《世界中醫藥》精選2022年第55期：不同地域中醫名家論治胃食管反流病的學術特點比較

不同地域中醫名家論治胃食管反流病的學術特點比較

徐泳茵１吳皓萌２秦書敏２鄭歡２唐旭東３黃紹剛２

（１廣州中醫藥大學，廣州，５１０００６；２廣州中醫藥大學第二附屬醫院，廣州，５１０１２０；３中國中醫科學院西苑醫院，北京，１０００９１）

【摘要】

胃食管反流病（GERD）是指胃、十二指腸內容物反流引起不適症狀和（或）食管黏膜病理改變的疾病。在全球範圍內患病率逐年增加，其病因和發病機制複雜，食管內外均可表現刺激症狀，症狀隱匿多樣，患者常伴有抑鬱和（或）焦慮。目前現代醫學多用質子泵抑制劑作為主要治療藥物，無明確有效的綜合治療方法。中醫流傳千年，古籍中已對GERD病名、病因、病機等進行了詳盡論述。而因所處年代、地域、環境不同，學術流派之間互相影響，在一代代中醫人的思想傳承下，現代名中醫對GERD的認識、病因病機、治療用藥規律及常用方劑等方面各有見解。現就董建華、徐景藩、李佃貴、勞紹賢、周福生、唐旭東、沈洪等著名醫家的經驗進行了概述和學術特點比較。以名中醫為代表凝練北方、江南、嶺南等地醫家的學術思想，各位醫者學習他們的經驗，開闊GERD診治思路，提高臨床水平，在“因人、因時、因地”的思想指導下進行辨證論治。

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關鍵詞

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胃食管反流病；名中醫；診療特點；專家經驗；通降論；濁毒學說；伏邪學說；嶺南醫學

關鍵詞

XU Yongyin ， WU Haomeng ， QIN Shumin ， ZHENG Huan ， TANG Xudong ， HUANG Shaogang2

（ 1 Guangzhou University of Chinese Medicine， Guangzhou 510006， China； 2 The Second Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangzhou 510120， China； 3 Xiyuan Hospital， China Academy of Chinese

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Comparison of Theories for Treating Gastroesophageal Reflux Disease by Famous TCM Dcotors in Different Regions

Gastroesophageal reflux disease（GERD） is a clinical condition at which reflux of gastric and duodenal contents causes uncomfortable symptoms and /or pathological changes of esophageal mucosa。 The disease presents an increasing incidence year by year and its etiology and pathogenesis are complex。 In addition to the irritative symptoms occurring both inside and outside the esophagus， there are various hidden symptoms。 The patients are often accompanied by depression and /or anxiety。At present， proton pump inhibitors are mainly used to treat thisdisease， whileclear and effective comprehensive treatment method remains tobe developed。 Traditional Chinese medicine（TCM） has a history of thousands of years and the etiologyand pathogenesis of GERD have been discussed in detail in ancient TCM books。 Because of the differences in the time， region， and environment， TCM doctors have developed different academic theories which influence each other。 With the inheritance of theories from generations of TCM experts， modern TCM doctors have different opinions about the etiology， pathogenesis， medication rules， and treatment formulae for GERD。 This paper summarized and compared the theories of Dong Jianhua， Xu Jingfan， Li Diangui， Lao Shaoxian， Zhou Fusheng， Tang Xudong， and Shen Hong and further condensed the academic thoughts of the experts in north China， south of the Yangtze River， and Lingnan area。 It is hoped that all doctors can learn from their experience， broaden the thinking of GERD diagnosis and treatment， and conduct syndrome differentiation and treatment depending on the individual， time， and place。

Abstract

Gastroesophageal reflux disease； Famous TCM doctors； Characteristics of diagnosis and treatment； Expert experi

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