刘启泉基于“疼酸惊骇,皆属于火”论治胃食管反流病相关性胸痛之经验

LIU Qiquan’s Experience in Treating Gastroesophageal Reflux Disease Related Chest Pain Based on the Theory of“Pain,Soreness,and Fear are all Caused by Fire”

胸痛是胃食管反流病典型症状之一。刘启泉教授从“疼酸惊骇,皆属于火”立论,认为胃食管反流病相关性胸痛为胃中实火灼烧脉络、肝郁化火助生胃火、心经瘀热壅滞化火、胃中虚火扰动横膈所致,病位在胃,牵涉多脏腑,胸痛类型分别为灼痛、窜痛、绞痛、隐痛。针对以上病因病机,刘师确立了直折火热、解郁降火、散火祛壅、升阳补益等治法,并佐以风药引经散火。火热之源得清,则痛自止,验之临床,获效良好。附验案1则以佐证。