[1]郭慕瑶,李昊霖,刘冬梅.基于“亢则害，承则制”理论探讨从肝论治反流性食管炎[J].西部中医药,2026,39(05):28-31.[doi:10.12174/j.issn.2096-9600.2026.05.07]
　GUO Muyao,LI Haolin,LIU Dongmei.Exploring the Treatment of Reflux Esophagitis from the Liver Based on the Theory of "Excess Causes Harm, Restriction Brings Balance"[J].Western Journal of Traditional Chinese Medicine,2026,39(05):28-31.[doi:10.12174/j.issn.2096-9600.2026.05.07]
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基于“亢则害，承则制”理论探讨从肝论治反流性食管炎()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年05期
页码:
28-31
栏目:
学术探讨
出版日期:
2026-05-15

文章信息/Info

Title:
Exploring the Treatment of Reflux Esophagitis from the Liver Based on the Theory of "Excess Causes Harm, Restriction Brings Balance"
作者:
郭慕瑶1, 李昊霖2, 刘冬梅3
1.临沂正直医院，山东 临沂 276002
2.山东中医药大学，山东 济南 250014
3.山东中医药大学附属医院,山东 济南 250014
Author(s):
GUO Muyao1, LI Haolin2, LIU Dongmei3
1.Linyi Zhengzhi Hospital, Linyi 276002, China
2.Shandong University of Traditional Chinese Medicine, Jinan 250014, China
3.Affiliated Hospital to Shandong University of Traditional Chinese Medicine, Jinan 250014, China
关键词:
反流性食管炎; 亢则害; 承则制; 从肝论治
Keywords:
reflux esophagitis; excess causes harm; restriction brings balance; treatment from the liver
分类号:
R256.31
DOI:
10.12174/j.issn.2096-9600.2026.05.07
文献标志码:
A
摘要:
以《素问》“亢则害，承乃制”为理论核心，系统阐释反流性食管炎的肝胃失衡病机及相应治则，为临床从肝论治反流性食管炎提供理论依据与思路。重点强调机体通过相互制约维持动态平衡，若一方过亢则为害，须依赖承制之力恢复协调。据此提出反流性食管炎从肝论治四法：伐肝益胃法适用于肝气犯胃证，化痰疏肝法针对痰气交阻证，清肝泻热法用于肝胃郁热证，活血柔肝法用于久病入络之血瘀证，以达祛邪扶正之目的。
Abstract:
Based on the core theoretical principle of "excess causes harm, while restriction brings balance" from Su Wen, this study systematically elucidates the pathogenesis of liver-stomach disharmony in reflux esophagitis (RE) and its corresponding therapeutic principles, thereby providing a theoretical basis and clinical approach for treating RE from the liver. Emphasis is placed on the body’s maintenance of dynamic balance through mutual checks and balances, wherein an excess in any one aspect leads to harm and must rely on the regulatory force of "restriction" to restore coordination. Accordingly, four therapeutic methods for treating RE from the liver are proposed: (1) the method of suppressing the liver and benefiting the stomach, applicable to the pattern of liver Qi invading the stomach; (2) the method of resolving phlegm and soothing the liver, targeting the pattern of phlegm-Qi stagnation; (3) the method of clearing the liver and draining heat, used for the pattern of liver-stomach depressive heat; and (4) the method of activating blood and softening the liver, indicated for the blood stasis pattern resulting from prolonged illness affecting the collateral channels. These four methods aim to eliminate pathogenic factors and support healthy Qi.

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备注/Memo

备注/Memo:
山东省自然科学基金（ZR2017LH064）。郭慕瑶（1996—），女，硕士学位。研究方向：中医药防治消化系统疾病。Email：347780586@qq.com。
更新日期/Last Update: 2026-05-15