从“乱气”理论探讨难治性胃食管反流病的辨治体会  

Discussing the Experience of Syndrome Differentiation and Treatment of Refractory Gastroesophageal Reflux Disease from the Perspective of“Chaotic Qi”Theory of Chinese Medicine

作　　者：黄飞霞 邓明 裴霞 张水艳 翁庚民 HUANG Fei-xia;DENG Ming;PEI Xia;ZHANG Shui-yan;WENG Geng-min(The University of Hong Kong-Shenzhen Hospital,Guangdong Shenzhen 518053)

机构地区：[1]香港大学深圳医院,广东深圳518053

出　　处：《深圳中西医结合杂志》2022年第3期71-74,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：广东省中医药局科研项目(20202155);深圳市名中医药专家翁庚民传承工作室项目(2019年)。

摘　　要：从《黄帝内经》的“乱气”理论出发,探讨难治性胃食管反流病(RGERD)的辨治思路。RGERD的关键病机为“气机逆乱、胃失和降”,与肝气不疏、肺气失宣、脾气不升密切相关,治疗应着眼于调畅气机、通降胃浊,具体从疏肝、宣肺、升脾三方面论治,最终达到胃气和降、气机顺畅。Based on the theory of"chaotic qi"in The Yellow Emperor's Classic of Internal Medicine,this paper discusses the idea of the diagnosis and treatment of refractory gastroesophageal reflux disease(RGRED).The key pathogenesis of RGRED is inversion of qi,stomach disharmony,which is closely related to the liver qi stagnation,the loss of dispersal lung qi,and the inability of spleen qi to rise.Treatment should focus on regulating qi and removing turbidity in the stomach.Specifically,the treatment is based on three aspects,soothing the liver,dispersing the lung,and raising the spleen.In the end,the stomach qi drops and qi movement is smooth.

关 键 词：胃食管反流病 黄帝内经 乱气 

分 类 号：R573[医药卫生—消化系统]