Professor ZHU Shengliang's Clinical Experience in Differentiating and Treating Gastroesophageal Reflux Disease with Qi Constraint and Phlegm Obstruction Syndrome
10.13288/j.11-2166/r.2026.11.004
- VernacularTitle:朱生樑辨治气郁痰阻型胃食管反流病经验
- Author:
Xiuli YAN
1
;
Xiaoyu YU
1
;
Xiulian ZHANG
2
;
1
Author Information
1. Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,200437
2. Baoshan Hospital,Shanghai University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
gastroesophageal reflux disease;
qi constraint and phlegm obstruction;
experience of famous doctors;
ZHU Shengliang
- From:
Journal of Traditional Chinese Medicine
2026;67(11):1153-1156
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarizes professor ZHU Shengliang's academic idea and clinical experience in treating gastroesophageal reflux disease (GERD) with qi constraint and phlegm obstruction syndrome. It is believed that the core pathogenesis of GERD is the dysfunction of the liver, gallbladder, spleen and stomach, with binding of phlegm and stasis. The basic pathogenesis is the liver and gallbladder failing to dredge and disperse, the stomach failing to harmonize and descend, and the stomach qi counterflowing upward. In clinical practice, the treatment principle of regulating qi as the priority, resolving phlegm as the key, and activating blood as the assistant is applied, with harmonizing the stomach and directing counterflow downward throughout the whole process. A self-made Shugan Hewei Huatan Formula (疏肝和胃化痰方) is employed with the function of soothing the liver and rectifying qi, opening constraint and dissipating knot, dissolving phlegm and dispelling stasis, harmonizing stomach and directing counterflow downward, with an emphasis on flexible modification according to the syndrome as well as careful protection of stomach qi.