调畅三焦法治疗胆汁反流性胃炎

发布时间：2018-05-03 15:59

本文选题：胆汁反流性胃炎 + 清胆和胃　；参考：《中医杂志》2017年20期

【摘要】：三焦郁滞、胆胃失和是胆汁反流性胃炎的根本病机,并伴有胆胃气机不利、胆胃郁热、瘀血内阻、湿邪内蕴等病机演变。临证时从调畅三焦为纲进行治疗,并结合气血、寒热、虚实之所异调整脏腑功能。本病初发者以三焦气机不畅、胆胃郁热为多见,治宜调畅三焦,清胆和胃,以柴胡桂枝汤为主方;病程较长者,常伴有三焦气化不利、夹痰夹湿,治宜宣畅三焦,行气化湿,方选三仁汤加味;若病日久者,往往耗气伤阴,夹有血瘀,治宜调补三焦,活血养胃,方选百合汤、生脉饮合丹参饮化裁。
[Abstract]:Sanjiao stagnation and gall stomach disharmony are the basic pathogenesis of bile reflux gastritis, accompanied by adverse gallbladder qi, gallbladder and stomach stagnation, blood stasis and dampness. Clinical treatment from regulating the three-Jiao unobstructed, and combined with Qi and blood, cold and heat, deficiency of the different regulation of viscera function. The first onset of this disease is that the three Jiao Qi machine is not free, the gallbladder and stomach stagnation is the most common, the treatment should adjust the three Jiao, clear the gallbladder and stomach, take the Chaihu Guizhi decoction as the main prescription; the course of the disease is older, often accompanied by the unfavorable gasification of the three Jiao, with phlegm and dampness. Fang Xuan San Ren decoction; if the disease for a long time, often qi injury Yin, there is blood stasis, treatment is appropriate to adjust the three-Jiao, blood-promoting stomach, Fang Xuan lily decoction, Shengmai drink and Danshen drink cut.
【作者单位】：北京中医药大学东直门医院;北京中医药大学第三附属医院;
【基金】：北京中医药大学中青年教师面上项目(2016-JYB-JSMS-065)
【分类号】：R259

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