基于五脏相关论治难治性胃食管反流病  

Treatment of refractory gastroesophageal reflux disease based on the theory of five zang organs correlation

作　　者：韩一凡 周正华[1,2] 王威 HAN Yifan;ZHOU Zhenghua;WANG Wei(The First Hospital of Tianjin University of Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床医学研究中心,天津300381

出　　处：《湖南中医药大学学报》2023年第10期1868-1871,共4页Journal of Hunan University of Chinese Medicine

基　　金：国家重点研发计划项目(2019YFC1709604)。

摘　　要：难治性胃食管反流病成因繁多,临床上仅以常规方法从胃和食管论治本病,难收佳效。五脏相关是中医学整体观念的重要内容。基于五脏相关理论,从脾、肺、肝、肾、心辨治出发,分析各脏与难治性胃食管反流病病机的关系,基于建中理脾、宣降肺气、抑木扶土、温阳益肾、益火养心的原则,指导难治性胃食管反流病的临床治疗,常可速达病所,祛除顽疾,可为临床诊疗提供借鉴。并附验案1则加以阐明。There are various causes of refractory gastroesophageal reflux disease(RGERD),and it is thus difficult to treat with good results by the routine way,which treats the disease only from the stomach and esophagus.The five zang organs correlation theory is an important part of the holistic concept in Chinese medicine.From the perspective of the five zang organs correlation theory,this paper has started from differentiating and treating the spleen,lung,liver,kidney,and heart,and has analyzed the relationship between each zang organ and the pathogenesis of RGERD.Furthermore,it has applied the principles of strenthening and regulating the spleen qi,diffusing and downbearing lung qi,repressing wood and reinforcing earth,warming yang and tonifying kidney,and supplementing fire and nourishing heart to guide the clinical treatment.To sum up,these can obtain good efficacy and can provide reference for clinical diagnosis and treatment of RGERD.A medical record is also attached to illustrate.

关 键 词：五脏相关 难治性胃食管反流病 脏腑辨治 建中理脾 宣降肺气 抑木扶土 温阳益肾 益火养心 

分 类 号：R256.3[医药卫生—中医内科学]