中国临床研究2024,Vol.37Issue(9) :1428-1431,1437.DOI:10.13429/j.cnki.cjcr.2024.09.023

基于"诸呕吐酸,皆属于热"理论探究清热降逆法治疗胃食管反流病

Exploration on the treatment of gastroesophageal reflux disease by clearing heat and descending the adverse flow of Qi based on"all acid eructation is ascribed to heat"

张雪薇 文卫 李镇
中国临床研究2024,Vol.37Issue(9) :1428-1431,1437.DOI:10.13429/j.cnki.cjcr.2024.09.023

基于"诸呕吐酸,皆属于热"理论探究清热降逆法治疗胃食管反流病

Exploration on the treatment of gastroesophageal reflux disease by clearing heat and descending the adverse flow of Qi based on"all acid eructation is ascribed to heat"

张雪薇 1文卫 1李镇1
扫码查看

作者信息

  • 1. 南京中医药大学第二附属医院江苏省第二中医院消化腔镜治疗中心,江苏南京 210017
  • 折叠

摘要

"诸呕吐酸,皆属于热"是《黄帝内经》中病机十九条之一,该理论揭示了呕吐吞酸等上逆症状都与"热"密切相关,治疗可从治"热"人手.本文结合中医脏腑八纲辨证理论,从病机、治法两方面分析该理论在胃食管反流病临床诊治中具有的重要指导意义,该病的主要病因为"热",基本病机为胃气上逆,与肝胆脾肺肾肠等脏腑有关,热分虚实上下,治宜攻补和降.拟为深入分析胃食管反流病的病因病机,临证应用同病异治.为提高临床疗效提供新思路.

Abstract

"All acid eructation is ascribed to heat"is one of the Nineteen items of pathogenesis in the Inner Canon of Yellow Emperor(Huangdi Neijing).This theory underscores the close connection between symptoms such as vomiting and acidity with"heat".This paper integrates differentiation of syndromes according to the eight principles and the pathological changes of the zang-fu organs of Chinese Medicine dialectical theory,in order to explore the significant implications of this principle for the clinical diagnosis and treatment of gastroesophageal reflux disease(GERD).The primary cause of GERD is identified as"heat"with the fundamental pathogenesis being the upward flow of stomach Qi,which is interconnected with other viscera including the liver,gallbladder,spleen,lung,kidney,and intestines."Heat"can be categorized into deficiency and excess,and the treatment approach should appropriately combine strategies such as eliminating,reinforcing,harmonizing,and descending.This study aims to offer new perspectives for a thorough analysis of GERD's etiology and pathogenesis,the application of personalized treatments for similar conditions,and the enhancement of clinical efficacy.

关键词

胃食管反流/病机十九条/吐酸/清热降逆

Key words

Gastroesophageal reflux disease/Pathogenesis of nineteen clauses/Acid vomiting/Clearing heat and descending the adverse flow of Qi

引用本文复制引用

基金项目

第四批江苏省中医临床优秀人才研修项目(苏中医科教[2022]1号)

江苏省老年健康科研项目(LKM2022016)

出版年

2024
中国临床研究
中华预防医学会

中国临床研究

CSTPCD
影响因子:0.943
ISSN:1674-8182
参考文献量13
段落导航相关论文