刘万里教授从解郁通降论治难治性胃食管反流病经验撷菁  

Professor LIU Wanli's experience in treating refractory gastroesophageal reflux disease through the theory of relieving depression and lowering stomach Qi

作　　者：苏坤涵 刘万里 SU Kunhan;LIU Wanli(Department of Gastroenterology,Nanjing Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing,210014,China;Department of Gastroenterology,Nanjing First Hospital,Nanjing Medical University)

机构地区：[1]南京市中西医结合医院消化内科,南京210014 [2]南京医科大学附属南京医院(南京市第一医院)消化内科

出　　处：《中国中西医结合消化杂志》2025年第3期287-290,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：江苏省中西医结合学会青年科技人才托举工程(No:JSZXTJ-2024-B03);南京市卫生科技发展专项资金项目(No:YKK21193)。

摘　　要：难治性胃食管反流病是临床疑难病,单纯西药抑酸治疗难收佳效,抗反流治疗的失效是该病难治、难愈的重要原因。该病以胃失和降为基本病机,存在气血怫郁、脏腑失调的病理状态,可以表现为因郁致病和因病致郁。刘万里教授诊疗该病从解郁通降立法,以化解郁滞、助胃通降为诊治思路的核心,重点治疗烧心、反酸、咽部不适、胸痛等难治症状,自拟经验处方降逆汤、通降合剂,能够增强抗反流的治疗效果,达到通胃滞、行气血、降浊逆的目的。Refractory gastroesophageal reflux disease is a clinically challenging condition,and acid-suppressing drug therapy often fails to achieve satisfactory results.The disease is characterized by the inability of stomach Qi to descend,presenting a pathological state of stagnation and obstruction.Professor LIU Wanli focuses on the treatment of difficult symptoms such as heartburn,acid reflux,pharyngeal obstruction and chest pain,summarizes effective empirical prescriptions,and enhances the anti-reflux treatment effect.The treatment of this disease can employ methods to resolve stagnation and promote the descent of stomach Qi,including regulating Qi movement,removing phlegm-dampness,and clearing heat.Methods such as promoting blood circulation to remove stasis and eliminating food accumulation,along with regulating emotions,can enhance the therapeutic effect.

关 键 词：难治性胃食管反流病 解郁通降 病证结合 经验方 验案 

分 类 号：R256.3[医药卫生—中医内科学]