胃食管反流性咳嗽(GERC)为胃食管反流病(GERD)的一种特殊类型,是慢性咳嗽常见病因之一,成为目前的研究热点。当代主流医家将GERC归于“内伤咳嗽”范畴;并将病因病机总结为肝失疏泄、胃失和降、肺失宣肃;临床诊断则依靠望、闻、问、切四诊合参,其中问诊占有十分重要的地位;治疗方法可分为辨证论治、专方专药、中西医结合及针灸疗法;笔者在文末评析了中医药在该病的实验研究和临床诊疗上存在的主要问题,以期为后续的研究指明方向。
Gastroesophageal reflux cough( GERC) is the special type of gastroesophageal reflux disease( GERD). As one of the common causes of chronic cough,it becomes a new research hotspot at present. The majority of recent physicians attribute GERC to cough caused by inner factors and summarize the etiology and pathogenesis as liver dysfunction,stomach Qi rising and lung Qi obstruction. Clinical diagnosis of GERC depends on the comprehensive analysis of inspection,auscultation,olfaction,inquiry,pulse-taking and palpation. In addition,inquiry takes a more important role than the others. Its therapies include treatment based on syndrome differentiation,special prescription,combination of Chinese traditional and Western medicine,acupuncture and moxibustion. At last,the major problems in experimental and clinical researches of TCM on GERC were analyzed,showing directions clear for the following job.