的病机常复合存在。提出立足主要矛盾、明辨脏腑自身及相似脏腑病机变化的特点、厘清虚实权重的辨证思路,在脏腑辨证结合气血津液辨证的基础上立法处方。并附验案2则。This paper introduces Zhu Shengliang’s experience in the treatment of refractory gastroesophageal reflux disease.It is considered that the difficulty of syndrome differentiation of the refractory gastroesophageal reflux disease lies in involving multiple Zang-fu organs,forming endogenous pathogens easily during the course of the disease,and the pathogenesis with similar symptoms and different natures often exist in combination.Based on the main contradictions,the paper proposes the dialectical thinking of distinguishing the characteristics of the pathogenesis of Zang-fu organs and the similar Zang-fu organs,clarifying the weight of deficiency and excess,and establishes therapeutic principles and makes up prescriptions on the basis of syndrome differentiation of Zang-fu organs combined with syndrome differentiation of qi,blood and body fluid.And two proven cases are presented.

关 键 词：难治性胃食管反流病 中医药疗法 辨治思路 审证求因 名医经验 朱生樑 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]