徐景藩运用降、和、消三法治疗反流性食管炎

徐景藩教授从医60载,尤擅脾胃病诊治。徐老认为反流性食管炎病因主要有饮食不节、外感六淫、忧思过度、脾胃虚弱等,病机总属胃失和降、气机失调,病位在食管,与胃、脾、肝关系密切。治疗上强调应着重调理胃、脾、肝三脏,以降、和、消为治疗大法,降法如和胃降逆、升脾降胃,和法如疏肝和胃、清肝和胃、调和身心,消法如消食化积、消痰化气、活血消瘀。并独创了糊剂卧位服药法以顾护食管黏膜。

XU Jingfan Treating Reflux Esophagitis by Descending,Harmonizing and Resolving Methods

Professor XU Jingfan has engaged in medicine for more than 60 years,especially for the diagnosis and treatment of the spleen and stomach diseases. Professor XU Jingfan believes that the main causes of reflux esophagitis are improper diet,six exogenous pathogenic factors,excessive anxiety,weakness of spleen and stomach,etc. The pathogenesis of reflux esophagitis always belongs to failure of stomach qi governing descending,disorder of qi movement,the location of the disease is in the esophagus,which is closely related to stomach,spleen and liver. In the treatment,emphasis should be laid on regulating the stomach,spleen and liver. The main therapeutic methods are descending method,harmonizing method and resolving method. He uses descending method such as harmonizing stomach and descending adverse qi,ascending spleen and descending stomach;harmonizing method such as soothing liver and harmonizing stomach,clearing liver and harmonizing stomach,harmonizing body and mind;resolving method such as promoting digestion and resolving food stagnation,dissolving phlegm and transforming qi,activating blood and resolving stasis. Meanwhile,he original creates paste administration method with lying position to protect esophageal mucosa.