Experiences of Prof.SUN Zhiguang on the Treatment of Overlap Syndrome in Gastro-esophageal Reflux Disease and Irritable Bowel Syndrome by Harmonizing Liver and Spleen and Regulating Qi / 浙江中医药大学学报

ABSTRACT

[Objective] To sum up professor SUN Zhiguang's experiences in the treatment of overlap syndrome in gastro-esophageal reflux disease and irritable bowel syndrome.[Method] Expound the academic perspective and clinical experience of Professor SUN Zhiguang in the treatment of this overlap syndrome from the etiology and pathogenesis,therapeutic principle and method,differential diagnosis and treatment,administer medical herbs and prescription,and one case.[Result] Professor SUN considers that exogenous and internal injuries are causes of GERD overlapping IBS,leading to spleen deficientcy and the liver depression.He points out that "incoordination between liver and spleen,disturbance of qi" is the basic pathogenesis of this disease.According to holistic concept,it should be treated by the principle of harmonizing liver and spleen,regulating qi,simultaneously treating stomach and bowl.It is divided into two types,depressing qi is important in the constipation-predominant,and regulating heat and cold is significant in the diarrheapredominant.[Conclusion] Professor SUN specializes in the treatment of the GERD overlapping IBS.This clinical experience has clinical significance.