摘要
王彦刚教授认为胃食管反流病的核心病机为郁热阴伤,此核心病机在疾病的发生发展过程中起着主导作用。本病病位涉及肝、肺及脾胃,由此将其分为肝胃郁热阴伤与肺胃郁热阴伤两大基本类型,使辨证论治更富有针对性。而在疾病发展过程中,可能兼夹湿热、瘀血等病机,因此,以清宣郁热,养阴护津为疾病的核心治法;清热祛湿,活血化瘀为针对兼夹病机的主要治法,临床疗效满意。临证王彦刚教授注重四诊合参,辨证加减,疗效确切。
Professor Wang Yangang believes that the core pathogenesis of gastroesophageal reflux disease is stagnated heat and yin injury,which plays a leading role in the occurrence and development of the disease.This disease involves liver,lung and spleen and stomach,so it can be divided into two basic types:stagnated heat and yin injury in liver and stomach and stagnated heat and yin injury in lung and stomach,so that the treatment based on syndrome differentiation is more targeted.In the course of disease development,damp-heat,blood stasis and other pathogenesis may be involved.Therefore,the core treatment of the disease is to clear stagnated heat,nourish yin and protect fluid.Clearing heat and eliminating dampness,promoting blood circulation for removing blood stasis are the main treatment methods for combined pathogenesis,and the clinical effect is satisfactory.Clinical Professor Wang Yangang paid attention to the comprehensive analysis of data gained by four diagnostic methods,add and subtract of syndrome differentiation,and definite curative effect.
作者
赵悦佳
王彦刚
周平平
申鹏鹏
杨煜晗
马立亚
ZHAO Yuejia;WANG Yangang;ZHOU Pingping;SHEN Pengpeng;YANG Yuhan;MA Liya(Graduate School,Hebei University of Chinese Medicine,Hebei Province,Shijiazhuang 050091,China;Department of Spleen and Stomach Diseases,Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)
出处
《中国医药导报》
CAS
2022年第2期152-155,共4页
China Medical Herald
基金
河北省自然科学基金资助项目(H2020423207)。
关键词
郁热阴伤
胃食管反流病
核心病机观
王彦刚
临证经验
Stagnated heat and yin injury
Gastroesophageal reflux disease
Core pathogenesis
Wang Yangang
Clinical experience
