通讯作者: 陈 颜, 45058301@qq.com

DOI：10.12201/bmr.202507.00061

Discussion on the Treatment of Reflux Esophagitis Based on the Theory of Ascending and Descending of Qi Mechanism

• 摘要：反流性食管炎是胃食管反流病的常见亚型，以烧心、反流为主要症状。中医经过长期的临床实践和丰富的经验积累，在该病的治疗上具有独特的优势，气机升降理论是中医重要基础理论之一，中医认为该病的发病机制与人体气机升降失调密切相关，临证常见脾胃虚弱，肝胃不和，胃气壅滞上逆为病，治当健运脾胃，疏肝和胃，顺应气机之升降。本文基于气机升降理论，从理论内涵、病机、证治来探讨中医药治疗反流性食管炎，以期为反流性食管炎的治疗与研究提供借鉴与促进作用。

  关键词： 反流性食管炎; 胃食管反流病; 气机升降; 脾胃; 肝胃

   

  Abstract: Reflux esophagitis is a frequent form of the subtype of gastroesophageal reflux disease, which is characterized by the main symptoms of the heartburn and regurgitation. Traditional Chinese medicine has distinctive strengths in the treatment of this disease after a long period of clinical practice and rich experience. The doctrine of ascending and descending of Qi is one of the essential fundamental principles of traditional Chinese medicine. Traditional Chinese medicine considers that the onset of this syndrome is directly associated with the imbalance in the ascending and descending of Qi with human body. Clinically, the sickness is frequently caused by weakness of the spleen and stomach, discordance in which the liver and stomach are not in harmony, and congestion of the stomach Qi that goes upward and reverses the flow. The therapy is to invigorate the spleen and stomach, evacuate the liver and stomach, and comply to the ascending and descending of Qi. Based on the concept of ascending and descending of Qi, this essay explores the traditional Chinese medicine therapy of reflux esophagitis in terms of theoretical content, disease mechanism, and evidence therapy, with a view to providing reference and promotion for the treatment and research of reflux esophagitis.

  Key words: Reflux esophagitis; Gastro-esophageal reflux disease; Ascending and descending of Qi; Spleen and stomach; Liver and stomach

  提交时间：2025-07-18

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-07-08	bmr.202507.00061V1	下载

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