旋覆代赭汤加减治疗反流性食管炎研究进展

Research Progress of Reflux Esophagitis Treated with Inula and Hematite Decoction

反流性食管炎是一种慢性难治性疾病,需长期甚至终生治疗。目前西药主要以促胃动力、抑酸等药物治疗,但不能从根本上解决反流问题,多数患者停药后可出现病情反复。近年来,采用中医药治疗本病积累了丰富的经验,取得了满意的疗效。然而,在反流性食管炎的诊疗和研究中仍存在许多不足,目前针对RE还没有一个统一、公认的诊断标准。因此,就本病目前的诊断标准和症状特点,深入探讨本病的病因病机,提出符合中医辨证理论、切合临床实际的病名诊断、辨证分型方法和标准,丰富和发展中医治疗RE的优势,挖掘古人经验,寻找有效方药,搞好临床治疗的科研设计,提高对反流性食管炎的诊断和治疗水平。

Reflux esophagitis （RE） is a chronic and difficuh disease requiring hmg-term and life-long treatment. The current western medicine is mainly with effects of promoting gastric motility and inhibiting acidity but can not solve the reflux problem radically. The disease often recurs among most patients after tile drug witildrawal. In recent years, we have accumulated rich ex- perience in the treatment of this disease with Chinese medicine and achieved satisfactory therapeutic effects. However, many de- fects exist in the diagnosis, treatment and research of this disease, and there is no an unified and well-recognized diagnostic standard. Therefore, we explore the etiology and pathogenesis according to the diagnostic criteria and characteristics of the symp- toms, and put forward the diagnostic and syndrome-differentiated methods and criteria corresponding to the clinical practice to en- rieh and develop the advantages of Chinese medicine in the treatment of RE, discover the experience of ancient people, search for effective formulas, make good scientific and research design of clinical tlatment, and improve the diagnostic and therapeutic lev- els of the treatment of RE.