李桂贤治疗胃食管反流病经验

Professor Li Guixian′s Experience in Treating Gastroesophageal Reflux Disease

胃食管反流病病机终不离脾胃为本、四旁为末、湿燥相因。治宜调气和中、中病旁取、清润消导;病证相和以辨,辨酸亦有阴阳、寒热之分,热者寒之,寒者温之,兼顾随证用药之法。气调以平,而以脾胃为本;中病旁取、执两用中,而致平和;清润消导、通补兼施,升降复而反流平。

The pathogenesis of gastroesophageal reflux disease is closely related to the dysfunction of Spleen and Stomach as well as the four limbs,with Dryness and Dampness evil factors being induced to each other.The treatment is that is regulating Qi and harmonize the middle Burner as well as taking the limbs as treating locations so as to treat the disease in the middle part of body,by clearing Heat,moistening Dryness to eliminate the evil factors.The syndromes should be differentiated carefully,and the acid fluid can also be divided into two possibilities,namely,Yin or Yang as well as Coldness or Hotness,in which the Hotness should be cooled and the Coldness should be warmed.Besides,the method of medication along with the syndrome differentiation should also be considered.Regulating Qi to achieve harmony of the middle Burner,Spleen and Stomach Qi should be the basic matter;taking side locations in treating the disease in middle Burner to achieve peace;clearing Heat,moistening Dryness,helping digestion and removing accumulation at the same time,with both dredging and tonifying methods.When lifting and descending of Qi are recovered.