浅析药穴指针治疗肝胃郁热型胃食管反流病

Analysis of acupoint drug-finger pressing therapy in the treatment of gastroesophageal reflux disease of stagnation of heat in liver and stomach type

胃食管反流病(Gastroesophageal Reflux Disease,GERD)是常见的消化类疾病,临床上以反酸、烧心为主要表现,其中以肝胃郁热证型较为多见。药穴指针疗法在治疗GERD上有显著功效,它是在患者体表穴位将药物和指法相结合治疗的中医特色疗法。指针是基于经络理论基础,通过在患者体表穴位和特定的刺激线上,运用点、按、拍、叩、捶等不同手法,促进机体功能恢复正常,治疗和预防疾病的一种治疗方法。能起到疏通经络、调和阴阳和扶正祛邪的功效。通过查阅文献总结发现,GERD的肝胃郁热证发病机制多为脾胃不足运化失司,导致水湿内停,日久郁而化热而发为本病。本研究通过查阅相关文献资料和临床收集严光俊教授治疗肝胃郁热型GERD的医案1例为GERD的临床研究提供参考。对中医药穴指针治疗GERD的中医理论、临床操作进行探索,深入剖析药针指穴治疗GERD的理论基础和作用机制,为临床运用药穴指针治疗GERD提供思路。

Gastroesophageal reflux disease(GERD)is a common digestive disease with acid reflux and heartburn as the main clinical manifestations,among which the type of stagnation of heat in liver and stomach is more common.Acupoint drug-finger pressing therapy has significant efficacy in the treatment of gastroesophageal reflux disease.It is a TCM characteristic therapy that combines drugs and fingering methods at the acupoints on the patient’s body surface.Based on the theory of meridians,finger pressing can promote the normal function of the body by applying different techniques such as points,presses,taps,knocks and beats at the acupoints on the patient’s body surface and specific stimulation lines,and it is a therapy to treat and prevent disease.It has the effects of dredging meridians,reconciling Yin and Yang,and strengthening body resistance and expelling evil pathogens.Through literature review,it is found that the pathogenesis of GERD of stagnation of heat in liver and stomach type is the deficiency of spleen and stomach,which will lead to internal stagnation of water and dampness,and chronic depression will turn heat into this disease.In this paper,a case of Professor YAN Guangjun’s treatment of GERD of stagnation of heat in liver and stomach type is collected by referring to relevant literature and clinical data to provide references for the clinical study of gastroesophageal reflux disease.In addition,this paper explores the theory and clinical operation of Chinese medicine in the treatment of GERD with acupoint drug-finger pressing therapy,aiming to deeply analyze the theoretical basis and mechanism of action of acupoint drug-finger pressing therapy in the treatment of GERD,and provide ideas for the clinical application of acupoint drug-finger pressing therapy in the treatment of GERD.