李圭从肝寒论治胃食管反流病经验

[关键词］胃食管反流病；肝寒证；水寒土湿木郁；姜连抑酸饮；吴茱萸四逆汤；李垚 [中图分类号］R249；R259 [文献标志码］A [文章编号]0256-7415（2025）20-0181-05 DOI：10.13457/j.cnki.jncm.2025.20.033

LI Yao's Experience in Treating Gastroesophageal Reflux Disease from the Theory of Liver Cold

XIAOShiyu1，LIUSenhao¹，DUJiamei1，LIYao²

1.DepartmentofGastroenterologyandHepatologyTheThirdAfiliatedHospitalofYuanUniversityofChineseMedicine，Kunming Yunnan 6505o0，China；2.DepartmentofGastroenterologyand Hepatology，Chenggong Campus，Kunming Municipal Hospitalof Traditional Chinese Medicine，Kunming Yunnan 65o5oo，China

Abstract：LIYao posits that gastroesophageal reflux disease（GERD）falls within the scope of traditional Chinese medicine syndromes suchasacid regurgitationand esophageal heat.The pathogenesis is closely related to the liver， spleen，and kidney.The fundamental pathogenesis oflivercold syndrome involves water-cold，earth-dampness，and wood-stagnation.Formild liver cold syndrome，LI Yao'sexperienced prescriptionofJianglian Yisuan Decoction is modified to warm the liver，dispel cold，harmonize the stomach，and direct rebeliousqi downward.In severe cases， Wuzhuyu SiniDecoction is employedto supplement fire，dry earth，and free wood stagnation.Flexible prescription has demonstrated significant therapeutic efficacy.

Keywords：Gastroesophageal reflux disease；Liver cold syndrome；Water-cold，earth-dampness，and woodstagnation；Jianglian Yisuan Decoction；Wuzhuyu Sini Decoction；LI Yao

胃食管反流病（GERD）指胃、十二指肠内容物反流至食管或其以上部位，引起食管内或食管外的不适症状和（或）相关并发症，典型表现有反酸、烧心，此外还有胸痛、上腹胀满疼痛、咽喉不适、暖气等食管外症状。（剩余7689字）