张声生教授从“胃以降为顺”论治胃食管反流病的经验

Professor ZHANG Shengsheng's experience in treating gastroesophageal reflux disease from “declining stomach qi”

关键词:  胃食管反流病  胃以降为顺  名医经验  张声生

Key words:  gastroesophageal reflux disease  declining stomach qi  famous doctor's experience  ZHANG Shengsheng

摘要:

胃食管反流病是消化科的常见病、多发病，也是中医治疗的优势病种之一。张声生教授认为，该病的发生以气机失调为先、为主，胃失和降是关键病机所在。临证中常从调气入手治疗本病。以和降胃气为中心，辅以宣降肺气、升补脾气、疏泄肝气、通泻腑气等法，标本同治，疾病后期对症予辛润通降之法，最终恢复胃"以降为顺"的生理特点，以达气顺胃和、邪去病安的治疗效果。

Abstract:

Gastroesophageal reflux disease is a common and frequently-occurring disease in the department of gastroenterology,and it is also one of the dominant diseases in the treatment of Chinese medicine. Professor ZHANG Shengsheng believes that the occurrence of this disease is dominated by air-conditioning disorders,and the loss of stomach is the key path. In the clinical trial,the disease is often treated from qi. In the early stage of the disease,the method should be focused on lowering stomach qi,supplemented by promoting lowering lung qi,raising and invigorating spleen qi,dredging liver qi,dredging and purging qi,in order to address both the symptoms and root causes. In the later stage of the disease,symptomatic treatment and the method of activating and harmonizing qi should be used. Finally the physiological characteristics of stomach of declaring should be restored and the treatment effect of regulating qi and stomach and body recovery should be reached.