甘爱萍教授基于少阳为枢理论治疗胃食管反流病经验

Professor Gan Aiping’s Experience in the Treatment of Gastroesophageal Reflux Disease Based on the Theory of Shaoyang as the Pivot

摘要: 胃食管反流病是以反酸、烧心、嗳气等为主要症状的一种常见消化系统疾病，西医治疗存在耐药性及复发问题，而中医认为其病机与脾胃虚弱、气机逆乱相关。少阳作为气血、气机、津液输布的枢纽，其枢机不利可致气血失和、肝胆疏泄失常、三焦水道失调，进而引发胃失和降、胃气上逆，表现为GERD症状。甘爱萍教授基于中医“少阳为枢”理论，提出少阳枢机不利是胃食管反流病(GERD)的核心病机，为临床治疗提供了新思路。

Abstract: Gastroesophageal reflux disease (GERD) is a common digestive system disorder characterized by symptoms such as acid regurgitation, heartburn, and belching. While Western medicine treatments face challenges like drug resistance and recurrence, traditional Chinese medicine (TCM) attributes its pathogenesis to spleen-stomach deficiency and chaotic qi movement. The Shaoyang meridian, as the pivot regulating qi-blood circulation, qi movement, and fluid distribution, may lead to disharmony of qi-blood, dysfunction of liver-gallbladder regulation, and disruption of the Triple Burner’s water metabolism when its pivotal mechanism is impaired. Consequently, this results in the failure of stomach qi to descend and its upward rebellion, manifesting as GERD symptoms. Based on the TCM theory of “Shaoyang as the pivot”, Professor Gan Aiping proposes that impaired Shaoyang pivot mechanism is the core pathogenesis of GERD, offering novel insights for clinical treatment.