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胃食道逆流的中醫治療《喝咖啡、吃甜食,又讓你胃不舒服了嗎?》The Chinese medicine therapy of gastroesophageal r

張貼日期
2020-08-28
張貼單位
本院
內  容

一名49歲的婦女,平常喜歡喝含糖冷飲又不愛喝水,不定時感到胃悶痛、胃脹氣、胸悶及排便不暢等症狀。最近因為照顧家人壓力較大,泛酸、胃嘈雜情形更明顯且整天都覺得不舒服。經醫師詢問後,患者自述上述症狀在吃甜食、喝咖啡、茶葉及吃辣後更加明顯。醫師診斷為胃食道逆流,並開立科學中藥治療,患者十天後回診表示服用中藥後症狀減輕很多且胃痛頻率減少。於藥物用畢2~3天後胃部不適感亦較未服藥少,對於中藥有信心,故回診續服。
衛福部新營醫院中醫科陳建閔醫師說明,胃食道逆流疾病是一種臨床常見的慢性消化系統疾病,是胃、十二指腸內容物反流入胃、食道所導致的疾患。發病機制與多種因素相關,其中包括食道下段括約肌功能失調、胃排空延遲、胃酸及胃蛋白等對食道黏膜的損害、幽門螺旋桿菌感染、社會心理因素等。臨床表現多樣化,可出現泛酸、胸骨下燒灼感、胸痛、頭暈、哮喘、咽喉異物感、慢性咽炎、咳嗽、吞嚥困難、上腹痛、腹脹等不同症狀。好發族群於中壯年,其中男性罹病風險為女性2.6倍,近八成患者為30~59歲、有菸酒習慣者及BMI≥24的肥胖者。若不當飲食與生活習慣、過量食用刺激性食物(如:茶、咖啡、酒、辛辣等刺激性食物)、抽菸、肥胖者及不愛運動者,都比較容易發生胃食道逆流。
陳醫師表示,胃食道逆流可透過中醫治療,治療原則為和胃降逆,並配合症狀輔助用藥,亦可搭配針灸選穴治療(體針療法常用穴位:足三里、內關、中脘、上脘、下脘等),皆有不錯的療效。陳醫師叮嚀,民眾可以從日常生活飲食調養、避免緊密貼身的衣物在腰部、飯後不馬上躺下及保持心情的舒暢,以利疾病早日康復。


A 49 years old female who likes to drink hand-shaken beverage but seldom drinks water, often feels stomach ache and fullness, chest tightness and has constipation. Recently, she felt above symptoms getting worse during taking care of her families and came to Sinying hospital for Chinese medicine therapy. After asking the patient, the doctor found out that she got worse of her symptoms after she drank coffee or tea and ate sweet or spicy food. She was diagnosed Gastroesophageal reflex disease (GERD) and the doctor prescribed concentration scientific herbal medicine to relieve her symptoms. Ten days later, she came back to Sinying hospital and told the doctor that she felt more comfortable than ever and has confidence on Chinese medicine therapy for GERD.
Chinese medicine Doctor, Chen Chien-Min explains that GERD is a common clinical chronic digestive system disease in Taiwan. It is induced by the contents in the stomach and duodenum reflux to stomach and esophagus. Mechanism of pathogenesis is related to many factors like function loss of lower esophageal sphincter, Delayed Gastric Emptying, damage to esophageal mucosa by gastric acid and pepsin, infection of Helicobacter pylori and Psychosocial factors etc. The clinical manifestations are acid reflux, heart burn, chest pain, dizziness, asthma, abnormal sensation of throat, chronic pharyngitis, cough, dysphagia, epigastric pain and abdominal fullness. GERD often occurs in middle-age, 80% in the 30-59 years old people and the morbidity rate of man is 2.6 times than woman. Those who have the habit of smoking, drinking alcohol and BMI above 24 obesity person are likely to have GERD. Eating or drinking too much like tea, coffee, spicy food or sweets may probably cause GERD either.
Dr. Chen says that Chinese medicine therapy can treat GERD by using drugs in accordance with symptoms and the treatment principle is“harmonize the stomach and lower the adverse flow of qi.”Chinese medicine doctor in Taiwan also can use acupuncture to treat GERD with the acupoint like ST36, PC6, RN13, RN12 and RN10 etc. At last, Dr. Chen reminds the general population that we should have daily healthy diet and keep in good mood, don’t wear too tight clothes and lie down immediately after meal to prevent from GERD.

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