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基于药性理论探讨理气药在胃食管反流病治疗中的应用
苏坤涵, 刘万里, 黄玉珍
南京中医药大学附属南京市中西医结合医院脾胃病科, 南京 210014
摘要:
胃食管反流病是临床常见的消化系统疾病,文章基于中药药性理论从性味、归经等角度论述理气药对该病燮理气机升降、斡旋中州的治疗作用。中医治疗胃食管反流病以调节脏腑气机为核心,同时注重祛除痰、热、湿、瘀、虚等病理因素,运用理气药应灵活配伍,发挥降气化痰、行气润养、利气除湿、运气活血、益气健脾的功效。文章结合药理研究进展,探讨理气药治疗胃食管反流病的应用思路。
关键词:  理气药  胃食管反流病  四气五味  升降浮沉  归经
DOI:10.11656/j.issn.1673-9043.2021.03.11
分类号:R57
基金项目:江苏省中医药局科技重点项目(ZD201805);“十三五”南京市医学科技发展资金重大项目(ZDX16016)。
Application of drugs for regulating qi flow in the treatment of gastroesophageal reflux disease based on the theory of drug properties
SU Kunhan, LIU Wanli, HUANG Yuzhen
Department of Spleen and Stomach, Nanjing University of Traditional Chinese Medicine Accessorial Nanjing City Integrated Chinese and Western Medicine Hospital, Nanjing 210014, China
Abstract:
Gastroesophageal reflux disease is a common digestive system disease in clinic. This paper discusses the therapeutic effect of regulating qi and medicine on the regulating qi of the disease from the theory of drug properties.The core of the traditional Chinese medicine for treating gastroesophageal reflux disease is to regulate the viscera qi.At the same time,attention should be paid to removing phlegm,heat,dampness,blood stasis,deficiency and other pathological factors.The use of drugs for regulating qi flow should be flexible and compatible,giving full play to the effect of reducing qi and removing phlegm,nourishing qi and nourishing dampness,promoting qi and activating blood circulation,tonifying qi and invigorating spleen. In combination with the development of modern pharmacological research,this paper provides a train of thought for the application of the treatment of gastroesophageal reflux disease for the treatment of gastroesophageal reflux disease.
Key words:  drugs for regulating qi flow  gastroesophageal reflux disease  four qi and five flavors  rising and falling floating  channel tropism
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