Experience of LI Diangui in Treating Gastroesophageal Reflux Disease Based on the Theory of Turbidity-Toxin in Liver
10.13288/j.11-2166/r.2025.16.003
- VernacularTitle:李佃贵从肝之浊毒论治胃食管反流病经验
- Author:
Shiyue LIANG
1
;
Mengqi GAO
1
;
Yansheng LIU
1
;
Minan BAI
1
;
Yingying LOU
2
;
1
Author Information
1. Graduate School，Hebei University of Chinese Medicine，Shijiazhuang，050200
2. The First Affiliated Hospital of Hebei University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
gastroesophageal reflux disease;
turbidity-toxin;
liver;
experience of famous doctors;
LI Diangui
- From:
Journal of Traditional Chinese Medicine
2025;66(16):1640-1644
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized the clinical experience of Prof. LI Diangui in treating gastroesophageal reflux disease （GERD） based on the theory of turbidity-toxin in liver. It is believed that internal accumulation of turbidity-toxin and liver depression with stomach counterflow are the main pathogenesis of GERD， and thus the therapeutic methods of resolving turbidity and resolving toxins， regulating the liver and harmonizing the stomach are proposed. In clinical practice， GERD is divided into the early stage， middle stage and late stage. For the early stage， the modified Huazhuo Shugan Hewei Formula （化浊疏肝和胃方） is used to regulate qi and remove turbidity， soothe the liver and harmonize the stomach； for the middle stage， the modified Huazhuo Qingre Zhisuan Formula （化浊清热制酸方） is applied to clear heat， direct the turbid downward， and resolve toxins； for the late stage， the modified Yiwei Decoction （益胃汤） is adopted to replenish qi， nourish yin and simultaneously resolve turbidity-toxin. Throughout the treatment process， attention should be paid to protecting the spleen and stomach， and the medication could be modified according to changes of individual condition.
