基于“一气周流”论治胃食管反流病

Treating Gastroesophageal Reflux Disease Based on the “One Qi Circulation” Theory

摘要: 基于黄元御“一气周流”的学术思想，认为胃食管反流病的发病以中气失运、胃中浊阴上逆为病机根源，水寒木郁，肝肾左升不达；火金上逆，心肺右降不及为其发生发展的重要病理环节。治疗上以调节脏腑气机为基本原则，抓住中气斡旋之核心，把握肝心肺肾四脏气机的整体变化，通过促进脾阳的运化而复运中气，方选天魂汤加减；促进肝气的升发和肾阳的温煦而调理肝肾左升，方选达郁汤、乌肝汤加减；通过肃肺气、降心火而清降心肺，方选下气汤加减。多脏同调，恢复人体气机周流运转进而促进疾病向愈。

Abstract: Based on Huang Yuanyu’s academic thought of “one qi circulation”, it is believed that the onset of gastroesophageal reflux disease is caused by the loss of luck in the middle qi, the turbidity and yin in the stomach as the root cause of the pathogenesis, the water is cold and the wood is depressed, and the liver and kidney cannot rise to the left. The fire is reversed, and the right drop of the heart and lungs is insufficient as an important pathological link for its occurrence and development. In terms of treatment, the basic principle is to regulate the internal organs and qi, grasp the core of the mediation of the central qi, and grasp the overall changes of the liver, heart, lungs, and kidneys. This is achieved by promoting the transportation and transformation of spleen yang to restore the movement of the middle qi, using a modified Tian Hun Decoction; promoting the rise of liver qi and the warmth of kidney yang and regulating the left rise of liver and kidney, and choose Dayu decoction and Wugan decoction to add or subtract; By clearing the lungs and lowering the heart and lungs, the next qi soup is added or subtracted. The harmony of multiple organs restores the circulation of the body’s qi and promotes the healing of diseases.