中医杂志2026,Vol.67Issue(11):1153-1156,4.DOI:10.13288/j.11-2166/r.2026.11.004
朱生樑辨治气郁痰阻型胃食管反流病经验
Professor ZHU Shengliang's Clinical Experience in Differentiating and Treating Gastroesophageal Reflux Disease with Qi Constraint and Phlegm Obstruction Syndrome
摘要
Abstract
This paper summarizes professor ZHU Shengliang's academic idea and clinical experience in treating gastroesophageal reflux disease(GERD)with qi constraint and phlegm obstruction syndrome.It is believed that the core pathogenesis of GERD is the dysfunction of the liver,gallbladder,spleen and stomach,with binding of phlegm and stasis.The basic pathogenesis is the liver and gallbladder failing to dredge and disperse,the stomach failing to harmonize and descend,and the stomach qi counterflowing upward.In clinical practice,the treatment principle of regulating qi as the priority,resolving phlegm as the key,and activating blood as the assistant is applied,with harmo-nizing the stomach and directing counterflow downward throughout the whole process.A self-made Shugan Hewei Huatan Formula(疏肝和胃化痰方)is employed with the function of soothing the liver and rectifying qi,opening con-straint and dissipating knot,dissolving phlegm and dispelling stasis,harmonizing stomach and directing counterflow downward,with an emphasis on flexible modification according to the syndrome as well as careful protection of stomach qi.关键词
胃食管反流病/气郁痰阻/名医经验/朱生樑Key words
gastroesophageal reflux disease/qi constraint and phlegm obstruction/experience of famous doctors/ZHU Shengliang引用本文复制引用
闫秀丽,于小雨,张秀莲,朱生樑..朱生樑辨治气郁痰阻型胃食管反流病经验[J].中医杂志,2026,67(11):1153-1156,4.基金项目
上海市卫生健康委员会卫生行业临床研究专项(202340073) (202340073)
上海市医院协会医院管理研究课题(2024119) (2024119)
国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教[2022]75号) (国中医药人教[2022]75号)