从五脏相关论治新冠后难治性胃食管反流病1例  

A case of refractory gastroesophageal reflux disease after COVID-19 treated from"correlation of five viscera"

作　　者：冀建斌 周正华[1,2] JI Jianbin;ZHOU Zhenghua(Department of Spleen and Stomach,the First Affifiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,300380,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion)

机构地区：[1]天津中医药大学第一附属医院脾胃科,天津300380 [2]国家中医针灸临床医学研究中心

出　　处：《中国中西医结合消化杂志》2023年第7期552-554,561,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：国家重点研发计划项目(No:2019YFC1709604)。

摘　　要：难治性胃食管反流病是临床疑难病,中西医治疗遇到瓶颈,亟需突破。挖掘中医药特色理论,在常规中医疗法基础上,以五脏相关理论为核心,在整体观指导下,五脏同治,调畅气机,在达到较好止酸效果的同时,可减少其复发,具有深远意义。本文报告的1例患者新冠后余毒不清,并发难治性胃食管反流病,病位广泛,心肺肾胃同病,临床审病因,抓病机,祛余毒扶正气,五脏整体辨证,疗效确切,以飨同道。Refractory gastroesophageal reflux disease is a clinically difficult disease, and there is a bottleneck in the treatment of Traditional Chinese and Western Medicine, which urgently needs to be overcome. Exploring the characteristic theories of Traditional Chinese Medicine, based on conventional Traditional Chinese Medicine therapy, with the relevant theories of the five viscera as the core, under the guidance of a holistic perspective, the five viscera can be treated together, regulating the Qi mechanism, achieving good acid stopping effects while reducing its recurrence, which has profound significance. In this article, after COVID-19, the residual toxin is not clear, and the refractory gastroesophageal reflux disease occurs, with a wide range of disease locations, heart, lung, kidney and stomach are the same disease, clinical examination of the cause, grasp the pathogenesis, eliminate the residual toxin and support the healthy Qi, and the overall syndrome differentiation of the five internal viscera, The therapeutic effect is definite, to benefit the same way.

关 键 词：五脏相关 难治性胃食管反流病 新冠病毒 整体辨证 

分 类 号：R473.5[医药卫生—护理学]