基于“左肝右肺”探讨气机升降在胃食管反流病中的辨治意义  

Discussion of the significance of ascending and descending Qi movement for gastroesophageal reflux disease based on"left hepatic and right lung"

作　　者：罗生坪 刘石 李定祥[3] LUO Shengping;LIU Shi;LI Dingxiang(Department of Gastroenterology,First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha,410000,China;Department of Respirology,First Affiliated Hospital of Hunan University of Traditional Chinese Medicine;Hunan University of Traditional Chinese Medicine)

机构地区：[1]湖南中医药大学第一附属医院脾胃病科,长沙410000 [2]湖南中医药大学第一附属医院呼吸内科 [3]湖南中医药大学

出　　处：《中国中西医结合消化杂志》2023年第9期712-714,719,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：湖南省中医药管理局(青年资助)(No:2021165);湖南省教育厅科学研究项目重点项目(No:20A369)。

摘　　要：胃食管反流病(gastroesophageal reflux disease,GERD)是消化科常见的难治性疾病,现代医学主要通过抑酸及促进胃动力两个方面进行治疗,但症状易反复发作,严重影响患者的生活质量。中医药在治疗GERD上有着降低复发率、减少不良反应的优势。胃气上逆是GERD的基本病机,“左肝右肺”体现了肝肺气机升降的特点,一升一降,相反相成,对维持全身气机升降协调有着重要作用。本文基于“左肝右肺”理论探讨GERD的辨治,认为升降失调、气机失畅是GERD的发病关键,临证时应当运用疏肝理肺、健脾和胃、滋补肝肺诸法,恢复肝肺气机,使得气机升降协调,胃气自降。Gastroesophageal reflux disease(GERD)is a common refractory disease in gastroenterology.The mainstay of treatment of GERD is acid suppression and promoting gastrointestinal motility.However,the symptoms are prone to relapse.This has a serious effect on the life quality of patients.Traditional Chinese Medicine has the advantage of reducing the recurrence rate and adverse events in the treatment of GERD.In Chinese medicine,ascending stomach Qi is the basic pathogenesis of GERD."Left hepatic and right lung"reflect the feature of ascending and descending Qi movement of hepatic and lung.It plays an important role in maintaining the coordination of the whole body Qi up and down.This article is based on the"left hepatic and right lung"theory discusses the treatment of GERD,and believes that the disorder of liver ascending and descending the lung,and the disorder of Qi movement are the key to the pathogenesis of GERD.In clinical practice,methods such as soothing the liver and regulating the lungs,invigorating the spleen and descending the stomach,and nourishing the liver and lungs should be used to restore the Qi movement.The movement of Qi ups and downs in coordination,and the stomach qi descends automatically.

关 键 词：左肝右肺 气机升降 胃食管反流病 病机分析 

分 类 号：R473.5[医药卫生—护理学]