中医非药物疗法治疗胃食管反流病研究进展

Research progress of TCM non-drug therapy in gastroesophageal reflux disease

中医非药物疗法治疗胃食管反流病主要有中医适宜技术,如常规针刺、艾灸、火针等;情志疗法,如以理遣情法、移精变气法、五行音乐疗法等;运动疗法,如八段锦、站桩等。各类疗法或单独应用,或综合运用,或与内服中药联用,通过降低食管括约肌松弛概率、抑制胃酸分泌、改善食管动力障碍、降低内脏高敏感性、免疫调节等作用,达到缓解患者反酸、烧心、咽部不适症状的目的,并有助于改善患者焦虑、抑郁等不良情绪,具有简便易行、不良反应少的特点,且能根据患者病情及依从性选择合适的疗法。中医非药物疗法治疗本病的作用机制有待进一步探索,进而更好地指导临床推广应用。

Traditional Chinese Medicine(TCM)non-drug therapy for gastroesophageal reflux mainly includes appropriate TCM techniques,such as conventional acupuncture,moxibustion,fire needle,etc.Emotional therapy,such as regulating emotion,transforming the patient's spirit and change the state of qi,the five-element music therapy,etc;exercise therapy,such as Baduanjin and Zhanzhuang,can be used alone,or in combination,or in combination with oral administration of Chinese materia medica.By reducing the probability of esophageal sphincter relaxation,inhibiting gastric acid secretion,improving esophageal motility disorder,reducing visceral hypersensitivity,immune regulation and other effects,it can alleviate the symptoms of acid reflux,heartburn and pharyngeal discomfort,and help to improve the patients'anxiety,depression and other negative emotions.It has the characteristics of simplicity and fewer adverse reactions,at the same time,according to the patient's condition and compliance to choose the appropriate therapy.The mechanism of TCM non-drug therapy in the treatment of this disease needs to be further explored,so as to better guide clinical popularization and application.