胃食管反流病中医古代文献溯源

Trace the TCM ancient literature of gastroesophageal reflux disease

胃食管反流病中医古代文献中无对应病名,中医常据其临床主要表现命名,在古代文献"吞酸"、"反胃"、"胸痹"、"呃逆"、"梅核气"、"噎膈"、"胃脘痛"、"痞满"等范畴中都可找到相关内容的描述,却不能认为直接等同对应。中医古代文献中对胃食管反流病中医病因病机的描述与现代医家的认识对比总结后,归纳为胃食管反流病病位在脾胃,因胃失和降,浊气上逆所致,与肝郁、胆逆关系密切,并可与病理产物瘀血、痰浊互为因果。现代医家在辨证论治的基础上,应用一些古代经典方剂治疗胃食管反流病取得了较为满意的疗效。

GERD has no corresponding name in ancient literature of TCM.TCM named this disease according to its clinical symptoms.Related descriptions could be found in the scope of acid regurgitation,nausea,obstruction of Qi in the chest,medicine hiccups,globus hystericus,dysphagia,stomachache,distention and fullness,etc.But it couldn＇t be regarded as the same meaning.After we compared the description of TCM pathogenesis of GERD in ancient literature,we concluded that the location of GERD was spleen and stomach,and the cause of it was failure of stomach-qi to descend and upward of turbid-Qi.GERD had close relation with liver depression and converse of gallbladder.It could cause and be caused by the clotted blood and turbid phlegm.Some ancient classical prescriptions based on syndrome differentiation in treating GERD were proved to be satisfactory.