国医大师李佃贵基于“五志过极”辨治胃食管反流病  

Treatment of gastroesophageal reflux disease based on the theory of“five excessive emotions”by master of traditional Chinese medicine LI Diangui

作　　者：刘秋华 李晓静 马益彬 李泽 才艳茹 杨倩[2,3,4] LIU Qiuhua;LI Xiaojing;MA Yibin;LI Ze;CAI Yanru;YANG Qian(Hebei University of Traditional Chinese Medicine,Shijiazhuang 050091,China;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China;Hebei Key Laboratory of Turbidity Toxin Syndrome,Shijiazhuang 050011,China;Hebei Key Laboratory of Integrated Chinese and Western Medicine for Gastroenterology Research,Shijiazhuang 050011,China)

机构地区：[1]河北中医药大学,石家庄050091 [2]河北省中医院,石家庄050011 [3]河北省浊毒证重点实验室,石家庄050011 [4]河北省中西医结合胃肠病研究重点实验室,石家庄050011

出　　处：《天津中医药》2024年第8期953-956,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家中医临床研究基地建设项目(国中医药办科技函[2018]18号);国家科技部重点研发课题(2018YFC1704100);河北省自然科学基金项目(H2023423001);河北省省级科技计划(21377724D);河北省中医药管理局科研计划项目(2020080,2022032,2024010)

摘　　要：胃食管反流病是消化系统疾病中常见病之一,临床上对于该病的治疗存在很多难点,目前西医治疗该病多从抑制胃酸分泌、保护胃黏膜屏障等角度出发,短时间内能缓解症状,但仍存在复发率高等不足。中医从情志角度治疗该病效果颇佳,而“五志过极”理论是情志因素导致疾病的重要部分之一。国医大师李佃贵教授在临床上从情志角度出发治疗胃食管反流病疗效显著,认为“五志过极”是该病的重要病因。文章主要介绍国医大师基于“五志过极”理论治疗胃食管反流病的经验,总结其治疗该病的思想,以期为临床提供重要的诊疗思路。Gastroesophageal reflux disease is one of the common diseases of the digestive system,and there are many difficulties in the treatment of this disease in clinical practice.Currently western medicine treatment of this disease is mainly from the perspective of inhibiting gastric acid secretion and protecting gastric mucosal barrier,which can relieve symptoms in a short time,but there are still shortcomings such as high recurrence rate.Traditional Chinese medicine is quite effective in treating this disease from the perspective of emotion,and the theory of“five extremes”is one of the important parts of the disease caused by emotional factors.Professor LI Diangui,a master of traditional Chinese medicine,has a remarkable clinical effect in the treatment of gastroesophageal reflux disease from the perspective of emotion,and believes that“five extremes”is an important cause of this disease.This article mainly introduces the experience of the master of traditional Chinese medicine in the treatment of gastroesophageal reflux disease based on the theory of“five aspirations and excess”,and summarizes his thoughts on the treatment of this disease,in order to provide important diagnosis and treatment ideas for the clinical treatment of this disease.

关 键 词：胃食管反流病 五志过极 李佃贵 经验 

分 类 号：R571[医药卫生—消化系统]