基于六经辨证辨治难治性反流性食管炎

Discussion on the treatment of refractory reflux esophagitis based on syndrome differentiation of six meridians

关键词:  难治性反流性食管炎  六经病  辨证论治

Key words:  refractory reflux esophagitis  six meridians disease  syndrome differentiation and treatment

摘要:

难治性反流性食管炎（RRE）发病率较高，机制复杂，常规治疗效果欠佳，是临床医生难以回避的难题，因此对中医辨证提出了更高的要求。临床之上常认为“胃为传病之所，而非起病之源”，应秉承张仲景“见病知源”的古训，在辨证上推崇六经辨证，在用药上擅长经方合用，取得较好临床疗效，为RRE的辨治提供了新的思路，兹录于下，以飨同仁。

Abstract:

The incidence rate of refractory reflux esophagitis(RRE) is high，the mechanism is complex，and the conventional treatment is not good in clinical practice. It is a difficult problem that clinical doctors cannot avoid. Therefore，RRE has put forward higher requirements for traditional Chinese medicine（TCM） syndrome differentiation. In clinical practice，it is often believed that “the stomach is the place to transmit disease，not the source of disease”. Adhering to the ancient maxim of ZHANG Zhongjing’s “seeing the disease and knowing the source”，he advocates six meridians syndrome differentiation in syndrome differentiation，and is good at combining classical prescriptions in medication. It has achieved good clinical curative effect，and provides a new idea for the syndrome differentiation and treatment of RRE. It is recorded below to share with colleagues.