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胃食道逆流之中醫證治探析

Traditional Chinese Medicine Syndrome Differentiation and Treatment of Gastroesophageal Reflux

摘要


胃食道逆流疾病(gastroesophageal reflux disease, GERD)或胃食管反流病,為臨床常見的消化道疾病,主要症狀是火燒心感及胃酸的逆流。在中醫的觀點上,本病的病位在胃與食道,而病機上與肝、膽、脾、胃有密切關係,在治療上疏肝理氣、和胃清熱、降氣化痰為主要方針,代表方劑如柴胡疏肝散、黃連溫膽湯、半夏厚朴湯等。除了藥物治療與針灸治療外,必須對患者進行心理上的輔導以加強情志的調適,日常飲食及生活作息與不良嗜好也需加以修正,方能取得較堆的療效。

並列摘要


Gastroesophageal reflux disease (GERD) is a clinical common gastrointestinal disease mainly characterized by burning heart sensation and acid reflux. In the view of Chinese medicine, the disease located in the stomach and esophagus, and the disease pathogenesis is closely related to liver, gall bladder, spleen, and stomach. In western medicine, Proton Pump Inhibitor is a mainly treatments, but in Traditional Chinese Medicine (TCM), there are several treatment. In addition to drug therapy and acupuncture treatment, patients must be psychological counseling in order to strengthen the emotional adaptations, in the meantime, diet, lifestyle and bad habits also need to be amended, in order to obtain better results.

參考文獻


吳龍源(2011)。胃食道逆流的中醫辨證與治療。中醫藥研究論叢。14(2),22-32。
陳旺全(2003)。胃食道逆流症。中國中醫臨床醫學雜誌。9(2),55-58。
許珮毓(2011)。胃食道逆流之中醫治療。北市中醫會刊。17(3),3-10。
廖思嘉、葉宏仁、柯忠旺(2010)。胃食道逆流疾病之處置現況。內科學誌。21,381-390。
郭昭宏(2012)。淺談胃食道逆流疾病及其治療。高雄醫師會誌。20(4),354-359。

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