胆汁反流性胃炎的中医诊治

TCM Diagnosis and Treatment of Bile Reflux Gastritis

胆汁反流性胃炎主因脾胃失调,脾气当升不升,胃气当降不降,肝不随脾升,胆不随胃降,胆胃不和,胆气上逆而见胆汁反流入胃。脾虚为致病之本,肝郁为致病之标,肝脾不和为病机关键,治疗时当辨别不同证型,随证治之。

The main cause of bile reflux gastritis is the disorder of the spleen and stomach, that is, the upbearing failure of the spleen-qi and downbearing failure of the stomach-qi. The failure of the liver rising with the spleen, and the failure of gallbladder falling down with the stomach lead to the up-flowing and reflux of bile into the stomach. The spleen deficiency is the primary pathogenic factor, while the liver depression is the secondary, the disharmony of liver and spleen is the key of pathogensis, therefore, the treatment should be based on the identification of different syndromes.