沧州地区胃食管反流病中医证候学特点

目的]调查研究沧州地区胃食管反流病中医证候学特点,进而辨证施治。方法]查阅相关文献及以往病例资料,制定中医证候学调查表。对胃食管反流病患者患病情况进行调查,予以中医辨证,得出该地区胃食管反流病的中医证型构成特点。结果]300例胃食管反流病患者,以中阳不足、脾胃虚弱多见,胆胃郁热、肺胃失和次之,而胃阴不足、肝寒犯胃较少。结论]治疗胃食管反流病宜温养中阳、调补脾胃治其本,化湿行气、清除积滞治其标。并根据患者年龄、体质、病情轻重不同,治疗上在温与清、补与消的运用上各有所侧重。

TCM syndrome characteristics of gastroesophageal reflux disease in Cangzhou

Objective] To investigate the TCM syndrome characteristics of gastroesophageal reflux disease and the syndrome differentiation in Cangzhou. Methods] We reviewed the literature and the previous cases, made the syndrome of TCM questionnaire. The patients with gastroesophageal reflux disease were investigated in Cangzhou, then the syndromes identified and the characteristics of TCM syndrome type of the gastroesophageal reflux disease were summarized eventually. Results] Among the 300 patients with gastroesophageal reflux disease, it was found that insufficiency of spleen Yang and the weakness of the spleen and stomach were common, bile and stomach heat and incoordination of lung and stomach were located at the second place, and the deficiency of stomach Yin and stomach discomfort due to liver cold were less. Conclusion] The treatment of this disease should be warm nourishing spleen Yang, regulating and tonifying the spleen and stomach, dissipating dampness and promoting the circulation of Qi, eliminating stagnation. It should be treated by warming, clearing heat, tonifying and eliminating according to patient's age, constitution, severity of the condition.