Differentiation and treatment strategies for gastroesophageal reflux disease based on the "triple energizer governing the two axes and the two axes regulating the pivot of <italic style="font-style: italic">qi</italic> movement"

SUN Yu'nan; HAN Songxue

doi:10.16025/j.1674-1307.2026.02.020

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Differentiation and treatment strategies for gastroesophageal reflux disease based on the "triple energizer governing the two axes and the two axes regulating the pivot of qi movement"

更新时间：2026-04-08

- Differentiation and treatment strategies for gastroesophageal reflux disease based on the "triple energizer governing the two axes and the two axes regulating the pivot of qi movement"
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 2, Pages: 253-257(2026)
- 作者机构：
  
  1.北京中医药大学附属护国寺中医医院功能科，北京 100035
  2.北京市朝阳区妇幼保健院中医科，北京 100021
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.02.020
  CLC：
- Received：09 July 2025，
  
  Published：25 February 2026
- 稿件说明：
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孙语男，韩松雪.基于“三焦统两轴，两轴调枢机”探讨胃食管反流病辨治策略［J］.北京中医药，2026，45（2）：253-257.

SUN Yu'nan,HAN Songxue.Differentiation and treatment strategies for gastroesophageal reflux disease based on the "triple energizer governing the two axes and the two axes regulating the pivot of qi movement"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):253-257.
孙语男，韩松雪.基于“三焦统两轴，两轴调枢机”探讨胃食管反流病辨治策略［J］.北京中医药，2026，45（2）：253-257. DOI： 10.16025/j.1674-1307.2026.02.020.

SUN Yu'nan,HAN Songxue.Differentiation and treatment strategies for gastroesophageal reflux disease based on the "triple energizer governing the two axes and the two axes regulating the pivot of qi movement"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):253-257. DOI： 10.16025/j.1674-1307.2026.02.020.

摘要

胃食管反流病（GERD）是临床常见的消化系统疾病。基于“三焦-两轴-气机”的相互关联，构建“三焦统两轴，两轴调枢机”理论，探讨GERD中医病机及辨证论治。人体两轴指脾胃气机升降枢轴与肝胆气机出入枢纽。三焦脏腑功能失调、两轴气机逆乱是GERD发生的始动因素，气滞、郁热、湿浊、痰湿、痰热、食积、气逆是GERD常见证候要素，肺壅肠滞、木郁土虚、胃气上逆、浊邪害清是基本病机。梳理三焦脏腑、调畅两轴气机、通滞和胃降逆是治疗准绳，具体治法为通补阳明法、益胃降逆法、清解少阳法、清肝和胃法、辛开苦降法、降气化痰法、宣降肺气法、宣肺通腑法。“三焦统两轴-两轴调枢机”为中医药治疗GERD提供思路和方法。

Abstract

Gastroesophageal reflux disease （GERD） is a common digestive system disorder in clinical practice. Based on the interrelationship of the "triple energizer–two axes–

movement"， the theory of "triple energizer governing the two axes and the two axes regulating the pivot of qi movement" is proposed to explore the pathogenesis and syndrome differentiation and treatment of GERD in traditional Chinese medicine （TCM）. The two axes of the human body refer to the ascending-descending pivot of spleen and stomach

movement， and the entry-exit hub of hepatobiliary

movement. Dysfunction of the triple energizer viscera and disordered

movement of the two axes constitute the initiating factors in the occurrence of GERD.

stagnation， constrained heat， dampness-turbidity， phlegm-dampness， phlegm-heat， food accumulation， and

counterflow are common syndrome elements of GERD. The basic pathogenesis includes lung congestion with intestinal stagnation， liver constraint with spleen deficiency， upward reversal of stomach

， and turbid pathogens impairing the clear. The therapeutic principles are to

regulate the triple energizer viscera， smooth the

movement of the two axes， unblock stagnation， harmonize the stomach， and descend counterflow. Specific treatment methods include the dredging and tonifying

Yangming

， tonifying the stomach and descending counterflow， clearing

Shaoyang

， clearing the liver and harmonizing the stomach， acrid opening and bitter descending， descending

and resolving phlegm， dispersing and descending lung

， and dispersing the lung and unblocking the bowels. The theory of "triple energizer governing the two axes and the two axes regulating the pivot of

movement" provides theoretical guidance and therapeutic approaches for the treatment of GERD in TCM.

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references

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Related Institution

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Department of Spleen and Stomach Diseases （Digestive Department）， Wangjing Hospital， China Academy of Chinese Medical Sciences

⁰

Differentiation and treatment strategies for gastroesophageal reflux disease based on the "triple energizer governing the two axes and the two axes regulating the pivot of qi movement"

DOI：10.16025/j.1674-1307.2026.02.020

摘要

Abstract

关键词

Keywords

references