Exploration on the pivot guided therapy for the treatment of refractory gastroesophageal reflux based on the theory of "pivot movement"
10.3760/cma.j.cn115398-20241030-00312
- VernacularTitle:基于“枢轴运动”理论探讨枢轴导引法治疗难治性胃食管反流病
- Author:
Jinghua BAI
1
;
Tianqi ZHANG
;
Yanan HOU
;
Meng MENG
Author Information
1. 首都医科大学附属北京中医医院消化中心，北京 100010
- Keywords:
Gastroesophageal reflux;
Traditional Chinese Medicine guided therapy;
Pivot theory;
Huang Yuanyu;
Non-drug treatment of Traditional Chinese Medicine
- From:
International Journal of Traditional Chinese Medicine
2025;47(7):892-896
- CountryChina
- Language:Chinese
-
Abstract:
Huang Yuanyu, a famous TCM doctor in the Qing Dynasty, believed that the human body's qi system revolves around the spleen and stomach as the pivot, with the liver, heart, lungs, and kidneys as the four major organs, and the circulation is constant. TCM guided therapy regulates qi and blood by regulating the body, heart, and breath, which is in line with this theory. Based on Huang Yuanyu's "pivot movement" theory, this article explored the application of guided therapy in refractory gastroesophageal reflux disease (rGERD). Guided by the "pivot movement" theory, which includes the left path wood fire rising and falling, the right path gold water converging and falling, and the adjustment of the focal point through the mediation of earth and qi, and referring to the guidance movement methods in the Ba Duan Jin and Zhu Bing Yuan Hou Lun, a "pivot guidance method" for rGERD patients is developed, five movements: adjusting the body and heart, turning the waist and benefiting the kidneys, including rubbing the abdomen and regulating the spleen, soothing the liver and bending the knees, and tightening the lungs and reducing reflux. The aim is to promote smooth circulation of qi throughout the body and improve symptoms of gastroesophageal reflux. In clinical practice, guided therapy should be applied under the guidance of a doctor, with slow and gentle movements, attention to regulating breathing, and long-term persistence.
