王樟连治疗难治性胃食管反流病经验介绍  

Experience of WANG Zhanglian in Treating Refractory Gastroesophageal Reflux Disease

作　　者：詹明洁[1] 陈利芳[1] 王靖云 闫岩 王佳凌 王樟连(指导)[1] ZHAN Mingjie;CHEN Lifang;WANG Jingyun;YAN Yan;WANG Jialing;WANG Zhanglian

机构地区：[1]浙江中医药大学附属第三医院,浙江杭州310009 [2]杭州张同泰中医门诊部,浙江杭州310005 [3]浙江中医药大学,浙江杭州310053

出　　处：《新中医》2023年第12期208-212,共5页New Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承人项目(国中医药办人教函[2022]76号);王樟连全国名老中医药专家传承工作室建设项目(国中医药办人教函[2022]75号)。

摘　　要：介绍王樟连教授治疗难治性胃食管反流病的临床经验。王樟连教授认为,难治性胃食管反流病的基本病机为肝郁脾虚、胃失和降。故临证采用调和肝脾、清降逆气的基本原则进行辨证施治,拟定“治酸四穴”,即鸠尾、中脘、膻中、内关为主穴进行针刺治疗,随症加用曲池、液门、足三里、丰隆、阳陵泉、太冲、内庭等穴,可获即刻效应及远期疗效。This paper introduces the clinical experience of Professor WANG Zhanglian in treating refractory gastroesophageal reflux disease.Professor WANG Zhanglian believes that the basic pathogenesis of refractory gastroesophageal reflux disease are stomach failing to harmonize and descend,and liver constraint and spleen deficiency.Therefore,in clinical practice,the basic principles of regulating and harmonizing liver,and clearing and directing counterflow qi downward and spleen are used for treatment based on syndrome differentiation.The“four points for acid treatment”are proposed,namely,Jiuwei(CV 15),Zhongwan(CV 12),Tanzhong(CV 17),and Neiguan(PC 6)points,for acupuncture treatment,with the addition of Quchi(LI 11),Yemen(TE 2),Zusanli(ST 36),Fenglong(ST 40),Yanglingquan(GB 34),Taichong(LR 3),and Neiting(ST 44)points,and then the immediate and long-term effects can be achieved.

关 键 词：难治性胃食管反流病 调和肝脾 清降逆气 针刺 治酸四穴 鸠尾 王樟连 

分 类 号：R249[医药卫生—中医临床基础]