柴胡疏肝散合左金丸治疗肝胃郁热型反流性食管炎的研究进展
Research Progress of Chaihu Shugan San Combined with Zuojinwan in Treating Reflux Esophagitis of Liver and Stomach Stagnation Heat Type
DOI: 10.12677/TCM.2023.124116, PDF,   
作者: 李合鹏:湖北中医药大学第一临床学院,湖北 武汉;胡运莲*:湖北省中医院(湖北中医药大学第一附属医院)脾胃病科,湖北 武汉
关键词: 中医药联合西药治疗反流性食管炎综述Traditional Chinese Medicine Combined with Western Medicine Reflux Esophagitis Summary
摘要: 近年来随着人们生活水平的提高,和生活的不规律,导致反流性食管炎的发病率逐年升高,虽然西医在治疗本病取得了一定进步,但仍然没有突破性进展,长期用药或停药后有其局限性。经过文献查询,发现在中医学中,反流性食管炎主要以肝胃郁热型为主,同时发现柴胡疏肝散合左金丸对于肝胃郁热型有良好的治疗效果,但缺乏对文献的整理,导致合方的价值没能被进一步地挖掘。因此本文从肝胃郁热型反流性食管炎的病因病机、治疗方法,和柴胡疏肝散合左金丸的临床研究、药理分析出发,总结合方治疗上述疾病的文献支持。
Abstract: In recent years, with the improvement of people’s living standards and irregular life, the incidence of reflux esophagitis has increased year by year. Although Western medicine has made certain progress in the treatment of this disease, there is still no breakthrough, and its limitations after long-term drug use or withdrawal. Through literature search, it is found that in traditional Chinese medicine, reflux esophagitis is mainly dominated by heat stagnation of liver and stomach. Meanwhile, it is found that Chaihu Shugan Powder combined with Zuojin Wan has a good therapeutic effect on heat stagnation of liver and stomach. However, the lack of literature review leads to the failure to further explore the value of the combined prescription. Therefore, this paper starts from the etiology, pathogenesis and treatment of reflux esophagitis caused by stagnation of liver and stomach, as well as the clinical research and pharmacological analysis of Chaihu Shugan Powder combined with Zuojin Pills, and provides literature support for the total combination prescription in the treatment of the above diseases.
文章引用:李合鹏, 胡运莲. 柴胡疏肝散合左金丸治疗肝胃郁热型反流性食管炎的研究进展[J]. 中医学, 2023, 12(4): 760-764. https://doi.org/10.12677/TCM.2023.124116

参考文献

[1] 张声生, 朱生樑, 王宏伟, 周秉舵. 胃食管反流病中医诊疗专家共识意见(2017) [J]. 中国中西医结合消化杂志, 2017, 25(5): 321-326.
[2] Ack, J. and Pandolfino, J.E. (2018) Pathophysiology of Gastroesophageal Reflux Disease. Gastroenterology, 154, 277-288. [Google Scholar] [CrossRef] [PubMed]
[3] 陆为民, 徐丹华, 徐心田, 刘子丹. 徐景藩辨证论治结合糊剂卧位服药法治疗反流性食管炎疗效观察及对生活质量的影响[J]. 中华中医药杂志, 2020, 35(10): 5295-5298.
[4] 倪新强, 曹美群, 吴正治, 李利民. 柴胡疏肝散的化学成分和药理作用研究进展[J]. 上海中医药杂志, 2017, 51(9): 109-113.
[5] 周瑾, 黄菲, 吴晓俊. 柴胡疏肝散抗抑郁化学成分和药理作用研究进展[J]. 中药药理与临床, 2019, 35(2): 174-179.
[6] 朱志强, 郑颖颖, 李贵, 吴艳荣. 针药结合治疗肝胃郁热型反流性食管炎46例临床观察[J]. 中医杂志, 2017, 58(1): 46-49.
[7] 俞金玲, 黄婉娜, 蔡铭瑶, 吕哲. 柴胡疏肝散合左金丸治疗胃食管反流病肝胃郁热证的研究进展[J]. 中国民间疗法, 2022, 30(20): 107-110.
[8] 文娜, 郝晋东, 晋志高. 针刺治疗肝胃郁热型反流性食管炎疗效观察[J]. 中国针灸, 2010, 30(4): 285-288.
[9] 王常瞵, 高冬梅, 高明周, 高祥举, 郭英慧, 孙亚, 贺梦媛, 王杰琼, 乔明琦. 柴胡疏肝散化学成分和药理作用研究进展及质量标志物的预测分析[J]. 中华中医药学刊, 2022, 40(11): 124-131+271.
[10] 王池. 柴胡疏肝散合左金丸治疗肝胃郁热型胃食管反流病临床观察[J]. 中医临床研究, 2020, 12(25): 103-105.
[11] 李若明. 柴胡疏肝散联合雷贝拉唑治疗肝胃郁热型反流性食管炎患者的效果[J]. 中国民康医学, 2021, 33(8): 57-59.
[12] 储媛, 陈小芳, 徐惠明. 加味左金丸联合常规西药治疗肝胃郁热型反流性食管炎临床研究[J]. 新中医, 2021, 53(23): 63-66.
[13] Li, S., Huang, M., Wu, G., et al. (2020) Efficacy of Chinese Herbal Formula SiniZuojin Decoction in Treating Gastroesophageal Reflux Disease: Clinical Evidence and Potential Mechanisms. Frontiers in Pharmacology, 11, 76.
[14] 陈启亮, 于清茜, 李灿东, 黎晖. 柴胡疏肝散的历史沿革与现代药理作用[J]. 辽宁中医杂志, 2022, 49(4): 215-217.
[15] 王亚男, 麻春杰. 左金丸治疗胃溃疡研究进展[J]. 实用中医内科杂志, 2021, 35(5): 103-106.