Treatment of refractory gastroesophageal reflux disease based on Shaoyang as the pivot

ZHU Jie; WANG Zhi-bin; HUANG Can; ZHANG Wen-ji; SHEN Yao-cun; LIANG Cheng-tao

doi:10.16025/j.1674-1307.2024.02.021

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Treatment of refractory gastroesophageal reflux disease based on Shaoyang as the pivot

更新时间：2024-04-03

- Treatment of refractory gastroesophageal reflux disease based on Shaoyang as the pivot
- Beijing Journal of Traditional Chinese Medicine Vol. 43, Issue 2, Pages: 200-203(2024)
- 作者机构：
  
  1.北京中医药大学第二临床医学院，北京 100078
  2.北京中医药大学东方医院脾胃肝胆科，北京 100078
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2024.02.021
  CLC：
- Published：25 February 2024，
  
  Received：07 April 2023，
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祝捷，王志斌，黄灿，等.基于“少阳为枢”论治难治性胃食管反流病经验［J］.北京中医药，2024，43（2）：200-203.

ZHU Jie,WANG Zhi-bin,HUANG Can,et al.Treatment of refractory gastroesophageal reflux disease based on Shaoyang as the pivot[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(02):200-203.
祝捷，王志斌，黄灿，等.基于“少阳为枢”论治难治性胃食管反流病经验［J］.北京中医药，2024，43（2）：200-203. DOI： 10.16025/j.1674-1307.2024.02.021.

ZHU Jie,WANG Zhi-bin,HUANG Can,et al.Treatment of refractory gastroesophageal reflux disease based on Shaoyang as the pivot[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(02):200-203. DOI： 10.16025/j.1674-1307.2024.02.021.

摘要

难治性胃食管反流病（refractory gastroesophageal reflux disease，RGERD）是指经质子泵抑制剂（PPI）治疗后，反流症状仍反复发作，以胃内容物反流入食管、口腔或肺所导致的不适症状为主的一类消化系统常见疾病。少阳枢机不利导致的气火津液失调为本病的病机关键；在治疗上应从少阳胆与三焦入手以调和枢机，以小柴胡汤、蒿芩清胆汤等为代表方随证加减运用，临床疗效显著。

Abstract

Refractory gastroesophageal reflux disease （RGERD） is a common digestive system disease with recurrent reflux symptoms after proton pump inhibitor （PPI） treatment. It is mainly caused by the reflux of gastric contents into the esophagus， mouth or lung. It is believed that the imbalance of qi，fire and body fluid caused by the unfavorable Shaoyang cardinal is the key to the pathogenesis of this disease. In the treatment，Shaoyang gallbladder and triple energizer should be considered in order to reconcile the pivot and Xiaochaihu Decoction and Haoqin Qingdan Decoction used as the main prescription and modified with the syndrome with significant clinical efficacy.

关键词

少阳为枢难治性胃食管反流病中医药治疗

Keywords

Shaoyang as the pivotrefractory gastroesophageal reflux diseasetraditional Chinese medicine treatment

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