Professor LIU Huayi's case of treating gastroesophageal reflux disease by lowering Qi and soothing liver
Gastroesophageal reflux disease(GERD)is a common clinical digestive disease.With the increase of social pressure and the acceleration of people's work-life rhythm,the incidence of GERD is increasing year by year,which is universal and difficult to treat.Common Western medical treatments include inhibiting gastric acid secretion,enhancing esophageal and gastrointestinal motility,and anti-reflux surgery,etc..However,these treatments often have certain limitations,and the symptoms are recurrent and difficult to be cured,thus disturbing the daily life of patients and lowering the quality of their lives.Through evidence-based treatment,Chinese medicine can effectively alleviate the internal and external symptoms of esophagus due to reflux,and seek to restore the normal physiological functions of the spleen,stom-ach and liver in order to reduce the recurrence of the disease and stop the progression of the disease,so as to realize both symptomatic and curative treatment,and the treatment of traditional Chinese medicine has the advantages of fewer adverse reactions,which is worth promoting in the clinic.Mentor LIU believes that the elevation of Qi(气)in the middle Jiao is crucial to the development of this disease,and clinically concludes that lowering Qi and dredging the liver and stomach is the main method of treatment,and then according to the different types of evidence to formulate specific empirical formulas for the use of medicines with the addition and subtraction of concomitant evidence,meanwhile,the liver and stomach are treated together,the five viscera are regulated together,the whole and part are combined,and the pathogenic factors such as mood and bad eat-ing habits before treatment and the daily care after treatment are paid attention to.In this paper,the etiology and pathogenesis of GRED in Chinese medicine and Mentor LIU's clinical experiece for the treatment of this disease are summerized.Targetting the deficiency Qi reversal,liver and stomach disharmony,cold and heat mixed and other syndromes,the treatment of tonifying the middle and lowering the reverse,soothing the liver and harmonizing the stomach,acrid opening and bitter downbearing and other methods are applied to regulate the middle jiao qi,so that the Qi is smooth,the liver and stomach are harmonized,and the disease is healed.This paper summarizes the clinical experience of Mentor LIU and at-taches a case to provide a theoretical basis for TCM syndrome differentiation and treatment of GERD,and provides a new diagnosis and treatment idea for the clinical treatment of GERD.
Gastroesophageal reflux diseaseAcid refluxFamous doctor's experienceChinese medicine treatment
万方数据
维普
