TJ TCM.26(1) : 43-50, 2023
DOI : 10.6516/TJTCM.202303_26(1).0004
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中药治疗肝胃不和型胃食道逆流之探讨
Discussion on Gastroesophageal Reflux of Liver-Stomach Disharmony Treated by
Traditional Chinese Medicine
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蔡依铮1 郭惠雯2*
1 彰滨秀传纪念医院中医部，彰化，台湾
2 秀传医疗社团法人秀传纪念医院中医部，彰化，台湾
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【摘要】
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胃食道逆流是消化系统疾病中常见的问题，随着现代人的饮食、生活型态改变，这类的情况不减反增，它不仅会造成器质上的病变，也会影响患者社会心理之健康；相对地，当这类型的患者承受较大的心理压力时，胃食道逆流的症状也会变得较严重。从中医的观点来看，脾胃升降气机的功能失常，与肝气的疏泄有密切的关系，肝气疏泄无力会出现「肝气郁结」，肝气疏泄太过则会导致「肝气横逆」，疏泄失职，影响及脾胃的运化功能。本篇文章试图分析古至近现代多名医家的临床经验，归纳治疗肝胃不和型胃食道逆流之相关药物，以及使用规则，发现以辛开、苦降药对的应用为主轴，再依照各有其寒热偏重，给予相对应的主要药物。
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【关键词】肝胃不和、胃食道逆流、泄肝和胃
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Yi-Cheng Tsai1Hui-Wen Kuo1*
1Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
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【Summary】
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Gastroesophageal reflux is a common problem in digestive system diseases. With the change of diet and lifestyle of modern people, this kind of situation increases apparently. It will not only cause organic dyspepsia, but also affect the social and psychological health of patients. Therefore, when patients are under stress, the symptoms of gastroesophageal reflux will become much more severe. From the point of view of traditional Chinese medicine, the malfunction of Qi circulation within spleen and stomach is closely related to the stagnation of liver. Insufficient qi circulation will lead to “liver qi stagnation”. Excessive qi function will lead to “adverse liver qi”. This article attempts to analyze the clinical experience of many physicians from ancient to modern times, and summarizes the rules of medicine use. It was found that the application of acrid-bitter medicine for emanating and descending was the main approach to treat the disharmony between liver and stomach. Otherwise, the corresponding drugs were given according to different medical constitution.
【Keywords】Disharmony between liver and stomach; Gastroesophageal Reflux;
Dispersing stagnated liver for promoting qi; regulating stomach for
lowering adverse qi
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261.4 中药治疗肝胃不和型胃食道逆流之探讨
