从郁论治胃食管反流病

Treating Gastroesophageal Reflux Disease from Stasis

胃食管反流病初期多因情志不舒所致,情志不舒致气机郁滞,进而致痰郁、血郁,临床常以气郁为先导,因此理气解郁贯穿治疗的始终,辅以化痰、活血、清热等。笔者在以法立方的前提下,巧用药对,如桔梗配苏梗,枳壳配竹茹,谷芽配麦芽,山楂配六神曲,延胡索配川楝子、姜黄、炙甘草,浙贝母配海螵蛸,海螵蛸配白及,黄芩配仙鹤草、百合等。胃食管反流病病程较长,复发率高,病情反复易致情志不舒,情志不舒又加重气机郁滞,因此,治疗胃食管反流病不仅要缓解症状,更要调摄情志,减少复发。

The early stage of gastroesophageal reflux disease(GERD)is mostly caused by emotional indifference,which leads to stagnation of qi,phlegm and blood.qi depression is often used as a guide in clinic,so regulating qi and relieving depression runs through the whole treatment,supplemented by resolving phlegm,promoting blood circulation,clearing away heat and so on,and the application of qi-regulating drugs are attached importance to.Under the premise of choosing a formula based on treating principle,drug-pairs should be properly used,such as Jiegeng(Radix Platycodonis)combined with Sugeng(Caulis Perillae),Zhiqiao(Fructus Aurantii)combined with Zhuru(Caulis Bambusae in Taenia),Guya(Fructus Setariae Germinatus)combined with Maiya(Fructus Hordei Germinatus),Shanzha(Fructus Crataegi)combined with Liushenqu(Massa Medicata Fermentata),Yanhusuo(Rhizoma Corydalis)combined with Chuanlianzi(Fructus Toosendan),Jianghuang(Rhizoma Curcumae Longae),Zhigancao(Radix et Rhizoma Glycyrrhizae Praeparata cum Melle),Dabeimu(Bulbus Fritillariae)combined with Haipiaoxiao(Endoconcha Sepiae),(Endoconcha Sepiae)combined with Baiji(Rhizoma Bletillae),Huangqin(Radix Scutellariae)combined with Xianhecao(Herba Agrimoniae)and Baihe(Bulbus Lilii),etc.GERD has a long course,high recurrence rate,and can easily lead to emotional distress,which aggravates qi stagnation.Therefore,the treatment of GERD should not only pay attention to alleviating symptoms,but also adjusting emotions in order to reduce recurrence.