从“气”辨治非糜烂性胃食管反流病

Analysis and Treatment of Non-erosive Gastroesophageal Reflux Disease from the “Qi” Differentiation

非糜烂性胃食管反流病(NERD)是指具有反酸、烧心、反流等典型临床症状但内镜检查未见食道黏膜损伤的一种常见的消化系统疾病,现代医学认为其发病可能与食管壁扩张高敏感性、食管下括约肌障碍、蛋白酶分泌紊乱、致炎细胞因子、精神心理社会因素有关。该文尝试从中医“气”的运化和盈亏致NERD的病机入手,摒弃以西药为主治疗NERD的惯性思维,重视治疗过程中健脾和胃疏肝法的运用,使脾胃运,气机通,标本兼治,以期为非糜烂性胃食管反流病的防治提供一种新的思路。

Non erosive gastroesophageal reflux disease(NERD)is a typical clinical anti acid,heartburn and reflux symptoms but no endoscopic esophagus mucous membrane injury a common digestive system disease,modern medical science thinks the incidence may be related to the tube wall under the expansion of high sensitivity,esophageal sphincter dysfunction,protease secretion disorder,inflammatory cytokines,mental psychological social factors.This paper attempts to start from the movement of traditional Chinese medicine“Qi”and the pathogenesis of the problem caused by the loss and gain of the NERD,to give up the habitual thinking,of treating,NERD mainly with western medicine,and to pay attention to the application of methods of spleen an d stomach strengthening,and liver soothing,in the treatment process,so as to transport the spleen and stomach,ventilate Qi,and treat both symptoms and root causes,so as to provide a new idea for the prevention and treatment of no n-erosive gastroesophageal reflux disease.