从五脏病相关理论浅谈从肝论治胃食管反流病体会  

Experience of Treating Gastroesophageal Reflux Disease from Liver Based on the Theory of Five Internal Organs

作　　者：张李 ZHANG Li(Department of Gastroenterology of Chengdu Pidu District Hospital of Traditional Chinese Medicine,Chengdu 611730,China)

机构地区：[1]成都市郫都区中医医院消化科,四川成都611730

出　　处：《基层中医药》2022年第4期12-15,共4页Basic Traditional Chinese Medicine

摘　　要：胃食管反流病包括非糜烂性反流病、康烂性食管炎和Barrett食管,中医对其治疗具有独特优势。多数医家认为胃失和降、胃气上逆为本病基本病机,病位主要在食管和胃,与肝、胆、脾关系密切。但是笔者在多年临床实践中发现从肝而论,肝木克土、木火刑金、肝火扰心、肝病及肾亦为本病常见病机。本文从中医病因病机、辨证论治等方面介绍了胃食管反流病从肝及五脏论治的思路概要。Gastroesophageal reflux disease(GERD)includes non-erosive reflux disease(NERD),erosive esophagitis(EE),and Barrett5 s esophagus(BE).Traditional Chinese medicine(TCM)has unique advantages in the treatment of GERD.Most doctors of TCM believe that the disorder and inversion of stomach qi are the basic pathogenesis of GERD.The main disease locations are esophagus and stomach,closely related to liver,gallbladder,and spleen.However,the author summarized from years of clinical practice that liver-wood restricted spleen-earth,liver-fire attacked lung and disturbed heart,and thus liver disease affected kidney,which were also common pathogenesis of GERD.This paper introduced the thoughts of treating GERD from liver and the theory of five internal organs based on the pathogenesis of TCM and dialectical treatment.

关 键 词：胃食管反流病 中医药治疗 肝论治 

分 类 号：R57[医药卫生—消化系统]