温艳东教授治疗胃食管反流病经验总结

Summary of Professor Wen Yandong′s Experience in Treating Gastroesophageal Reflux Disease

胃食管反流病(Gastroesophageal reflux disease,GERD)是以反流和烧心为典型症状的一种慢性疾病。其病程较长,需长期服药,对患者耐受性及依从性都是考验。故GERD具有易反复、难治愈的特点。西医主要采用抑酸药、促胃动力药等治疗,临床疗效不甚确切。温艳东教授认为GERD的发生与肝胃关系密切,肝主疏泄,胃主受纳,易受饮食情志因素的影响。在临床中温艳东教授针对患者的临床症状,常以疏肝和胃为主,辅以抑酸护胃药物进行个体化治疗,取得了满意的临床疗效。文章旨在介绍温艳东教授治疗GERD的临证经验,以期为GERD的中医药治疗提供参考。

Gastroesophageal reflux disease(GERD)is a chronic disease characterized by typical symptoms such as reflux and heartburn.The course of GERD is prolonged,requiring long-term medication,which tests both patient tolerance and compliance.Consequently,GERD tends to be recurrent and difficult to cure.In Western medicine,treatment primarily involves the use of acid suppressants and gastric motility medicines,though the clinical efficacy is often inconclusive.Professor Wen Yandong believes that the development of GERD is closely related to the liver and stomach,as the liver controls conveyance and dispersion,and the stomach is responsible for receiving and digesting food,both of which are influenced by dietary and emotional factors.In his clinical practice,Professor Wen tailors treatment to individual symptoms by focusing on soothing the liver and harmonizing the stomach,while supplementing with acid-suppressing and stomach-protecting medications.This individualized approach has achieved satisfactory clinical results.This article aims to introduce Professor Wen Yandong's clinical experience in treating GERD,providing a reference for the use of traditional Chinese medicine in managing this disease.