首页|基于"少阳为枢"论治难治性胃食管反流病经验

基于"少阳为枢"论治难治性胃食管反流病经验

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难治性胃食管反流病(refractory gastroesophageal reflux disease,RGERD)是指经质子泵抑制剂(PPI)治疗后,反流症状仍反复发作,以胃内容物反流入食管、口腔或肺所导致的不适症状为主的一类消化系统常见疾病.少阳枢机不利导致的气火津液失调为本病的病机关键;在治疗上应从少阳胆与三焦入手以调和枢机,以小柴胡汤、蒿芩清胆汤等为代表方随证加减运用,临床疗效显著.
Treatment of refractory gastroesophageal reflux disease based on Shaoyang as the pivot
Refractory gastroesophageal reflux disease (RGERD) is a common digestive system disease with recurrent reflux symptoms after proton pump inhibitor (PPI) treatment. It is mainly caused by the reflux of gastric contents into the esophagus, mouth or lung. It is believed that the imbalance of qi,fire and body fluid caused by the unfavorable Shaoyang cardinal is the key to the pathogenesis of this disease. In the treatment,Shaoyang gallbladder and triple energizer should be considered in order to reconcile the pivot and Xiaochaihu Decoction and Haoqin Qingdan Decoction used as the main prescription and modified with the syndrome with significant clinical efficacy.

Shaoyang as the pivotrefractory gastroesophageal reflux diseasetraditional Chinese medicine treatment

祝捷、王志斌、黄灿、张文基、沈垚村、梁承涛

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北京中医药大学第二临床医学院,北京 100078

北京中医药大学东方医院脾胃肝胆科,北京 100078

少阳为枢 难治性胃食管反流病 中医药治疗

2024

北京中医药
北京中医药学会,北京中西医结合学会

北京中医药

CSTPCD
影响因子:0.718
ISSN:1674-1307
年,卷(期):2024.43(2)
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