国医大师张震基于“一气周流”论治胃食管反流性咳嗽临床经验探析

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【中图分类号】R249.2/.7 【文献标志码】A 【文章编号】1007-8517（2026）03-0084-04

DOI：10. 3969/j. issn. 1007 -8517.2026. 03. zgmzmjyyzz202603017

Zhang Zhen's Clinical Experience in Treating Gastroesophageal Reflux Cough based on“One-breath Circulation"

ZHAO Changan1ZHU Jianping² 2* 1．Mile Traditional Chinese Medicine Hospital，Mile 6523OO，China; 2.PuerHospitalofTraditional ChineseMedicine，Puer665OOO，China

Abstract：BasedonHuangdi Neijing，thedynamicmodelof“fourimagesofearthpivot”isconstructed，whichemphasizesthat theqinthespleenandstomachisthepivot，andthefour-dimensionalzang-fuorgansformadynamiccirculationthroughthescendinganddescendingofqi.Physiologically，theydependonthesplentoascendthestomachanddescendtheliverandlung，which isrelatedtoteintersectionofteatandidneyndpathologicall，tepivotfilsduetotedeclieofCina.Tefouragsare surlytreatedbyajustingthepivotwheetorestoretheirharmony，payingattentiontothecultivationofChineseqiandcombinigthe clinical experienceofChinese medicine masters.FromHuangYuanyu’saticle“QiCycle”Toexplorethepathogensisandreatmenof gastroesophagealreflux cough（GERC）.Zhang Laothinksthatthecore pathogenesisof GERCisthatthe middle-earthmediation fails，andthestagnationofliverandstagnationoffireandthfilureoflung-godaremutuallrelatedtothedeficiencyofkidneywater，whichleadstoteinflammationof thefire.ThetreatmentistouseHuanga DecoctionandBanxiaXiexinDecoctiontoorishthe midleqi，restoretheascendinganddescening，andasistinegulatingqandcontrolingacidGuizhiPaeonialactifloraissedto sothe theliver，almondplatycodongrandiflorumisusedtoclearthelung，nditalsoclearsawayheat，phegmandbloodstasis;TonifyingkidneyandnourishingyinnourishingkidneywithLiuweiDiuangdecoction，combiningthemethodsofclearingawayheat，e solving phlegm and removing blood stasis，and reducing adverse reactions and relieving cough.

KeyWords：Zhang Zhen，Masterof Traditional Chinese Medicine；One Qi Circulation；GastroesophagealReflux Cough；Mid -air Mediation

胃食管反流性咳嗽（gastroesophagealrefluxcough，GERC）作为慢性咳嗽的常见病因之一，是指胃酸或其他胃内容物反流入食管后，食管受刺激产生应激性收缩，继而刺激气管引发支气管收缩，最终以咳嗽为主要表现的临床综合征[1]。（剩余5757字）