王小娟教授运用苓桂芥甘汤治疗胃食管反流病经验
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摘要
胃食管反流病是临床常见的多发性、难治性消化系统疾病,中医认为其多为肝脾不和,临床常见肝胃不和、肝胃郁热、脾胃虚寒、中虚气滞、胃阴不足等证型。王小娟教授根据临床观察提出肝郁水逆之证型,并以苓桂芥甘汤为主方,根据患者情况加减温阳化饮、疏肝行气之品,治疗胃食管反流病肝郁水逆证取得较好的疗效。
Gastroesophageal reflux disease(GERD) is a common multiple, refractory digestive system disease in clinic, which is considered by traditional Chinese medicine(TCM) as liver and spleen disharmony. Common syndromes include liver and stomach disharmony, stagnation of liver and stomach, deficiency cold of spleen and stomach, deficiency of middle and Qi stagnation, deficiency of stomach Yin and so on. According to the clinical observation, professor WANG Xiaojuan put forward the syndrome type of liver stagnation and water regurgitation, and the main prescription was Linggui Jiegan Decoction. According to the patient's condition, she added or reduced ingredients that warm Yang for resolving fluid retention and disperse the stagnated liver for regulating Qi, and got better curative effects in the treatment of GERD with liver stagnation and water regurgitation syndrome.
Gastroesophageal reflux disease(GERD) is a common multiple, refractory digestive system disease in clinic, which is considered by traditional Chinese medicine(TCM) as liver and spleen disharmony. Common syndromes include liver and stomach disharmony, stagnation of liver and stomach, deficiency cold of spleen and stomach, deficiency of middle and Qi stagnation, deficiency of stomach Yin and so on. According to the clinical observation, professor WANG Xiaojuan put forward the syndrome type of liver stagnation and water regurgitation, and the main prescription was Linggui Jiegan Decoction. According to the patient's condition, she added or reduced ingredients that warm Yang for resolving fluid retention and disperse the stagnated liver for regulating Qi, and got better curative effects in the treatment of GERD with liver stagnation and water regurgitation syndrome.
引文
[1]汪忠镐,胡志伟.胃食管反流病及其食管外反流:一个常被忽视的重大公共卫生问题[J].临床外科杂志,2016,24(1):5-11.
[2]郭乃刚,黄福斌.黄福斌治疗脾胃病经验点滴[J].光明中医,2014,29(2):389-390.
[3]李静,郭淑云.郭淑云教授诊治反流性食管炎的经验[J].中医临床研究,2014,6(2):76-77.
[4]姜璇,袁红霞,丁沛,等.从“脾胃气机”角度浅探旋覆代赭汤治疗反流性食管炎作用机理[J].辽宁中医杂志,2013,40(12):2460-2462.
[5]李贞玉,刘敏.反流性食管炎中医证型及舌象与胃镜下表现的相关性研究[J].中国中医药信息杂志,2013,20(1):22-24.
[6]刘渡舟.经方临证指南[M].北京:人民卫生出版社,2013:41.
[2]郭乃刚,黄福斌.黄福斌治疗脾胃病经验点滴[J].光明中医,2014,29(2):389-390.
[3]李静,郭淑云.郭淑云教授诊治反流性食管炎的经验[J].中医临床研究,2014,6(2):76-77.
[4]姜璇,袁红霞,丁沛,等.从“脾胃气机”角度浅探旋覆代赭汤治疗反流性食管炎作用机理[J].辽宁中医杂志,2013,40(12):2460-2462.
[5]李贞玉,刘敏.反流性食管炎中医证型及舌象与胃镜下表现的相关性研究[J].中国中医药信息杂志,2013,20(1):22-24.
[6]刘渡舟.经方临证指南[M].北京:人民卫生出版社,2013:41.