Laws Of Traditional Chinese Medicine Diagnosis And Treatment Of Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is a common clinical refractory digestive diseases, high incidence of lingering illness repeatedly. Chinese medicine to treat the disease with certain characteristics and advantages, but there are some differences in physician awareness of gastroesophageal reflux disease, many are not unified dialectical clinic, to a certain extent affect the play of Chinese characteristics.Aim To conclude and analyze the differentiation-prescription rules of GERD.To explore for GERD of TCM, TCM drugs to law, to provide a reference for clinical diagnosis and treatment. Explore and sum up the experience of Jiangsu Province Hospital of Traditional Chinese Medicine treatment of gastroesophageal reflux disease.And then guide the clinical treatment of this disease.Method Collected and quantitative analysis of TCM treatment of GERD literature syndrome factors, pathogenesis, certificate, syndromes, and drug law, by a scientific summary.Through the collation of the Jiangsu Provincial Hospital of the clinical syndrome of treating GERD cases.Their treatment of GERD mode of thinking, drug experience, analyze, summarize the efficacy advantages and medication characteristics.Result1. Differentiation-prescription rules of GERDA total of124Diagnosis and total of272Prescription data. Common syndromes of incoordination between liver and stomach82(35%) cases, the spleen and stomach39(17%) cases, sputum gas cross-resistance to30(13%) cases, lack of stomach yin24(11%) cases, the spleen20(9%), cases of stasis into the network18(8%), cases of liver depression and spleen15(7%) cases. Syndrome factor Notional virtual qi deficiency (22%), Yin (10%) dominated, more than yang (7%), real phlegm (19%) and swelter (18%),based more than stagnation gas (13%) and stasis (11%).The commonly used drugs including reconcile liver and stomach, Strengthen the spleen and qi, Conditioning qi and phlegm, removal heat, reducing dampness, nourishing yin and promoting blood circulation. Drug utilization above10%followed by Breit, berberine, white peony root, bupleurum root, Poria, Citrus aurantium, Codonopsis, Ruddle, Inula, skullcap, Atractylodes, Evodia, cuttlebone, Cyperus rotundus, Rehmanniae, Amomum, Magnolia, Citrus aurantium, mother of pearl, turmeric, dandelion, Zhuru, gardenia, woody, Trichosanthes, bergamot, fumarate, etc2.The clinical observation of the Jiangsu Province Hospital of Traditional Chinese Medicine treatment of gastroesophageal reflux diseaseCollected the cases of145people, the majority of TCM diagnosis is the Stomach pain (43cases), acid reflux (35cases), Swelling of the liver stomach (26cases). A total of160taste medication be used.The commonly used drugs is Citrus, PinelliaPoria, berberine, Evodia, Atractylodes, white peony root, Citrus aurantium, Evodia, Magnolia, Agrimony, Codonopsis, white and cuttlefish bone, skullcap, the Soviet Union stems, Cyperus rotundus, Salvia, Corydalis, Inula, FritillariaDan, turmeric, corrugated child, Curcuma, Amomum, Con shell and so on. Emergence of some drug use and specific symptoms of the existence have correlation, belching and Bergamot, Inula, berberine and other are obvious correlation; throat discomfort and bellflower, wood butterfly, raw licorice are significantly related. Xiong Xie abdominal abdominal pain, pain with fumarate, Shixiaosan, Cyperus rotundus are significantly associated. Loss of appetite, Gallus gallus domesticus, Divine Comedy, Google malt obvious. pantothenic acid and Zuojinwan, cuttlefish bone, Fritillaria are obviously related. The insomnia, and Suanzaoren, Albizia Caulis have significant correlation.Conclusion1. Differentiation-prescription rules of GERDGERD to acid reflux, regurgitation, chest pain, upper abdominal pain, bloating and other symptoms of gastroesophageal and pharyngeal foreign body sensation, sore throat, hoarseness, asthma, cough and other symptoms of esophageal and visible tension, anxiety, headache, dizziness, dry mouth, mouth pain, insomnia, loss of appetite, fatigue, loose stool, constipation and associated symptoms. GERD pathogenesis is mixed with the actual situation, virtual deficiency of qi, yin, real phlegm, swelter-based.Commonly syndromes include incoordination between liver and stomach, weak of Spleen and stomach, Sputum gas cross-resistance, hot and humid of spleen, stomach yin deficiency, blood stasis into the network, the liver stagnation and spleen deficiency. The treatment focused on the liver and stomach to pass down, Conditioning qi and nourishing yin and activating blood circulation method. Disharmony of liver and evidence to CHSGS (liver and stomach swelter of liver fried, gall bladder heat Fan use Wen Dan Tang) to co Zuojinwan subtraction; phlegm pay retention syndrome Dai Zhe Tang of the CD to Banxiahoupu soup co-rotating cover; Hot and humid of spleen card to cut the Pingwei, Xiaoxianxiong decoction and left Kanemaru stasis into the network card. Salvia drink Shixiaosan blood stasis Decoction, the spleen and stomach permit to soup of Xiangsha Liujunzi (spleen Deficiency astragalus Decoction) addition and subtraction.Liver depression and spleen card to Xiaoyaosan and the Liujunzi soup of the CD,stomach yin deficiency addition and subtraction to Yiwei Tang. Radix Ophiopogon Decoction with the card.2.The clinical observation of the Jiangsu Province Hospital of Traditional Chinese Medicine treatment of gastroesophageal reflux diseaseGERD patients, mostly male incidence.Before and after the age of60for the high incidence of age. TCM diagnosis "Acid Reflux","Tunsuan","Stomach pain","Stomach swelling of the liver","Belch choking,""Chest "is appropriate. Pathogenesis characteristics of false is mixed, both the weak of spleen and stomach, stomach yin deficiency, live stagnation and spleen deficiency"virtual" side.Also has depressive heat, phlegm, damp heat, blood stasis "real" side. Stasis is the gradual formation and development of long-term chronic course, is an important pathological aspects of the development of the disease or even malignancy. There are certain characteristics choose medication for symptoms, belching by the main square and Bergamot, Inula, Pinellia, berberine, the Soviet Union stems, Con shell, etc. The main square of the throat, itchy throat, throat discomfort, plus Campanulaceae, wood butterfly abdominal distention of raw licorice, etc.The Recipe fumarate Xiong Xie abdominal pain, Cyperus, Shixiaosan; the soda Terrier, the main square of nausea and vomiting, Ban Xia, dried tangerine peel, Con shell, Inula etc., woods, Amomum, the Soviet Union stems, Citrus aurantium, Cyperus rotundus, etc.pantothenic acid left Kanemaru, cuttlefish bone, mother of pearl, white and, loss of appetite selection of Gallus gallus domesticus, Divine Comedy, Valley malt, hawthorn, loose stools vent those selected Codonopsis. Atractylodes, Poria, Chinese yam, burning heart by the main square plus left Kanemaru, cuttlebone, corrugated child, etc. Dry stool knot by choice of hemp seed. Trichosanthes, rhubarb, white surgery; insomnia can be added with jujube benevolence, Albizia night Kodo and so on.