Syndrome Differentiation and Treatment of Bile Reflux Gastritis Based on the "Regulating the Pivot and Unblocking the Stomach" Theory
10.13288/j.11-2166/r.2026.12.016
- VernacularTitle:运用调枢通胃理论辨治胆汁反流性胃炎
- Author:
Xianjun RAO
1
;
Zixing QIAN
2
;
Guodong HUANG
1
;
Chun WANG
1
;
Yang YANG
1
;
Wei WEI
1
Author Information
1. Wangjing Hospital，China Academy of Chinese Medical Sciences，Beijing，100102
2. Hubei University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
bile reflux gastritis;
regulating the pivot and unblocking the stomach;
promoting gallbladder function and harmonizing the stomach;
harmonizing shaoyang （少阳）;
calming the heart and the mind
- From:
Journal of Traditional Chinese Medicine
2026;67(12):1339-1342
- CountryChina
- Language:Chinese
-
Abstract:
Based on the "regulating the pivot and unblocking the stomach" theory， this article proposes that the core pathogenesis of bile reflux gastritis （BRG） is disharmony of the three pivots and imbalance between the gallbladder and the stomach. Specifically， the pivot of zang-fu （脏腑） organs （spleen and stomach） exhibits abnormal ascending and descending functions， while the pivot of opening and closing （shaoyang） shows impaired flow， and the pivot of mind （heart and brain） has disordered regulation. These three pivots interact， ultimately leading to bile reflux attacking the stomach， injuring the gastric mucosa， and causing symptoms such as epigastric distension， pain， acid regurgitation， and heartburn. Clinically， the treatment principle is unblocking and regulating the three pivots， harmonizing the gallbladder and descending stomach qi， which closely follows the different pathomechanisms of three-pivot dysregulation， applying treatment according to syndrome differentiation. The regulation of the pivot of zang-fu organs focuses on fortifying the spleen and harmonzing stomach， raising the clear and directing the turbid downward. The regulation of the opening-and-closing pivot emphasizes harmonizing shaoyang， promoting gallbladder function and bowel movement. The regulation of the mind pivot centers on calming the heart and the mind， and harmonizing the stomach to ensure smooth qi flow. "Unblocking and regulating three pivots" method aims to restore the physiological functions of the gallbladder and stomach， providing a conceptual framework for the clinical management of BRG.
