胃食管反流病中医常见证型研究

Research Situation of the Common Syndromes of Gastroesophageal Reflux Disease in TCM

胃食管反流病的证型分布以肝胃郁热型、肝胃不和型及脾胃虚弱型最为多见,分别占39.35%、21.89%和8.79%,与脾虚气滞型、痰气郁阻型、胃热气逆型、中虚气逆型及肝郁气滞型等构成本病的主要证型。治疗时以疏肝解郁、清热和胃为基本治则,可获得较好疗效。

The most commonly seen syndromes of gastroesophageal reflux disease are stagnated heat in the liver and stomach（ 39. 35%）,disharmony of the liver and stomach（ 21. 89%） and weakness of the spleen and stomach（ 8. 79%）. Along with the patterns of spleen deficiency and qi stagnation,depression and blockage of phlegm qi,adverse qi flow due to stomach heat,adverse qi flow due to deficient middle energizer and liver depression and qi stagnation,they constitute the main syndromes of this disease. Taking dispersing the liver depression and clearing heat and harmonizing the stomach as the basic therapeutic principle may achieve good efficacy.