基于气机升降理论探讨胃食管反流病的病机及治疗  

Pathogenesis and Treatment of Gastroesophageal Reflux Disease Based on the Theory of Ascending and Descending Qi Movement

作　　者：段园志 王凤云[1] 唐旭东[1] 吕林[1] 尹晓岚 田亚欣 

机构地区：[1]中国中医科学院西苑医院,北京市海淀区西苑操场1号100091

出　　处：《中医杂志》2017年第6期470-474,共5页Journal of Traditional Chinese Medicine

基　　金：北京市科技计划课题(Z141100002214012)

摘　　要：胃食管反流病是临床常见的消化系统疾病,基于气机升降理论分别从肝气犯胃、脾胃不和、肺失肃降三个方面对该病病机进行论述。中医治疗胃食管反流病以调畅气机为核心,以和胃降逆为治则,佐以疏肝、健脾、宣肺之法,平衡脏腑间气机升降出入,使全身气机调畅,则诸症自愈。Gastroesophageal reflux disease （GERD） is common in clinic. Based on the theory of Qi we discuss its pathogenesis in three aspects： liver Qi invading the stomach, spleen-stomach disharmony failing to govern descent. Its treatment in Chinese medicine focuses on regulating Qi movement, and the principle is to harmonize the stomach and direct reflux downward. Assisted by soothing the liver, fortifying movement, , and lung therapeutic the spleen, and diffusing the lung, the Qi movement （ascending, descending, exiting and entering） among the viscera could be harmonized, thus the Qi movement all over the body could be harmonized, and all symptoms could be healed.

关 键 词：胃食管反流病 气机升降 疏肝理气 运脾和胃 肃肺降气 

分 类 号：R259[医药卫生—中西医结合]