非糜烂性反流病与精神心理因素的相关性及中医病机探讨

The Correlation between Non-erosive Reflux Disease andPsycho-mental Factors with Discussion of TCM Pathogenesis

目的:认识非糜烂性反流病与精神心理因素的相关性,探讨非糜烂性反流病精神心理特征的中医学病机及治疗原则。方法:分别检索CNKI所收录1990年至2012年西医学和中医学关于非糜烂性反流病文献,筛选出以非糜烂性反流病与精神心理因素相关性、机理探讨为研究内容的中西医文献,经集中并合并同类研究内容的文章,总结归纳出相同或类似观点,并做不同观点间的分析对比。结果:焦虑、抑郁等多种精神心理因素在NERD的发生发病过程中起着重要作用,肝失疏泄、脾气不足、心神不宁等多脏腑功能失调是产生非糜烂性反流病情志变化的病机。结论:精神心理因素与非糜烂性反流病的发生发展密切相关,制定疏肝理脾等调整脏腑阴阳虚实的治则有助于非糜烂性反流病的中医治疗。

Objective：To study the relationship between non-erosive reflux disease and psycho-mental factors,discuss the pathogenesis and treatment of Traditional Chinese Medicine.Methods：Consulting document,analyzing and summarizing.Results：Psycho-mental factors like anxiety and depression play an important role in the occurrence and the development of NERD;the traditional medical pathogenesis refers to the disorders among multiple organs,such as the stagnation of liver-Qi,the deficiency of spleen-Qi and the unsteadiness of the heart.Conclusions：Psycho-mental factors were closely related to NERD′s occurrence as well as development,the treatment of TCM can be made effectively through the adjustment between Yin and Yang as well as asthenia and sthenia.