胃食道逆流的治療不等於半夏瀉心湯

<div class="xdj266r x11i5rnm xat24cr x1mh8g0r x1vvkbs x126k92a" style="margin: 0px; overflow-wrap: break-word; white-space: pre-wrap; font-family: "Segoe UI Historic", "Segoe UI", Helvetica, Arial, sans-serif; color: rgb(8, 8, 9); font-size: 15px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> <span style="-webkit-text-stroke-width:0px; background-color:rgb(255, 255, 255); border:0px; caret-color:rgb(28, 30, 33); color:rgb(28, 30, 33); font-family:arial,helvetica,sans-serif; font-feature-settings:inherit; font-kerning:inherit; font-optical-sizing:inherit; font-size-adjust:inherit; font-size:13px; font-stretch:inherit; font-style:normal; font-variant-alternates:inherit; font-variant-caps:normal; font-variant-east-asian:inherit; font-variant-emoji:inherit; font-variant-ligatures:normal; font-variant-numeric:inherit; font-variant-position:inherit; font-variation-settings:inherit; font-weight:400; letter-spacing:1px; line-height:inherit; margin:0px; orphans:2; padding:0px; text-align:center; text-decoration-color:initial; text-decoration-style:initial; text-decoration-thickness:initial; text-indent:0px; text-transform:none; vertical-align:baseline; white-space:pre-wrap; widows:2; word-spacing:0px"> 文／馥芊 <span style="-webkit-text-stroke-width:0px; background-color:rgb(255, 255, 255); border:0px; caret-color:rgb(28, 30, 33); color:rgb(28, 30, 33); font-family:arial,helvetica,sans-serif; font-feature-settings:inherit; font-kerning:inherit; font-optical-sizing:inherit; font-size-adjust:inherit; font-size:13px; font-stretch:inherit; font-style:normal; font-variant-alternates:inherit; font-variant-caps:normal; font-variant-east-asian:inherit; font-variant-emoji:inherit; font-variant-ligatures:normal; font-variant-numeric:inherit; font-variant-position:inherit; font-variation-settings:inherit; font-weight:400; letter-spacing:1px; line-height:inherit; margin:0px; orphans:2; padding:0px; text-align:center; text-decoration-color:initial; text-decoration-style:initial; text-decoration-thickness:initial; text-indent:0px; text-transform:none; vertical-align:baseline; white-space:pre-wrap; widows:2; word-spacing:0px"> 中醫診所 院長 李嘉菱 今天遇到一位患者，因為頭痛和失眠來看診，把了脈，我說「你就是上火了」，問了問飲食都很忌口，原來他為了治療胃食道逆流吃了一陣子劑量很重的半夏瀉心湯。 <div class="x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a" style="margin: 0.5em 0px 0px; overflow-wrap: break-word; white-space: pre-wrap; font-family: "Segoe UI Historic", "Segoe UI", Helvetica, Arial, sans-serif; color: rgb(8, 8, 9); font-size: 15px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> 半夏瀉心湯中有熱性的乾薑，也有寒性的黃芩和黃連，適用寒熱夾雜的證型，這些寒熱屬性不同的藥物歸經不同不會彼此抵銷，正確的來說是為了痞症而運用辛開苦降法（如果沒有明顯的寒熱痞症，還可以選擇微辛微苦法的杏仁、白豆蔻、桔梗、橘紅）。 <div class="x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a" style="margin: 0.5em 0px 0px; overflow-wrap: break-word; white-space: pre-wrap; font-family: "Segoe UI Historic", "Segoe UI", Helvetica, Arial, sans-serif; color: rgb(8, 8, 9); font-size: 15px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> 胃食道逆流不等於痞症，不要因為患者主訴胃食道逆流就開立半夏瀉心湯，打亂了人體原有的寒熱平衡可能衍生其他的病症，肌肉層、黏膜層、血管層、消化狀況都應該列入胃食道逆流的治療考量。

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胃食道逆流的治療不等於半夏瀉心湯

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