李生财主任医师基于“治肝安胃”论治反流性食管炎  

Treatment of Reflux Esophagitis Based on Treating Liver and Calming Stomach by Chief Physician LI Shengcai

作　　者：马娜 武正权[1] 常调芳 漆利红 赵世伟 MA na;WU Zhengquan;CHANG Tiaofang;QI Lihong;ZHAO Shiwei(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃省中医院,甘肃兰州730050 [2]甘肃中医药大学,甘肃兰州730000

出　　处：《基层中医药》2023年第12期14-18,共5页Basic Traditional Chinese Medicine

基　　金：甘肃省中医药管理局科研项目(项目编号:GZK-2019-8)。

摘　　要：反流性食管炎为消化系统常见疾病之一,发病率逐年上升,现代医学利用抑酸剂、促胃动力药及黏膜保护剂等虽可改善临床症状,但长期使用副作用较明显,且停药易反复,易进展为难治性食管炎。中医学中,反流性食管炎病位在食管,但与肝、胆、脾、胃等脏腑密切相关,李生财主任医师在长期的临证过程中,从中医整体观念出发,通过辨证论治,根据肝脾的生理和病理关系,在大量的临床经验中总结出“治肝安胃”的治疗思想,在临床实践中收效显著。本文主要探讨“治肝安胃”论治反流性食管炎的理论特色及其临床应用的可靠性和有效性,为反流性食管炎提供临床诊治新思路。Reflux esophagitis(RE) is one of the common diseases of the digestive system,and its incidence is increasing year by year.Although modern medicine can improve clinical symptoms by using acid suppressors,gastric motility agents,and mucosal protective agents,long-term use brings obvious side effects,and the disease may reoccur after drug withdrawal and progress to refractory esophagitis.In traditional Chinese medicine,RE is located in the esophagus but closely related to the liver,bile,spleen,stomach,and other viscera.According to the physiological and pathological relationship of the liver and spleen,chief physician Li Shengcai,starting from the overall concept of traditional Chinese medicine,summed up the treatment idea of “treating the liver and calming the stomach” in a large number of clinical experience through syndrome differentiation and treatment,which has achieved remarkable results in clinical practice.This paper discussed the theoretical characteristics of “treating the liver and calming the stomach” in treating RE and its reliability and effectiveness in clinical application,so as to provide new ideas for clinical diagnosis and treatment of RE.

关 键 词：治肝安胃 反流性食管炎 中医药治疗 

分 类 号：R57[医药卫生—消化系统]