金海生治疗胆汁返流食管炎经验

Bile Reflux Esophagitis JIN Hai-sheng Experience

胆汁返流食管炎是指胃和十二指肠的内容物反流入食管,引起食管黏膜炎症、糜烂、溃疡和纤维化病变。中医对本病的认识,主要见于"吞酸"、"反胃"、"嘈杂"之症。中医病机多为胃失和降,浊气上逆,病因多为肝气郁结,横逆犯胃;或脾胃虚弱;或湿热,湿浊内困中焦,导致胃失和降而发此病。金海生老中医治疗胆汁返流食管炎抓住"寒、热、虚、实"四字提纲,辨证施治,并对主症烧灼疼痛进行分析,采用"左金丸"、"乌贝散"等方剂来调节胃酸,因而疗效显著。

Bile reflux esophagitis is the contents of the stomach and duodenum against inflow of the esophagus,causing inflammation of esophageal mucosa,erosions,ulcers,and fibrosis.Traditional knowledge of the disease,mainly seen in the＂acid reflux＂,＂nausea＂,＂noisy＂of the disease.TCM mostly lower stomach disharmony,sewage Shangni,mostly cause of liver qi stagnation,tribulations Fan Wei;or spleen and stomach;or damp,wet cloud trapped in the focus,resulting in lower stomach disharmony.JIN Hai-sheng old Chinese treatment of bile reflux esophagitis seize the＂old,heat,deficiency and excess,＂the word outline,syndrome differentiation,and burning pain in the primary analysis of disease,the use of ＂Zuojinwan＂,＂Wubeisan＂,etc.to regulate the prescription of gastric acid,thus a significant effect.