山东中医杂志2025，Vol.44Issue(9)：970-974,5.DOI:10.16295/j.cnki.0257-358x.2025.09.007
基于胆气春升理论探讨胃食管反流病证治
Discussion on Syndrome and Treatment of Gastroesophageal Reflux Disease Based on Theory of Gallbladder Qi Rising in Spring
摘要
Abstract
Gastroesophageal reflux disease(GERD)is a common gastrointestinal disorder.Currently,traditional Chinese medicine(TCM)treatment for this condition predominantly focuses on addressing the disturbance caused by excess fire in the liver and gallbladder,as well as the disruption of the spleen's and stomach's qi movement,employing methods such as clearing heat and soothing the liver,harmonizing the stomach,and descending rebellious qi.There is limited exploration of treatment from the perspective of ascending yang.The theory of gallbladder qi rising in spring originates from LI Dongyuan's Treatise on the Spleen and the Stomach.It holds that gallbladder qi is the source of yang qi in the human body.The rise of gallbladder qi in spring is the foundation for the ascending and descending functions of the spleen and the stomach,the key to the generation and transformation of ministerial fire,and the essential factor enabling the liver(wood element)to dredge and regulate the spleen(earth element).Abnormalities in the rise of gallbladder qi in spring can lead to a disorder of the body's qi movement,a loss of control of ministerial fire,and a blockage of the middle jiao,thus triggering GERD.Based on the theory of gallbladder qi rising in spring,the treatment of GERD can begin with promoting the rising of gallbladder qi to descend stomach qi,promoting the rising of yang qi to purge yin fire,and facilitating the smooth operation of the central region,so as to improve the clinical therapeutic effect.关键词
胆气春升/胃食管反流病/脾胃气机/相火/疏利中土/风药Key words
gallbladder qi rising in spring/gastroesophageal reflux disease/qi movement of the spleen and the stomach/ministerial fire/facilitating the smooth operation of the central region/wind herbs分类
医药卫生引用本文复制引用
王颖逸,韦鹏飞,张怡,田怀娥,袁玲玲,孙旭辉..基于胆气春升理论探讨胃食管反流病证治[J].山东中医杂志,2025,44(9):970-974,5.基金项目
国家自然科学基金面上项目(编号:81973821) （编号:81973821）
成都中医药大学临床医学院2023年研究生科研创新实践项目(编号:2023KCZ10) （编号:2023KCZ10）
