胃食道逆流之中醫治療

Treatment of Gastroesophageal Reflux Disease

胃食道逆流疾病（gastroesophageal reflux disease, GERD）為臨床常見的慢性消化系統疾病，表現多樣化，易反覆發作，部分患者西藥治療效果不彰。本病例為一胃食道逆流經西藥治療仍反覆發作的患者，辨證為肝胃不和，兼脾氣虛弱，經中藥治療後症狀有明顯改善。討論胃食道逆流此一疾病，中醫病位主要與胃、食道、脾、肝、膽等臟腑相關；肝胃不和、肝胃鬱熱、膽熱犯胃、中虛氣逆、胃陰虧虛、氣鬱痰阻、瘀血阻絡為臨床常見證型，透過中醫藥的治療與日常生活起居調養與預防，可達到一定的治療效果。

Gastroesophageal reflux disease is a chronic digestive disease with multiple symptoms and recurrent easily. A patient was diagnosed as liver qi invading the stomach and spleen qi deficiency. The locations of disease are stomach, esophagus, spleen, liver and gallbladder. Patterns included liver qi invading the stomach, liver and stomach stagnated heating, gallbladder heat invading stomach, qi counterflow, stomach yin deficiency, qi movement stagnation with phlegm obstructing and static blood obstructing the collaterals. Clinical effects were noted after the Chinese Medications' treatment and daily life recuperation.