文章摘要
李昊天,谢晶日,孙志文.谢晶日以开郁通腑法治疗胃食管反流病经验[J].浙江中医药大学学报,2020,44(8):719-722.
谢晶日以开郁通腑法治疗胃食管反流病经验
Experience of XIE Jingri in Treating Gastroesophageal Reflux Disease with the Method of Dispersing Depression and Purging the Viscera
投稿时间:2020-04-20  
DOI:10.16466/j.issn1005-5509.2020.08.003
中文关键词: 胃食管反流病  辨证论治  无郁不成酸  六腑以通为用  谢晶日  中医药治疗  医案  临证经验
英文关键词: gastroesophageal reflux disease  syndrome differentiation and treatment  no depression, no acid  the six viscera function well when unobstructed  XIE Jingri  traditional Chinese medicine treatment  medical cases  clinical experience
基金项目:国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发[2016]42号);国家自然科学基金项目(81473632)
作者单位E-mail
李昊天 黑龙江中医药大学 哈尔滨 150040  
谢晶日 黑龙江中医药大学附属第一医院 996635044@qq.com 
孙志文 黑龙江中医药大学 哈尔滨 150040  
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中文摘要:
      [目的]探析全国名老中医谢晶日治疗胃食管反流病的经验。[方法]通过跟随门诊学习,整理并分析医案,从谢师治疗胃食管反流病的理论基础、辨证论治、用药经验等方面,分析其临床治疗经验,并举医案一则加以证明。[结果]谢师认为气、血、痰、火、湿、食六种郁证停聚和胃腑、大肠、膀胱三者腑气不畅是导致胃气上逆泛酸的主要病机,并提出通过辨证论治,针对不同郁证采用调畅气机、开郁止酸和通腑降逆以制酸的治疗方法,达到无郁可结、腑气畅达、降胃抑酸的治疗目的。所举医案患者病情反复发作,为吞酸之肝郁脾虚兼湿热证,治以疏肝健脾、清热利湿之法,治疗后症状缓解,复查胃镜提示食管由反流性食管炎B级恢复正常。[结论]谢师以开郁通腑法治疗胃食管反流病,思路新颖,疗效显著,具有重要的临床意义。
英文摘要:
      [Objective] To explore the experience of famous traditional Chinese medical expert Professor XIE Jingri in treating gastroesophageal reflux disease(GERD).[Methods] Through following out-patient study, sorting out and analyzing medical records, the clinical treatment experience of Professor XIE was analyzed from the aspects of theoretical basis, syndrome differentiation and treatment, medication experience, etc. And a medical case was presented to prove it.[Results] Professor XIE believes that the stagnation of Qi, blood, phlegm, fire, dampness and food, and the obstruction of the viscera Qi in stomach, large intestine and bladder are the main pathogenesis of pantothenic acid due to reverse ascending of stomach Qi, and he proposes treatment methods of regulating Qi activity, relieving depression and inhibiting acid, dredging the viscera and descending reverse flow to stop acid. It can achieve the therapeutic purposes of no stagnation of depression, smooth circulation of the viscera Qi, descending stomach and inhibiting acid. The patient's condition of the cited medical case recurred repeatedly, which was the syndrome of liver depression and spleen deficiency accompanied by damp-heat due to acid swallowing. After treated with soothing the liver and invigorating the spleen, clearing heat and promoting diuresis, the symptoms were relieved, and gastroscopy showed that the esophagus recovered from reflux esophagitis B.[Conclusion] Professor XIE's treatment of GERD with the method of relieving depression and purging the viscera is novel in thinking and remarkable in curative effect, and has important clinical significance.
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