从“土得木而达”辨治胃食管反流病

Exploration on Differentiation and Treatment of Gastroesophageal Reflux Disease under the Theory of Earth Being Dredged by Wood

总结全国老中医药专家学术经验继承工作指导老师朱莹教授对《黄帝内经》中“土得木而达”理论内涵的理解以及从“土得木而达”辨治胃食管反流病的经验。认为胃食管反流病的病机为脾胃失调,胆气不利,心火上炎,肾水失约。治疗当以疏肝利胆,协调脾胃升降,清心解郁,敛降燔燥胃火,扶脾济肾,培补萎靡之木为治则治法,其关键在于恢复木土二行生克制化之常态。

This article summarizes the understanding of Professor Zhu Ying,a guidance teacher for the inheritance of academic experience of national senior traditional Chinese medicine experts,on the theoretical connotation of"earth being dredged by wood"in The Yellow Emperor’s Inner Classic,and her experience in treating gastroesophageal reflux disease from the perspective of"earth being dredged by wood".It is believed that the pathogenesis of this disease is the imbalance of the spleen and stomach,failure of gallbladder qi to fall,rise of heart fire,and out-of-control kidney water;the treatment should be based on the principles and methods of soothing the liver and dispersing the gallbladder,coordinating the rise and fall of the spleen and stomach qi,stalling the heart fire and relieving depression,restraining and reducing the burning and dry stomach fire,supporting the spleen and aiding the kidney,and cultivating and nourishing the weak wood.The key is to restore the normal state of the growth and restraint of the wood and soil.