中醫治療胃食道逆流臨床病例報告

Treatment of Gastroesophageal Reflux Disease Using Traditional Chinese Medicine-A Case Report

黃彥斌(Yanbin Huang)

《台北市中醫醫學雜誌》 24卷2期 (2018/06) Pp. 1-6

https://doi.org/10.6718/TJCM.201806_24(2).0001

摘要

胃食道逆流為一高盛行率疾病，最常出現之臨床症狀為胸中灼熱以及胃酸逆流，其次可能出現症狀有胸痛、吞嚥困難、乾咳、聲音沙啞、咽喉異物感等，現代醫學主要用藥物治療以及給予適當飲食習慣衛教，嚴重的案例可能需要外科手術治療。此外本病造成腸胃道症狀亦與生活壓力情志有關，發病過程與中醫胃脾腎相關。本病例報告為43歲男性，受到胃灼熱感、胃脹、胃氣上逆感困擾5年餘，期間接受胃鏡檢查確診為胃食道逆流，服用西藥後症狀緩解但停藥後症狀復發，因此至本院中醫求診，經過一個多月治療，患者胃部症狀大幅改善，且已不需使用西藥來改善臨床症狀。本病案說明傳統中醫藥不失為治療胃食道逆流的另一選擇。

關鍵字

胃食道逆流 ； 中醫

並列摘要

Gastroesophageal reflux disease (GERD) is a disease with high prevalence in modern society. The most common symptoms includes heart burning and regurgitation. Chest pain, dysphagia, dry cough, hoarseness, and globus sensation are also noted in some cases. The treatment of GERD now are medication and patient education. In some severe cases, surgical intervention should be considered. Besides, emotional problem due to life stress should be concerned in these patients. Chinese medicine is focus on the balance between stomach, spleen, and kidney. In this case, a 43-year-old male, who had suffered from epigastric burning sensation, epigastric fullness, and regurgitation for more than 5 years, received panendoscope exam and was diagnosed as GERD. The symptoms subsided after medication treatment, but was recurrent again after medication was stopped. Therefore, he visited our Chinese Medicine department. After 1-month-course of treatment with Chinese Medicine, all the symptoms had been improved, and he didn't take western medicine anymore. In this case report, Chinese Medicine is proved to be a efficient treatment in GERD.

並列關鍵字

Gastroesophageal reflux ； Chinese Medicine

參考文獻

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Uptodate- [ Approach to refractorygastroesophageal reflux disease in adults][Clinical manifestations and diagnosis of gastroesophageal reflux in adults]