王小奇基于六郁理论治疗难治性反流性食管炎经验介绍  

Introduction of WANG Xiaoqi's Experience in Treating Refractory Reflux Esophagitis Based on Six Constraints Theory

作　　者：王耀东 邵璐 魏霞 徐灿琪 杨强 沈鼎 王小奇(指导)[2] WANG Yaodong;SHAO Lu;WEI Xia;XU Canqi;YANG Qiang;SHEN Ding;WANG Xiaoqi(Department of Spleen and Stomach Diseases,Hangzhou Dingqiao Hospital,Hangzhou Zhejiang 310005,China;Department of Spleen and Stomach Diseases,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou Zhejiang 310007,China;School of Life Sciences,Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China)

机构地区：[1]杭州市丁桥医院脾胃病科,浙江杭州310005 [2]杭州市中医院脾胃病科,浙江杭州310007 [3]浙江中医药大学生命科学学院,浙江杭州310053

出　　处：《新中医》2024年第22期205-208,共4页New Chinese Medicine

摘　　要：介绍王小奇主任医师治疗难治性反流性食管炎的临床经验。王小奇认为难治性反流性食管炎属中医吐酸疾病范畴,强调肝气郁滞为当代吐酸病之核心病机,肝气郁滞既可横逆犯胃,直接影响胃气通降功能,又能变生热(火)郁、痰(湿)郁、食郁、血郁,加重胃气上逆,故以六郁理论为基础,提出理气为本、兼顾他郁、和胃为旨的总治则。理气为本重在疏肝理气,兼顾他郁则遵循热(火)郁者清热泻火,痰(湿)郁者化痰祛湿,食郁者消食和胃,血郁者行气化瘀的原则对症治疗,和胃为旨则是通过配合抑酸降逆药物达到治疗的最终目标。This is an introduction to the clinical experience of Chief Physician WANG Xiaoqi in treating refractory reflux esophagitis.WANG Xiaoqi believes that refractory reflux esophagitis falls under the category of acid regurgitation in Chinese medicine,emphasizing that liver qi constraint and stagnation is the core pathogenesis of contemporary acid regurgitation disease.Liver qi constraint and stagnation can both invade the stomach horizontally,directly affecting the stomach qi's function of descending,and can also transform into heat(fire)stagnation,phlegm(dampness)stagnation,food stagnation,and blood stagnation,exacerbating the upward reversal of stomach qi.Therefore,based on six constraints theory,he proposes the overall treatment principle of regulating qi as the foundation,considering other stagnations,and harmonizing the stomach as the goal.Regulating qi as the foundation focuses on soothing the liver and regulating qi,while considering other stagnations follows the principles of clearing heat and draining fire for heat(fire)stagnation,dissolving phlegm and dispelling dampness for phlegm(dampness)stagnation,promoting digestion and harmonizing the stomach for food stagnation,and moving qi and resolving stasis for blood stagnation.Harmonizing the stomach as the goal is achieved by combining acid-suppressing and downward-reversing drugs to reach the final treatment goal.

关 键 词：难治性反流性食管炎 吐酸 肝气郁滞 胃气上逆 六郁理论 王小奇 

分 类 号：R249[医药卫生—中医临床基础]