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Using the lung and stomach correlation theory

 

 

The prevention and control of gastroesophageal reflux cough

 

 

XuYanLing Liaoning university of Chinese medicine hospital

 

 

China's traditional Chinese medicine to

 

 

 

        In recent years, research has shown that gastroesophageal reflux (GER) and partial repeated attacks of asthma, chronic cough, adult sleep apnea syndrome, chronic obstructive pulmonary disease (COPD) closely related to the pathogenesis of. Some scholars think GER is a common causes of chronic cough, gastroesophageal reflux cough (GERC), accounted for about chronic cough causes of 10% ~ 40%. This paper discusses the related theory of traditional Chinese medicine lung and stomach GERC prevention.

 

        Traditional Chinese medicine lung and stomach correlation theory

 

        1. Physical contact each other

 

        A ke lung, stomach in ke, lung and stomach a diaphragmatic adjacent; Throat is breathing in and out of the gas lung of the gateway, it is food in the stomach necessary way, follow the pericardium throat at the same time invasion of lung and stomach two dirty.

 

        Lung and stomach meridian is linked together, "spirit pivot" said: "the pulmonary vein, the hand of the lunar YuZhongJiao, complex large intestine, also follow appetite, ke of lung. "Element asked" said: "the stomach large complex, and was called virtual, transverse diaphragm complex lung...." Lung and stomach on not only in anatomical position is closely related, and through the meridian correlate to. This kind of main and collateral channels directly communicate for two dirty in physical fit, pathologically interaction laid the foundation.

 

        Lung meridian is the beginning of the twelve meridians, yangming foot for the twelve meridians long, the ups and downs of the Yang Ming directly affects the lungs and twelve the ups and downs of the qi and blood. Lung meridian and hand Yang Ming e. the list for the two, yangming foot and the spleen meridian phase exterior-interior, lung and spleen belong to lunar, stomach and large intestine belong to Yang Ming, the same qi interlinked, for each other, become lung and stomach qi in the lift on the theory basis of mutual coordination.

 

        The human body is the essence of the life activities of the material foundation and power. There are three sources: one is by their parents most of the congenital essence; The second is from the diet food essence; The third is take the natural gas. The essence of the production from taste, fresh air of nature depends on lung intake, so have "lung and stomach for a total of the day after tomorrow," said.

 

        Lung and stomach to and reduced to shun. From the qi lifting Angle analysis, main lowering lung, stomach Lord pass down, with the main drop gas, "drop" for the lung gas, stomach gas operation form and the direction of intercommunity, participate in sustain human viscera qi and lift the state of relative balance. Lung and stomach help for use, lung main gas, its lowering to gastric pass down the basis; And gastric pass down and lung of the lowering of the necessary condition.

 

        Lung and stomach all xi embellish evil dry. Lung main gas, can promote loose body fluid to nourish the body, if the fog dew of irrigation, lungs itself should be moist for paramagnetic. At the same time, dry evil inside, easy injury lung tianjin, or endogenous dryness lung injury.

 

        2. Lung stomach trouble reason of influence each other

 

        Lung and stomach to meridians are linked together, after by evil, often through the meridians preach change, such as "element asked · cough theory" yue: "the cold food into the stomach, from pulmonary vein on as for lung", zhang jingyue note yue: "pulmonary vein, and followed up YuZhongJiao appetite, ke of lung, the diet in the stomach of the cold, from pulmonary vein in lung".

 

        For the human body the spleen and stomach qi lifting the pivot. If taste lifting disorder, supplement qi stagnant, the Lord will be affected lung in the art festival and lung qi xuan drop function, and appear lung fu-qi, lung lost xuan drop the syndrome; Stomach Yin deficiency, lung loss of moisture, can appear dry cough, sputum less nasal dryness, pharynx dry wait for disease.

 

        Lung heat of phlegm-heat type will not promote fluid drop to the stomach and the stomach injury; Gastric heat also can burn lung gold, stomach dry source dried up, cause lung beyond suffer indignities, so both clinically in heat and material aspects influence each other. From five lines of point of view for mother and child phase born, Yin fluid can be complementary, the stomach soil fill, the lung is Lord, if stomach virtual blood less, soil don't give birth to a gold, the lung and stomach qi and Yin deficiency.

 

        "Element asked · cough theory" article discusses the causes of cough pathogenesis: "fur person lung of the joint, fur first be evil, evil from its close", "the cold food into the stomach, from pulmonary vein on as for lung, lung cold, lung cold outside, inside close evil, thus the guest, it is lung cough." Pointed out that cough belong to the lungs of the disease, pathogenesis for lung and stomach with the cold in the pericardium caused, "this all gather in the stomach, about lung". Although cough with multiple organ related, but lung and stomach disease center for, and emphasizes the cough from the point of view of lung and stomach.

 

        Using the lung and stomach related theoretical guidance GERC prevention

 

        1. Prevent GERC

 

        GERC patient often due to mental stress, improper diet, dads scoffing cold, cold drink inside stop, or dads scoffing acid salt fatness, or drinking injury, product thermal ShengTan, supplement resistance lung and stomach, hair for cough. Therefore, because of the person different, food characteristic is nurse, is very important. Prevent GERC can take lifestyle changes, such as reducing weight, eat much food less, avoid supersaturated before eating, avoid eating acid greasy food and beverages, avoid drinking coffee and smoking, avoid characteristic stimulation, etc.

 

        "Classic" advocate "grain for raise, five fruit for help, five livestock for profit, five vegetables for imitation, odour close and clothing, with tonic essence." Seen against partial. Advocate tone chang characteristic, keep spirit. Requires people to eliminate selfish ideas and personal considerations, don't be swayed loss, no lust delusion.

 

        In addition, in the respiratory disease treatment process, often need to use antibiotics, glucocorticoid, antipyretic and analgesic, aminophylline and drugs, and these drugs brought about by the gastric mucosa damage, gastrointestinal reaction very see more, prompt clinical medicine should take protective measures, take account of the spleen and stomach, this also is "first Ann are not evil land", "of treating disease before" the embodiment of the thought.

 

        2. Treatment GERC

 

        The author in clinic from lung and stomach GERC to treatment, according to the different syndromes, and keep the disease, "a man is known by the pulse card, make known what inverse, with card rule", carry on the essencial etiopathogenesis, use and stomach drop gas, benefit stomach runfei, nourishing spleen and enriching lung, temperature change, such as lung water treatment, the application of "banxia xiexin decoction, shashen dwarf lilyturf soup, sijunzi decoction, small rose tonga minus all received good results. Experience to combine traditional Chinese and western medicine is the prevention and control of GERC pure western medicine or Chinese medicine therapy effect is remarkable.