胃食管反流病的中医诊治思考

Some considerations on management of gastroesophageal reflux disease with Chinese medicine

通过梳理胃食管反流病的中西医诊疗共识意见及相关文献,结合自身经验,从辨证与辨病、抓主症与抓主病、治标与治本、药物及非药物四个方面探讨中医诊治胃食管反流病的思路。认为中医诊治本病,当以中医理论为指导、治病求本为原则,坚持中医与西医相结合、辨证与辨病相结合、先抓主病再抓主症,并重视中医针灸的治疗作用。

Through analyzing the consensuses on the diagnosis and treatment of gastroesophageal reflux disease( GERD) with both Chinese and Western medicine and related literature,and taking personal experience into consideration,the author discusses the management of GERD with Chinese medicine in the following four aspects,i.e. syndrome differentiation or disease differentiation,grasping the chief symptom or the main disease,treating the tip or the root;and treating with medication or non-medical approaches. It is suggested that the diagnosis and treatment of the disease should be guided by the theory of traditional Chinese medicine and the principle of seeking the root of the disease,adhering to the combination of traditional Chinese medicine and Western medicine,syndrome differentiation and disease differentiation,and first grasping the main disease and then the main symptoms. Meanwhile,the therapeutic effect of acupuncture and moxibustion should be also attached importance to.