Professor XIE Jingri's Experience in Treating Bile Reflux Gastritis from the Perspective of "Disease of both Wood and Earth"
10.13288/j.11-2166/r.2024.17.004
- VernacularTitle:谢晶日从“木土同病”论治胆汁反流性胃炎经验
- Author:
Xianjun RAO
1
;
Xidan ZHANG
2
;
Guangye LIANG
2
;
Tianjiao QU
2
;
Guoying LIANG
3
;
3
Author Information
1. Wangjing Hospital，China Academy of Chinese Medical Sciences，Beijing，100102
2. Heilongjiang University of Chinese Medicine
3. First Affiliated Hospital， Heilongjiang University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
bile reflux gastritis;
regulate the liver and the spleen simultaneously;
treat the gallbladder and stomach simultaneously;
experience of famous doctors;
XIE Jingri
- From:
Journal of Traditional Chinese Medicine
2024;65(17):1757-1761
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized the clinical experience of Professor XIE Jingri in treating bile reflux gastritis from the perspective of “disease of both wood and earth”. It is believed that the pathogenesis of bile reflux gastritis is the disharmony of liver and spleen， gallbladder and stomach， which belongs to the disease of both wood and earth. The treatment principle of harmonizing wood and earth is advocated. Clinically， bile reflux gastritis is divided into five patterns including liver constraint and spleen deficiency， liver fire harassing stomach， gallbladder and stomach obstruction， damp-heat in the gallbladder， and stomach yin depletion， for which Shugan Lipi Decoction （疏肝理脾汤） can be used to soothe the liver and move qi， fortify the spleen and activate spleen， Lianyu Qinggan Decoction （连萸清肝汤） to clear the liver and drain fire， harmonize stomach and stanch bleeding， Tongfu Paishi Decoction （通腑排石汤） to unblock and discharge gallbladder， harmonize stomach and direct counterflow qi downward， Qingdan Huazhuo Decoction （清胆化浊汤） to clear and drain damp-heat， promote gallbladder function and stanch bleeding， and Yiwei Decoction （益胃汤） to enrich and nourish stomach yin， clear and discharge deficiency-fire. When the clinical pattern is complex， multiple patterns occur simultaneously， or the disease involves multiple zang fu （脏腑） organs， the liver and the spleen should be regulated simultaneously， and the gallbladder and the stomach treated together， with self-designed Shumu Tiaotu Decoction （疏木调土汤） recommended as a basic prescription with flexibl modification based on the symptoms.
