金小晶从寒从积论治胃食管反流性咳嗽经验

Experience of JIN Xiaojing Who has Diagnosed ang Cured Cough Induced by Gastro-esophageal Reflux from the Pathogeny of Cold and Indigestion

胃食管反流性咳嗽(GERC)是一种临床常见慢性疾病,它的主要症状为咳嗽反复发作。其病因复杂多样,且临床上往往没有典型的胃食管反流的症状,西医方面主要用传统的PPI疗法,仍有许多不足之处,这都给医者的诊治带来不小的困难。南京市中医院金小晶教授有多年治疗消化系统疾病的经验,对GERC也有独到的认识,他从中医角度论治,抓住其"寒积"为主的病因病机特点,治疗上采用温中调枢大法,并结合对患者的生活饮食起居指导,临床疗效显著。

Gastro-esophageal reflux induced cough（ GERC） is a clinical common chronic diseases with chronic cough as it＇s major symptoms. It usually has a complex pathogeny but no obvious symptom of gastro-esophageal reflux. There are still many deficiencies that western medicine mainly uses the traditional protonpump inhibitor（ PPI） therapy to cure GERC. All of that lead to certainty difficulty for our doctors to diagnosis and treat it. Professor JIN who is from the Nanjing Hospital of Traditional Chinese Medicine has many years of experience in curring digestive system diseases and originalopinion on GERC. He thinks that the basic pathogeneies of it is the indigestion and cold that occur in Middle Energizer by determining and treating it based on the point of view of traditional Chinese medicine,seizing the characteristics of the dietary habits of the patients. He has obtained a good curative effect on this by warming spleen and stomach,adjusting the hinge of Middle Energizer and guiding patient＇s lifestyle.