Diagnosis and treatment of gastroesophageal reflux disease based on "<italic style="font-style: italic">Shaoyang</italic> as the pivot"

LIU Chang; TIAN Yibing; WEN Yandong

doi:10.16025/j.1674-1307.2025.10.022

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Diagnosis and treatment of gastroesophageal reflux disease based on "Shaoyang as the pivot"

更新时间：2025-12-15

- Diagnosis and treatment of gastroesophageal reflux disease based on "Shaoyang as the pivot"
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 10, Pages: 1337-1340(2025)
- 作者机构：
  
  1.中国中医科学院西苑医院脾胃病科，北京100091
  2.中国中医科学院眼科医院内科，北京 100040
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.10.022
  CLC：
- Received：15 November 2024，
  
  Published：25 October 2025
- 稿件说明：
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刘畅，田依冰，温艳东.基于“少阳为枢”探讨胃食管反流病的诊治思路［J］.北京中医药，2025，44（10）：1337-1340.

LIU Chang,TIAN Yibing,WEN Yandong.Diagnosis and treatment of gastroesophageal reflux disease based on "Shaoyang as the pivot"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1337-1340.
刘畅，田依冰，温艳东.基于“少阳为枢”探讨胃食管反流病的诊治思路［J］.北京中医药，2025，44（10）：1337-1340. DOI： 10.16025/j.1674-1307.2025.10.022.

LIU Chang,TIAN Yibing,WEN Yandong.Diagnosis and treatment of gastroesophageal reflux disease based on "Shaoyang as the pivot"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1337-1340. DOI： 10.16025/j.1674-1307.2025.10.022.

摘要

胃食管反流病（GERD）是指胃、十二指肠内容物反流进入食管，从而引起以反酸、烧心为主要临床表现的消化系统疾病。中医学认为GERD的发生与发展与少阳枢机不利密切相关，少阳经位于半表半里，是人体气机升降的枢纽，少阳枢机不利可引起气机失调、湿浊内生、相火妄动，从而出现反流等相关症状。笔者基于“少阳为枢”理论，提出调节少阳枢机治疗GERD的思路，采用调畅气机、祛湿化浊、清泻相火等治则，并以小柴胡汤、蒿芩清胆汤、大柴胡汤等代表方随证加减，效果显著。

Abstract

Gastroesophageal reflux disease （GERD） is a digestive disorder in which the contents of the stomach and duodenum reflux into the esophagus， causing acid reflux and heartburn as the main clinical manifestations. In traditional Chinese medicine （TCM）， the occurrence and development of GERD are closely related to dysfunction of the

Shaoyang

pivot. The

Shaoyang

meridian， located between the half-exterior and half-interior， serves as the pivotal point for the rise and fall of

in the human body. Dysfunction of the

Shaoyang

pivot can lead to

imbalance， generation of internal dampness and turbidity， and hyperactivity of the ministerial fire， resulting in reflux and related symptoms. Based on the theory of "

Shaoyang

as the pivot"， this study proposes the treatment strategy of regulating the

Shaoyang

pivot， applying principles of regulating

， eliminating dampness and turbidity， and clearing and descending ministerial fire. Representative formulas such as

Xiaochaihu Decoction

，

Haoqin Qingdan Decoction

， and

Dachaihu Decoction

are modified according to symptoms， achieving significant therapeutic effects.

关键词

Keywords

references

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⁰

Diagnosis and treatment of gastroesophageal reflux disease based on "Shaoyang as the pivot"

DOI：10.16025/j.1674-1307.2025.10.022

摘要

Abstract

关键词

Keywords

references