胃食管反流病背部表现:一种容易被忽视的食管外现象

Dorsal manifestations of gastroesophageal reflux disease:An easily neglected extraesophageal phenomenon

通过回顾中医古籍和现代医学文献,归纳整理胃食管反流病相关背部表现,并分析其发病机制。胃食管反流病背部表现包括背部两肩胛骨之间的疼痛、凉热、胀满,以及该区域督脉和(或)膀胱经处的压痛、皮肤温度及形态变化,其发生机制可以基于西医内脏与躯体感觉神经支配调节和中医经络-脏腑相关理论进行解释。研究胃食管反流病背部表现有助于提高临床工作者对胃食管反流病的认识,从而减少误诊误治。

Through the review of ancient Chinese medicine books and modern medical literatures,this paper summarizes and sorts out the dorsal manifestations related to gastroesophageal reflux disease(GERD),and analyzes their pathogenesis.The dorsal manifestations of GERD include pain,cold or heat sensation and distension between the scapulae,as well as the tenderness,skin temperature and morphological changes at the acupoints of Governor Channel and(or)bladder meridian in this area.The pathogenesis can be interpreted based on the regulation of visceral and somatosensory innervation in the western medicine and the related theory of meridians and zang-fu viscera in traditional Chinese medicine.The study of dorsal manifestations of GERD would help to improve the understanding of clinical practitioners on GERD,so as to reduce misdiagnosis and mistreatment.