董筠教授辨治胃食管反流病经验

Professor DONG Jun's Experience in Dialectical Trement of Gastroesophageal Reflux Disease

总结董筠教授辨证论治胃食管反流病的经验及常用药对。胃失和降,胃气上逆为其基本病机,调理气机贯彻始终,临床分为5型论治,肝胃郁热证,治以疏肝泄热,和胃降逆;肝胃不和证,治以疏肝和胃;脾胃虚弱证,予以健脾和胃;气郁痰阻证,治当理气解郁,化痰散结;气滞血瘀证,治当活血化瘀,随证加减,灵活变通,疗效显著。并列举2例典型病案。

The authou Summarized professor DONG Jun syndrome differentiation and treatment of gastroesophageal reflux disease experience and commonly used drugs.The basic pathogenesis are adverse rising of gastric qi. Regulating qi Aiways run through the whole process.The treatment based on clinical can be divided into 5 types：for stagnation of liver and stomach heat syndrome,treated with soothing the liver and purging heat,and stomach drop inverse;for disharmony between liver and stomach syndrome,treated by soothing the liver and normalizing the function of stomach;for weakness of the spleen and stomach syndrome,treated with strengthening the spleen and stomach;for qi stagnation phlegm-retention syndrome,treated with regulating qi,dispelling melancholy,reducing phlegm and resolving masses;for Syndrome of qi stagnation and blood stasis,treated by regulating qi and removing blood stasis.According to the different symptoms,my teacher changed with the addition and subtraction flexiblly,and the curative effect is remarkable.And two cases of typical are exampled.