题名

中藥治療肝胃不和型胃食道逆流之探討

并列篇名

Discussion on Gastroesophageal Reflux of Liver-Stomach Disharmony Treated by Traditional Chinese Medicine

DOI

10.6516/TJTCM.202303_26(1).0004

作者

蔡依錚(Yi-Cheng Tsai)；郭惠雯(Hui-Wen Kuo)

关键词

肝胃不和 ； 胃食道逆流 ； 泄肝和胃 ； Disharmony between liver and stomach ； Gastroesophageal Reflux ； Dispersing stagnated liver for promoting qi ； regulating stomach for lowering adverse qi

期刊名称

中醫藥研究論叢

卷期/出版年月

26卷1期（2023 / 03 / 30）

页次

43 - 49

内容语文

繁體中文;英文
中文摘要

胃食道逆流是消化系統疾病中常見的問題，隨著現代人的飲食、生活型態改變，這類的情況不減反增，它不僅會造成器質上的病變，也會影響患者社會心理之健康；相對地，當這類型的患者承受較大的心理壓力時，胃食道逆流的症狀也會變得較嚴重。從中醫的觀點來看，脾胃升降氣機的功能失常，與肝氣的疏泄有密切的關係，肝氣疏泄無力會出現「肝氣鬱結」，肝氣疏泄太過則會導致「肝氣橫逆」，疏泄失職，影響及脾胃的運化功能。本篇文章試圖分析古至近現代多名醫家的臨床經驗，歸納治療肝胃不和型胃食道逆流之相關藥物，以及使用規則，發現以辛開、苦降藥對的應用為主軸，再依照各有其寒熱偏重，給予相對應的主要藥物。
英文摘要

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.
主题分类 醫藥衛生 > 中醫藥學
醫藥衛生 > 藥理醫學
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