食管炎的中西医干预

Intervention of Traditional Chinese Medicine and Western Medicine in Treating Esophagitis

食管炎的病因无外乎“寒、湿、痰、热、瘀、滞、虚”,以致脾胃气机升降失司,热毒阳邪外侵,肉腐血凝,最终导致各类食管炎的发病。依其病因病机,中医治疗食管炎原则以初期清热燥湿、理气化瘀、解郁散结为主,后期重在治本宜滋阴润燥、健脾和胃、补气温阳、收敛生肌。现代医学治疗食管炎以抑酸药(质子泵抑制剂)、促动力药(选择性5-羟色胺4受体激动药)、抗炎止痛药(糖皮质激素类)等为主,效果良好,但不能有效控制食管炎的反复发作。

The etiology of esophagitis is nothing more than"Cold,Dampness,Phlegm,Heat,blood stasis,stagnation and deficiency",which leads to the dysfunction of the Spleen and Stomach Qi mechanism,the invasion of Heat toxin of Yang Evil factor as well as the rot body tissue and blood coagulation,and finally leads to the onset of various esophagitis.According to its etiology and pathogenesis,TCM treatment of esophagitis mainly focuses on clearing away Heat and Dampness,regulating Qi and removing blood stasis,relieving depression and dispersing stagnation at the initial stage,and focuses on nourishing Yin and relieving dryness,strengthening spleen and stomach,supplementing Qi and warming Yang,and helping with muscle growth at the later stage.In modern medicine,when treating esophagitis,acid suppressants(proton pump inhibitors),prokinetic drugs(selective serotonin 4 receptor agonists),anti-inflammatory drugs and analgesics(glucocorticoids)are often used,which have good effects.However,it can not effectively control the recurrence rate of esophagitis.