處方 : 橘皮(pi)（炮，去(qu)(qu)瓤，曬干稱）1斤(jin)（用生姜10兩(liang)，去(qu)(qu)皮(pi)，洗凈，切(qie)片(pian)，同橘皮(pi)搗(dao)碎曬干，再以生姜6兩(liang)切(qie)片(pian)，再搗(dao)，微炒(chao)，入后藥(yao)），半夏(xia)曲（炒(chao)）4兩(liang)，藿(huo)香(xiang)（去(qu)(qu)土）4兩(liang)，丁香(xiang)皮(pi)4兩(liang)，厚樸（去(qu)(qu)粗(cu)皮(pi)，姜制，炙）3兩(liang)，天南星（湯泡(pao)7次）2兩(liang)，茯苓（去(qu)(qu)皮(pi)）2兩(liang)。
制法 : 上(shang)為細末(mo)，生(sheng)姜自然汁煮糊為丸，如梧桐(tong)子大(da)。
功能主治 : 脾(pi)胃虛弱，不美飲食(shi)，痰涎上壅，胸(xiong)膈不快，及酒食(shi)所(suo)傷(shang)。
用法用量 : 每服30丸(wan)，生姜(jiang)、紫蘇湯(tang)送下。
摘錄 : 《魏氏家藏方》卷五
癥(zheng)(zheng)狀 主癥(zheng)(zheng)：食(shi)(shi)(shi)(shi)欲(yu)不(bu)振、下(xia)咽困難(nan)(nan)、食(shi)(shi)(shi)(shi)物(wu)(wu)(wu)(wu)逆(ni)流(liu)(liu)、流(liu)(liu)涎(xian)、嘔(ou)吐。 1．精神沉郁，食(shi)(shi)(shi)(shi)欲(yu)減少(shao)(shao)甚(shen)至廢絕(jue)。口(kou)鼻周(zhou)(zhou)圍附有(you)黏(nian)液。發生慢性(xing)(xing)(xing)(xing)食(shi)(shi)(shi)(shi)道炎(yan)時(shi)(shi)，體重(zhong)逐漸下(xia)降(jiang)。 2．吞(tun)(tun)咽困難(nan)(nan)，吞(tun)(tun)咽時(shi)(shi)表現痛(tong)(tong)苦，并大量(liang)(liang)(liang)流(liu)(liu)涎(xian)；或(huo)發生嘔(ou)吐，嘔(ou)吐物(wu)(wu)(wu)(wu)有(you)時(shi)(shi)帶有(you)血(xue)液。吞(tun)(tun)咽數(shu)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)后(hou)(hou)(hou)常拒(ju)絕(jue)采食(shi)(shi)(shi)(shi)。 3．食(shi)(shi)(shi)(shi)管(guan)觸(chu)診敏(min)感，頸(jing)前(qian)(qian)(qian)(qian)(qian)(qian)部(bu)(bu)食(shi)(shi)(shi)(shi)管(guan)觸(chu)診疼痛(tong)(tong)；前(qian)(qian)(qian)(qian)(qian)(qian)腹部(bu)(bu)觸(chu)壓，可(ke)(ke)引(yin)起食(shi)(shi)(shi)(shi)物(wu)(wu)(wu)(wu)反(fan)(fan)(fan)(fan)流(liu)(liu)。 臨(lin)床表現 （1）上腹部(bu)(bu)或(huo)胸骨后(hou)(hou)(hou)疼痛(tong)(tong)燒灼感：為(wei)(wei)本病(bing)(bing)主要(yao)臨(lin)床表現。疼痛(tong)(tong)在進食(shi)(shi)(shi)(shi)多時(shi)(shi)尤為(wei)(wei)明顯，并與(yu)體位(wei)有(you)關(guan)，嚴(yan)重(zhong)者(zhe)(zhe)可(ke)(ke)放射到頸(jing)部(bu)(bu)、后(hou)(hou)(hou)背(bei)、胸部(bu)(bu)，有(you)時(shi)(shi)酷似心(xin)絞(jiao)痛(tong)(tong)癥(zheng)(zheng)狀。 （2）反(fan)(fan)(fan)(fan)流(liu)(liu)：常于(yu)餐(can)(can)后(hou)(hou)(hou)、晚(wan)間(jian)(jian)睡(shui)(shui)(shui)(shui)覺(jue)前(qian)(qian)(qian)(qian)(qian)(qian)有(you)酸(suan)(suan)(suan)(suan)性(xing)(xing)(xing)(xing)液體或(huo)食(shi)(shi)(shi)(shi)物(wu)(wu)(wu)(wu)從胃(wei)(wei)(wei)(wei)及食(shi)(shi)(shi)(shi)管(guan)反(fan)(fan)(fan)(fan)流(liu)(liu)到口(kou)咽部(bu)(bu)。另(ling)可(ke)(ke)有(you)惡心(xin)、暖氣(qi)、打嗝、燒心(xin)、腹脹、吞(tun)(tun)咽時(shi)(shi)不(bu)適感等癥(zheng)(zheng)狀，嚴(yan)重(zhong)者(zhe)(zhe)也(ye)可(ke)(ke)因食(shi)(shi)(shi)(shi)道糜爛引(yin)起消(xiao)化(hua)(hua)道出血(xue)。 治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)原則是(shi)減少(shao)(shao)胃(wei)(wei)(wei)(wei)內容物(wu)(wu)(wu)(wu)反(fan)(fan)(fan)(fan)流(liu)(liu)，降(jiang)低(di)反(fan)(fan)(fan)(fan)流(liu)(liu)物(wu)(wu)(wu)(wu)的(de)(de)(de)(de)刺激(ji)性(xing)(xing)(xing)(xing)，改(gai)善食(shi)(shi)(shi)(shi)管(guan)下(xia)段(duan)(duan)括(kuo)(kuo)約(yue)肌功能(neng)。 （1）減少(shao)(shao)反(fan)(fan)(fan)(fan)流(liu)(liu)：由于(yu)反(fan)(fan)(fan)(fan)流(liu)(liu)易(yi)在夜間(jian)(jian)，病(bing)(bing)人處于(yu)水(shui)(shui)平位(wei)及頭(tou)低(di)腳高(gao)(gao)位(wei)時(shi)(shi)，所(suo)以(yi)應(ying)將床頭(tou)抬高(gao)(gao)使(shi)床頭(tou)至床尾有(you)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)個(ge)斜(xie)形(xing)坡度，這樣即使(shi)反(fan)(fan)(fan)(fan)流(liu)(liu)也(ye)能(neng)較(jiao)快消(xiao)除。囑病(bing)(bing)人睡(shui)(shui)(shui)(shui)前(qian)(qian)(qian)(qian)(qian)(qian)不(bu)再進食(shi)(shi)(shi)(shi)，晚(wan)餐(can)(can)與(yu)入(ru)睡(shui)(shui)(shui)(shui)的(de)(de)(de)(de)間(jian)(jian)隔(ge)應(ying)拉(la)長，大于(yu)3小(xiao)時(shi)(shi)。每(mei)(mei)(mei)(mei)(mei)(mei)(mei)餐(can)(can)后(hou)(hou)(hou)讓(rang)病(bing)(bing)人處于(yu)直立(li)位(wei)或(huo)餐(can)(can)后(hou)(hou)(hou)散步(bu)，借助重(zhong)力(li)促進食(shi)(shi)(shi)(shi)物(wu)(wu)(wu)(wu)排(pai)空。另(ling)外(wai)要(yao)忌食(shi)(shi)(shi)(shi)刺激(ji)性(xing)(xing)(xing)(xing)食(shi)(shi)(shi)(shi)物(wu)(wu)(wu)(wu)，避免劇烈(lie)運動(dong)。 （2）降(jiang)低(di)反(fan)(fan)(fan)(fan)流(liu)(liu)物(wu)(wu)(wu)(wu)的(de)(de)(de)(de)刺激(ji)性(xing)(xing)(xing)(xing)：降(jiang)低(di)反(fan)(fan)(fan)(fan)流(liu)(liu)物(wu)(wu)(wu)(wu)的(de)(de)(de)(de)刺激(ji)性(xing)(xing)(xing)(xing)可(ke)(ke)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)藥(yao)(yao)物(wu)(wu)(wu)(wu)如：甲氰咪呱(gua)、雷尼替(ti)(ti)丁(ding)(ding)，能(neng)抑制、減少(shao)(shao)胃(wei)(wei)(wei)(wei)酸(suan)(suan)(suan)(suan)分(fen)(fen)泌。也(ye)可(ke)(ke)用(yong)(yong)洛賽克(ke)20mg每(mei)(mei)(mei)(mei)(mei)(mei)(mei)晚(wan)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)。另(ling)可(ke)(ke)用(yong)(yong)氫(qing)(qing)氧(yang)(yang)化(hua)(hua)鋁(lv)凝膠(jiao)10ml，每(mei)(mei)(mei)(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)口(kou)服(fu)(fu)(fu)(fu)(fu)(fu)，能(neng)減少(shao)(shao)胃(wei)(wei)(wei)(wei)酸(suan)(suan)(suan)(suan)的(de)(de)(de)(de)刺激(ji)。 （3）改(gai)善食(shi)(shi)(shi)(shi)管(guan)下(xia)段(duan)(duan)括(kuo)(kuo)約(yue)肌的(de)(de)(de)(de)功能(neng)：餐(can)(can)前(qian)(qian)(qian)(qian)(qian)(qian)15～30分(fen)(fen)鐘服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)胃(wei)(wei)(wei)(wei)復安或(huo)嗎(ma)叮(ding)啉，可(ke)(ke)增(zeng)加(jia)(jia)食(shi)(shi)(shi)(shi)管(guan)下(xia)段(duan)(duan)括(kuo)(kuo)約(yue)肌的(de)(de)(de)(de)壓力(li)，加(jia)(jia)速(su)胃(wei)(wei)(wei)(wei)的(de)(de)(de)(de)排(pai)空，減少(shao)(shao)反(fan)(fan)(fan)(fan)流(liu)(liu)。也(ye)可(ke)(ke)用(yong)(yong)西沙(sha)(sha)比剎（Cespside)這種新胃(wei)(wei)(wei)(wei)腸動(dong)力(li)藥(yao)(yao)。 一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)、可(ke)(ke)選用(yong)(yong)的(de)(de)(de)(de)西藥(yao)(yao) 1．抗(kang)酸(suan)(suan)(suan)(suan)劑(ji)：包括(kuo)(kuo)單一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)的(de)(de)(de)(de)或(huo)復方的(de)(de)(de)(de)堿性(xing)(xing)(xing)(xing)藥(yao)(yao)物(wu)(wu)(wu)(wu)，可(ke)(ke)任選一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)種或(huo)幾種聯合使(shi)用(yong)(yong)，8—12周(zhou)(zhou)為(wei)(wei)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)程。 （1）氫(qing)(qing)氧(yang)(yang)化(hua)(hua)鋁(lv)凝膠(jiao)劑(ji)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)4—6ml，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)前(qian)(qian)(qian)(qian)(qian)(qian)1小(xiao)時(shi)(shi)和睡(shui)(shui)(shui)(shui)前(qian)(qian)(qian)(qian)(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)，病(bing)(bing)情(qing)嚴(yan)重(zhong)時(shi)(shi)劑(ji)量(liang)(liang)(liang)可(ke)(ke)加(jia)(jia)倍。 （2）氫(qing)(qing)氧(yang)(yang)化(hua)(hua)鋁(lv)片劑(ji)：使(shi)用(yong)(yong)較(jiao)少(shao)(shao)，服(fu)(fu)(fu)(fu)(fu)(fu)法為(wei)(wei)每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)0．6—0．9g，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)前(qian)(qian)(qian)(qian)(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)。 （3）復方氫(qing)(qing)氧(yang)(yang)化(hua)(hua)鋁(lv)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)2—4片，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3—4次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)前(qian)(qian)(qian)(qian)(qian)(qian)30分(fen)(fen)鐘或(huo)胃(wei)(wei)(wei)(wei)痛(tong)(tong)發作時(shi)(shi)嚼啐后(hou)(hou)(hou)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)。 （4）膠(jiao)體次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)枸櫞酸(suan)(suan)(suan)(suan)鈕：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1包，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3—4次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，化(hua)(hua)水(shui)(shui)沖(chong)(chong)(chong)服(fu)(fu)(fu)(fu)(fu)(fu)，飯(fan)前(qian)(qian)(qian)(qian)(qian)(qian)半(ban)小(xiao)時(shi)(shi)和睡(shui)(shui)(shui)(shui)前(qian)(qian)(qian)(qian)(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)。共用(yong)(yong)藥(yao)(yao)4—8周(zhou)(zhou)，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)般用(yong)(yong)藥(yao)(yao)不(bu)要(yao)超過8周(zhou)(zhou)。開(kai)始下(xia)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)個(ge)療(liao)(liao)(liao)(liao)程前(qian)(qian)(qian)(qian)(qian)(qian)的(de)(de)(de)(de)2個(ge)月內不(bu)要(yao)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)任何(he)鉍劑(ji)。 2．抑酸(suan)(suan)(suan)(suan)劑(ji)：是(shi)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)本病(bing)(bing)的(de)(de)(de)(de)主要(yao)藥(yao)(yao)物(wu)(wu)(wu)(wu)，但治(zhi)(zhi)(zhi)愈(yu)后(hou)(hou)(hou)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)旦(dan)停藥(yao)(yao)，癥(zheng)(zheng)狀可(ke)(ke)復發。因此長療(liao)(liao)(liao)(liao)程維(wei)持(chi)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)十分(fen)(fen)必要(yao)。維(wei)持(chi)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)的(de)(de)(de)(de)用(yong)(yong)藥(yao)(yao)劑(ji)量(liang)(liang)(liang)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)般采用(yong)(yong)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)量(liang)(liang)(liang)的(de)(de)(de)(de)半(ban)量(liang)(liang)(liang)，維(wei)持(chi)地間(jian)(jian)愈(yu)長，復發率愈(yu)低(di)。 （1）西咪替(ti)(ti)丁(ding)(ding)：成人每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)0．2g，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，吃飯(fan)時(shi)(shi)或(huo)飯(fan)后(hou)(hou)(hou)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)，臨(lin)睡(shui)(shui)(shui)(shui)前(qian)(qian)(qian)(qian)(qian)(qian)再服(fu)(fu)(fu)(fu)(fu)(fu)0．4g，6—12周(zhou)(zhou)為(wei)(wei)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)程。兒童每(mei)(mei)(mei)(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)按每(mei)(mei)(mei)(mei)(mei)(mei)(mei)千克(ke)體重(zhong)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)20—40mg，分(fen)(fen)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)；也(ye)可(ke)(ke)于(yu)每(mei)(mei)(mei)(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)睡(shui)(shui)(shui)(shui)前(qian)(qian)(qian)(qian)(qian)(qian)頓(dun)服(fu)(fu)(fu)(fu)(fu)(fu)800mg。 （2）法莫(mo)替(ti)(ti)丁(ding)(ding)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)20mg，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)后(hou)(hou)(hou)或(huo)睡(shui)(shui)(shui)(shui)前(qian)(qian)(qian)(qian)(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)。8—12周(zhou)(zhou)為(wei)(wei)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)程。 （3）奧美拉(la)唑：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)用(yong)(yong)藥(yao)(yao)20mg，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)1次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)。 （4）雷尼替(ti)(ti)丁(ding)(ding)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)口(kou)服(fu)(fu)(fu)(fu)(fu)(fu)0．15g，早晚(wan)各服(fu)(fu)(fu)(fu)(fu)(fu)1次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，連服(fu)(fu)(fu)(fu)(fu)(fu)8—12周(zhou)(zhou)為(wei)(wei)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)程。 3．胃(wei)(wei)(wei)(wei)動(dong)力(li)藥(yao)(yao)物(wu)(wu)(wu)(wu)： （1）多潘(pan)立(li)酮(嗎(ma)丁(ding)(ding)啉)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)10—20mg，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)前(qian)(qian)(qian)(qian)(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)。 （2）甲氧(yang)(yang)氯普銨(胃(wei)(wei)(wei)(wei)復安)：口(kou)服(fu)(fu)(fu)(fu)(fu)(fu)每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)5—10mg，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)2—3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)前(qian)(qian)(qian)(qian)(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)。肌肉(rou)注射每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)10—20mg，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)般每(mei)(mei)(mei)(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)每(mei)(mei)(mei)(mei)(mei)(mei)(mei)千克(ke)體重(zhong)用(yong)(yong)藥(yao)(yao)量(liang)(liang)(liang)不(bu)宜超過0．5mg。 （3）西沙(sha)(sha)必利(li)(普瑞博思)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)5一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)10mg，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)前(qian)(qian)(qian)(qian)(qian)(qian)半(ban)小(xiao)時(shi)(shi)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)。 4．胃(wei)(wei)(wei)(wei)粘膜(mo)保(bao)護劑(ji)： 硫(liu)糖鋁(lv)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1g，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)4次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，餐(can)(can)后(hou)(hou)(hou)2—3小(xiao)時(shi)(shi)服(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)，需嚼碎吞(tun)(tun)服(fu)(fu)(fu)(fu)(fu)(fu)。 二、可(ke)(ke)選用(yong)(yong)的(de)(de)(de)(de)中成藥(yao)(yao) 1．肝胃(wei)(wei)(wei)(wei)不(bu)和型(xing)(xing)： （1）開(kai)胸順(shun)氣(qi)丸：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)3—9g，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)1—2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫開(kai)水(shui)(shui)送服(fu)(fu)(fu)(fu)(fu)(fu)。 （2）寬(kuan)胸利(li)膈(ge)丸：大蜜(mi)丸每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1丸，或(huo)水(shui)(shui)丸每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)6g，均(jun)為(wei)(wei)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫開(kai)水(shui)(shui)送服(fu)(fu)(fu)(fu)(fu)(fu)，小(xiao)兒酌(zhuo)減。 （3）氣(qi)滯胃(wei)(wei)(wei)(wei)痛(tong)(tong)片沖(chong)(chong)(chong)劑(ji)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1袋(dai)(dai)，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)2—3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，開(kai)水(shui)(shui)沖(chong)(chong)(chong)化(hua)(hua)服(fu)(fu)(fu)(fu)(fu)(fu)。 2．痰濕(shi)郁阻型(xing)(xing)： （1）清涎(xian)快膈(ge)丸：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1．5—3g，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫開(kai)水(shui)(shui)送服(fu)(fu)(fu)(fu)(fu)(fu)。 （2）沉香(xiang)利(li)氣(qi)丸：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)2丸，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫開(kai)水(shui)(shui)送服(fu)(fu)(fu)(fu)(fu)(fu)。 3．胃(wei)(wei)(wei)(wei)虛氣(qi)逆(ni)型(xing)(xing)： （1）香(xiang)砂養胃(wei)(wei)(wei)(wei)丸：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)水(shui)(shui)丸型(xing)(xing)9g，或(huo)濃縮丸劑(ji)每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1．2g，均(jun)為(wei)(wei)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)。 （2）香(xiang)砂養胃(wei)(wei)(wei)(wei)沖(chong)(chong)(chong)劑(ji)：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1袋(dai)(dai)，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，開(kai)水(shui)(shui)沖(chong)(chong)(chong)服(fu)(fu)(fu)(fu)(fu)(fu)。 （3）香(xiang)砂養胃(wei)(wei)(wei)(wei)口(kou)服(fu)(fu)(fu)(fu)(fu)(fu)液：每(mei)(mei)(mei)(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1支(zhi)，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)口(kou)服(fu)(fu)(fu)(fu)(fu)(fu)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)。 反(fan)(fan)(fan)(fan)流(liu)(liu)性(xing)(xing)(xing)(xing)食(shi)(shi)(shi)(shi)道炎(yan)患(huan)者(zhe)(zhe)餐(can)(can)后(hou)(hou)(hou)應(ying)盡量(liang)(liang)(liang)保(bao)持(chi)直立(li)位(wei)或(huo)軀干直立(li)，還應(ying)注意(yi)減輕腹壓，避免劇烈(lie)的(de)(de)(de)(de)活動(dong)，不(bu)要(yao)穿緊身(shen)衣和束(shu)腰帶。睡(shui)(shui)(shui)(shui)前(qian)(qian)(qian)(qian)(qian)(qian)少(shao)(shao)進熱(re)茶或(huo)飲料，戒煙(yan)，平時(shi)(shi)限制酒和酸(suan)(suan)(suan)(suan)性(xing)(xing)(xing)(xing)刺激(ji)性(xing)(xing)(xing)(xing)食(shi)(shi)(shi)(shi)物(wu)(wu)(wu)(wu)及糖、巧(qiao)克(ke)力(li)、咖(ka)啡(fei)等食(shi)(shi)(shi)(shi)品。
可選用的中成藥
1．肝胃不和型：
(1)開胸順氣丸：每次3—9g，一日1—2次，溫開水送服。
(2)寬胸利膈丸：大蜜丸每次1丸，或水丸每次6g，均為一日2次，溫開水送服，小兒酌減。
(3)氣滯胃痛片沖劑：每次1袋，一日2—3次，開水沖化服。
2．痰濕郁阻型：
(1)清涎快膈丸：每次1．5—3g，一日3次，溫開水送服。
(2)沉香利氣丸：每次2丸，一日2次，溫開水送服。
3．胃虛氣逆型：
(1)香砂養胃丸：每次水丸型9g，或濃縮丸劑每次1．2g，均為一日2次。
(2)香砂養胃沖劑：每次1袋，一日2次，開水沖服。
(3)香砂養胃(wei)口(kou)服液：每次1支，一日口(kou)服2次。
反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管(guan)炎(yan)(yan) 食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)道(dao)(dao)(dao)的(de)(de)(de)(de)(de)(de)(de)燒(shao)灼(zhuo)(zhuo)感很強，胸部(bu)很痛(tong)(tong)(tong)，犯病(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)間(jian)隔越(yue)來(lai)越(yue)短(duan)，持續的(de)(de)(de)(de)(de)(de)(de)時(shi)(shi)(shi)(shi)間(jian)越(yue)來(lai)越(yue)長(chang)，很多(duo)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)都不(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)吃(chi)(chi)． 問題補充(chong)：經(jing)常(chang)吞(tun)咽困(kun)難(nan)，嚴(yan)重(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)時(shi)(shi)(shi)(shi)候(hou)，想(xiang)喝口(kou)(kou)(kou)水(shui)(shui)(shui)(shui)(shui)送(song)(song)下(xia)(xia)噎住(zhu)的(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)，會(hui)(hui)連(lian)水(shui)(shui)(shui)(shui)(shui)也(ye)一(yi)(yi)(yi)(yi)起(qi)(qi)堵在(zai)喉嚨(long)里．經(jing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)鏡(jing)檢(jian)查(cha)，食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)道(dao)(dao)(dao)下(xia)(xia)段(duan)(duan)已(yi)被胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)酸(suan)(suan)腐蝕的(de)(de)(de)(de)(de)(de)(de)泛白(bai)。喝竹葉茶(cha)、咖啡(fei)、牛奶時(shi)(shi)(shi)(shi)會(hui)(hui)犯病(bing)(bing)或(huo)(huo)(huo)(huo)加(jia)重(zhong)(zhong)病(bing)(bing)性(xing)(xing)(xing)(xing)，吃(chi)(chi)辣椒(jiao)、吸煙等(deng)(deng)(deng)沒有(you)(you)(you)什么(me)反(fan)(fan)(fan)(fan)(fan)(fan)應，喝酒有(you)(you)(you)時(shi)(shi)(shi)(shi)沒事，有(you)(you)(you)時(shi)(shi)(shi)(shi)會(hui)(hui)加(jia)重(zhong)(zhong)病(bing)(bing)情(qing)。天氣(qi)冷的(de)(de)(de)(de)(de)(de)(de)時(shi)(shi)(shi)(shi)候(hou)犯病(bing)(bing)機會(hui)(hui)多(duo)一(yi)(yi)(yi)(yi)些(xie)。 反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管(guan)炎(yan)(yan)是(shi)(shi)指(zhi)(zhi)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)、十(shi)二(er)(er)指(zhi)(zhi)腸(chang)(chang)內(nei)(nei)容物(wu)(wu)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)至(zhi)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管(guan)內(nei)(nei)而引(yin)起(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管(guan)粘(zhan)膜(mo)(mo)(mo)(mo)(mo)發(fa)生(sheng)的(de)(de)(de)(de)(de)(de)(de)消化(hua)(hua)性(xing)(xing)(xing)(xing)炎(yan)(yan)癥(zheng)。本(ben)病(bing)(bing)主要(yao)(yao)(yao)是(shi)(shi)由于(yu)(yu)各種原因引(yin)起(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)道(dao)(dao)(dao)一(yi)(yi)(yi)(yi)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)接(jie)連(lian)區高壓帶的(de)(de)(de)(de)(de)(de)(de)抗反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)功(gong)能(neng)(neng)(neng)失調，或(huo)(huo)(huo)(huo)由于(yu)(yu)局部(bu)機械性(xing)(xing)(xing)(xing)抗反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)機制障礙(ai)。不(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)阻止胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)、十(shi)二(er)(er)指(zhi)(zhi)腸(chang)(chang)內(nei)(nei)容物(wu)(wu)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)到食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管(guan)，以(yi)致胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)酸(suan)(suan)、胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)蛋(dan)(dan)白(bai)酶、膽(dan)(dan)(dan)鹽和(he)(he)胰酶等(deng)(deng)(deng)物(wu)(wu)質(zhi)損傷(shang)(shang)了(le)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)道(dao)(dao)(dao)粘(zhan)膜(mo)(mo)(mo)(mo)(mo)，引(yin)起(qi)(qi)炎(yan)(yan)癥(zheng)、糜爛、潰(kui)瘍(yang)或(huo)(huo)(huo)(huo)狹窄(zhai)。本(ben)病(bing)(bing)常(chang)與慢(man)(man)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)、消化(hua)(hua)性(xing)(xing)(xing)(xing)潰(kui)瘍(yang)或(huo)(huo)(huo)(huo)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)道(dao)(dao)(dao)孔癌等(deng)(deng)(deng)病(bing)(bing)并存。也(ye)可(ke)(ke)(ke)(ke)(ke)單(dan)獨(du)存在(zai)。主要(yao)(yao)(yao)癥(zheng)狀(zhuang)(zhuang)為(wei)吞(tun)酸(suan)(suan)、吐酸(suan)(suan)、胸骨后(hou)(hou)(hou)燒(shao)灼(zhuo)(zhuo)不(bu)(bu)(bu)(bu)(bu)適感或(huo)(huo)(huo)(huo)灼(zhuo)(zhuo)痛(tong)(tong)(tong)，以(yi)及吞(tun)咽障礙(ai)等(deng)(deng)(deng)。本(ben)病(bing)(bing)相當(dang)(dang)于(yu)(yu)中醫(yi)學“吞(tun)酸(suan)(suan)”、“吐酸(suan)(suan)”、“胸痹”、“噎食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)”、“噎腮(sai)”、“吐血”等(deng)(deng)(deng)范疇。其(qi)(qi)病(bing)(bing)是(shi)(shi)飲食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)不(bu)(bu)(bu)(bu)(bu)節(jie)、情(qing)志不(bu)(bu)(bu)(bu)(bu)暢(chang)和(he)(he)脾胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)虛弱等(deng)(deng)(deng)。飲食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)不(bu)(bu)(bu)(bu)(bu)節(jie)可(ke)(ke)(ke)(ke)(ke)直(zhi)接(jie)傷(shang)(shang)及食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管(guan)與胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，并可(ke)(ke)(ke)(ke)(ke)助熱(re)化(hua)(hua)火，化(hua)(hua)燥(zao)傷(shang)(shang)津，食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)管(guan)失于(yu)(yu)懦養(yang)，若嗜食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)肥甘厚味可(ke)(ke)(ke)(ke)(ke)助濕生(sheng)熱(re)，濕熱(re)蘊結(jie)，痰(tan)結(jie)氣(qi)阻，食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)道(dao)(dao)(dao)不(bu)(bu)(bu)(bu)(bu)利，胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)氣(qi)不(bu)(bu)(bu)(bu)(bu)降(jiang)，甚(shen)則上逆而發(fa)生(sheng)本(ben)病(bing)(bing)。臨床(chuang)常(chang)見(jian)(jian)(jian)的(de)(de)(de)(de)(de)(de)(de)證(zheng)(zheng)型(xing)(xing)有(you)(you)(you)：1. 肝(gan)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)不(bu)(bu)(bu)(bu)(bu)和(he)(he)型(xing)(xing)：證(zheng)(zheng)見(jian)(jian)(jian)胸脘(wan)、胸脯灼(zhuo)(zhuo)熱(re)或(huo)(huo)(huo)(huo)灼(zhuo)(zhuo)痛(tong)(tong)(tong)，胺悶反(fan)(fan)(fan)(fan)(fan)(fan)酸(suan)(suan)，吞(tun)噎食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)格，苔(tai)薄、脈(mo)(mo)弦。2．痰(tan)濕郁阻型(xing)(xing)：證(zheng)(zheng)見(jian)(jian)(jian)胸烷、胸膈灼(zhuo)(zhuo)熱(re)或(huo)(huo)(huo)(huo)灼(zhuo)(zhuo)痛(tong)(tong)(tong)，脘(wan)悶泛惡(e)，肢體(ti)困(kun)重(zhong)(zhong)，心(xin)悸(ji)頭暈，苔(tai)膩(ni)，脈(mo)(mo)滑等(deng)(deng)(deng)。3．胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)虛氣(qi)逆型(xing)(xing)：證(zheng)(zheng)見(jian)(jian)(jian)胸脘(wan)、胸脯灼(zhuo)(zhuo)痛(tong)(tong)(tong)不(bu)(bu)(bu)(bu)(bu)適，吞(tun)噎食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)格，脘(wan)痞吐酸(suan)(suan)，納呆少(shao)(shao)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，面色蒼白(bai)，乏力，舌淡(dan)，脈(mo)(mo)濡弱。一(yi)(yi)(yi)(yi)、可(ke)(ke)(ke)(ke)(ke)選(xuan)(xuan)(xuan)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)西(xi)藥(yao)(yao)(yao)1．抗酸(suan)(suan)劑(ji)(ji)：包括(kuo)單(dan)一(yi)(yi)(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)或(huo)(huo)(huo)(huo)復(fu)(fu)方(fang)(fang)的(de)(de)(de)(de)(de)(de)(de)堿性(xing)(xing)(xing)(xing)藥(yao)(yao)(yao)物(wu)(wu)，可(ke)(ke)(ke)(ke)(ke)任(ren)選(xuan)(xuan)(xuan)一(yi)(yi)(yi)(yi)種或(huo)(huo)(huo)(huo)幾種聯(lian)合(he)(he)使用(yong)(yong)(yong)(yong)(yong)(yong)，8—12周為(wei)一(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)程(cheng)(cheng)。(1)氫氧(yang)化(hua)(hua)鋁凝(ning)膠(jiao)劑(ji)(ji)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)4—6ml，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)(fan)(fan)前(qian)(qian)1小(xiao)(xiao)(xiao)時(shi)(shi)(shi)(shi)和(he)(he)睡(shui)(shui)前(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)，病(bing)(bing)情(qing)嚴(yan)重(zhong)(zhong)時(shi)(shi)(shi)(shi)劑(ji)(ji)量(liang)(liang)可(ke)(ke)(ke)(ke)(ke)加(jia)倍。(2)氫氧(yang)化(hua)(hua)鋁片劑(ji)(ji)：使用(yong)(yong)(yong)(yong)(yong)(yong)較(jiao)少(shao)(shao)，服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)法(fa)為(wei)每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)0．6—0．9g，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)(fan)(fan)前(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)。(3)復(fu)(fu)方(fang)(fang)氫氧(yang)化(hua)(hua)鋁：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)2—4片，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3—4次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)(fan)(fan)前(qian)(qian)30分(fen)(fen)(fen)鐘或(huo)(huo)(huo)(huo)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)痛(tong)(tong)(tong)發(fa)作(zuo)時(shi)(shi)(shi)(shi)嚼啐(cui)后(hou)(hou)(hou)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)。(4)膠(jiao)體(ti)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)枸櫞酸(suan)(suan)鈕：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1包，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3—4次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，化(hua)(hua)水(shui)(shui)(shui)(shui)(shui)沖服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)，飯(fan)(fan)(fan)前(qian)(qian)半(ban)小(xiao)(xiao)(xiao)時(shi)(shi)(shi)(shi)和(he)(he)睡(shui)(shui)前(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)。共用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)4—8周，一(yi)(yi)(yi)(yi)般(ban)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)不(bu)(bu)(bu)(bu)(bu)要(yao)(yao)(yao)超(chao)過8周。開(kai)(kai)(kai)始下(xia)(xia)一(yi)(yi)(yi)(yi)個(ge)療(liao)(liao)(liao)(liao)(liao)程(cheng)(cheng)前(qian)(qian)的(de)(de)(de)(de)(de)(de)(de)2個(ge)月內(nei)(nei)不(bu)(bu)(bu)(bu)(bu)要(yao)(yao)(yao)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)任(ren)何鉍劑(ji)(ji)。2．抑(yi)酸(suan)(suan)劑(ji)(ji)：是(shi)(shi)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)本(ben)病(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)主要(yao)(yao)(yao)藥(yao)(yao)(yao)物(wu)(wu)，但(dan)治(zhi)(zhi)愈(yu)后(hou)(hou)(hou)一(yi)(yi)(yi)(yi)旦停(ting)(ting)藥(yao)(yao)(yao)，癥(zheng)狀(zhuang)(zhuang)可(ke)(ke)(ke)(ke)(ke)復(fu)(fu)發(fa)。因此長(chang)療(liao)(liao)(liao)(liao)(liao)程(cheng)(cheng)維(wei)持治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)十(shi)分(fen)(fen)(fen)必(bi)(bi)要(yao)(yao)(yao)。維(wei)持治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)的(de)(de)(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)劑(ji)(ji)量(liang)(liang)一(yi)(yi)(yi)(yi)般(ban)采用(yong)(yong)(yong)(yong)(yong)(yong)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)量(liang)(liang)的(de)(de)(de)(de)(de)(de)(de)半(ban)量(liang)(liang)，維(wei)持地間(jian)愈(yu)長(chang)，復(fu)(fu)發(fa)率愈(yu)低。(1)西(xi)咪(mi)替(ti)丁：成(cheng)人每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)0．2g，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，吃(chi)(chi)飯(fan)(fan)(fan)時(shi)(shi)(shi)(shi)或(huo)(huo)(huo)(huo)飯(fan)(fan)(fan)后(hou)(hou)(hou)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)，臨睡(shui)(shui)前(qian)(qian)再服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)0．4g，6—12周為(wei)一(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)程(cheng)(cheng)。兒童每(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)(ri)按每(mei)(mei)(mei)(mei)千克體(ti)重(zhong)(zhong)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)20—40mg，分(fen)(fen)(fen)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)；也(ye)可(ke)(ke)(ke)(ke)(ke)于(yu)(yu)每(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)(ri)睡(shui)(shui)前(qian)(qian)頓服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)800mg。(2)法(fa)莫(mo)替(ti)丁：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)20mg，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)(fan)(fan)后(hou)(hou)(hou)或(huo)(huo)(huo)(huo)睡(shui)(shui)前(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)。8—12周為(wei)一(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)程(cheng)(cheng)。(3)奧美拉唑：每(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)(ri)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)20mg，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)1次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)。(4)雷尼替(ti)丁：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)口(kou)(kou)(kou)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)0．15g，早晚(wan)各服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)1次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，連(lian)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)8—12周為(wei)一(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)程(cheng)(cheng)。3．胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)動(dong)力藥(yao)(yao)(yao)物(wu)(wu)：(1)多(duo)潘立(li)酮(tong)(嗎丁啉(lin))：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)10—20mg，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)(fan)(fan)前(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)。(2)甲氧(yang)氯普銨(胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)復(fu)(fu)安)：口(kou)(kou)(kou)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)5—10mg，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)2—3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)(fan)(fan)前(qian)(qian)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)。肌肉注(zhu)射每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)10—20mg，一(yi)(yi)(yi)(yi)般(ban)每(mei)(mei)(mei)(mei)日(ri)(ri)(ri)(ri)(ri)每(mei)(mei)(mei)(mei)千克體(ti)重(zhong)(zhong)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)量(liang)(liang)不(bu)(bu)(bu)(bu)(bu)宜超(chao)過0．5mg。(3)西(xi)沙必(bi)(bi)利(普瑞博思(si)(si))：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)5一(yi)(yi)(yi)(yi)10mg，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，飯(fan)(fan)(fan)前(qian)(qian)半(ban)小(xiao)(xiao)(xiao)時(shi)(shi)(shi)(shi)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)。4．胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)粘(zhan)膜(mo)(mo)(mo)(mo)(mo)保(bao)(bao)(bao)(bao)護劑(ji)(ji)：硫(liu)糖鋁：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1g，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)4次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，餐(can)后(hou)(hou)(hou)2—3小(xiao)(xiao)(xiao)時(shi)(shi)(shi)(shi)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)(yong)，需(xu)嚼碎(sui)吞(tun)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)。二(er)(er)、可(ke)(ke)(ke)(ke)(ke)選(xuan)(xuan)(xuan)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)中成(cheng)藥(yao)(yao)(yao)1．肝(gan)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)不(bu)(bu)(bu)(bu)(bu)和(he)(he)型(xing)(xing)：(1)開(kai)(kai)(kai)胸順(shun)氣(qi)丸(wan)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)3—9g，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)1—2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫(wen)開(kai)(kai)(kai)水(shui)(shui)(shui)(shui)(shui)送(song)(song)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)。(2)寬胸利膈丸(wan)：大(da)(da)蜜(mi)丸(wan)每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1丸(wan)，或(huo)(huo)(huo)(huo)水(shui)(shui)(shui)(shui)(shui)丸(wan)每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)6g，均為(wei)一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫(wen)開(kai)(kai)(kai)水(shui)(shui)(shui)(shui)(shui)送(song)(song)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)，小(xiao)(xiao)(xiao)兒酌減。(3)氣(qi)滯胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)痛(tong)(tong)(tong)片沖劑(ji)(ji)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1袋，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)2—3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，開(kai)(kai)(kai)水(shui)(shui)(shui)(shui)(shui)沖化(hua)(hua)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)。2．痰(tan)濕郁阻型(xing)(xing)：(1)清涎快膈丸(wan)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1．5—3g，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)3次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫(wen)開(kai)(kai)(kai)水(shui)(shui)(shui)(shui)(shui)送(song)(song)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)。 膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan) 膽(dan)(dan)(dan)結(jie)石是(shi)(shi)膽(dan)(dan)(dan)液(ye)(ye)濃稠又無(wu)法(fa)及時(shi)(shi)(shi)(shi)排(pai)(pai)(pai)(pai)出(chu)(chu)而引(yin)起(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)；膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)是(shi)(shi)膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)進(jin)入(ru)(ru)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)部(bu)、腐蝕胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)粘(zhan)膜(mo)(mo)(mo)(mo)(mo)引(yin)起(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)。兩者(zhe)無(wu)關。治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)的(de)(de)(de)(de)(de)(de)(de)關鍵在(zai)于(yu)(yu)保(bao)(bao)(bao)(bao)護好(hao)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)粘(zhan)膜(mo)(mo)(mo)(mo)(mo)，適當(dang)(dang)增(zeng)(zeng)加(jia)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)動(dong)力。膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)在(zai)臨床(chuang)上比較(jiao)常(chang)見(jian)(jian)(jian)。膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)是(shi)(shi)由于(yu)(yu)從(cong)(cong)膽(dan)(dan)(dan)囊排(pai)(pai)(pai)(pai)入(ru)(ru)十(shi)二(er)(er)指(zhi)(zhi)腸(chang)(chang)的(de)(de)(de)(de)(de)(de)(de)膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)和(he)(he)其(qi)(qi)它腸(chang)(chang)液(ye)(ye)混合(he)(he)，通過幽(you)門(men)(men)，逆流(liu)(liu)(liu)(liu)(liu)(liu)至(zhi)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，刺(ci)激(ji)(ji)(ji)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)粘(zhan)膜(mo)(mo)(mo)(mo)(mo)，從(cong)(cong)而產生(sheng)的(de)(de)(de)(de)(de)(de)(de)炎(yan)(yan)癥(zheng)性(xing)(xing)(xing)(xing)病(bing)(bing)變(bian)。膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)的(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)因主要(yao)(yao)(yao)為(wei)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)大(da)(da)部(bu)切除胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)空(kong)腸(chang)(chang)吻合(he)(he)術后(hou)(hou)(hou)，以(yi)及幽(you)門(men)(men)功(gong)能(neng)(neng)(neng)失常(chang)和(he)(he)慢(man)(man)性(xing)(xing)(xing)(xing)膽(dan)(dan)(dan)道(dao)(dao)(dao)疾(ji)病(bing)(bing)等(deng)(deng)(deng)。臨床(chuang)癥(zheng)狀(zhuang)(zhuang)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)部(bu)飽(bao)脹感或(huo)(huo)(huo)(huo)不(bu)(bu)(bu)(bu)(bu)適，往(wang)往(wang)飯(fan)(fan)(fan)后(hou)(hou)(hou)加(jia)重(zhong)(zhong)，或(huo)(huo)(huo)(huo)有(you)(you)(you)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)痛(tong)(tong)(tong)，或(huo)(huo)(huo)(huo)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)部(bu)發(fa)涼，可(ke)(ke)(ke)(ke)(ke)伴腹脹、噯氣(qi)、反(fan)(fan)(fan)(fan)(fan)(fan)酸(suan)(suan)、燒(shao)心(xin)、惡(e)心(xin)、嘔(ou)(ou)吐、胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)振水(shui)(shui)(shui)(shui)(shui)音、腸(chang)(chang)鳴、排(pai)(pai)(pai)(pai)便(bian)(bian)(bian)不(bu)(bu)(bu)(bu)(bu)暢(chang)、食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)欲減退和(he)(he)消瘦(shou)等(deng)(deng)(deng)；嚴(yan)重(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)還可(ke)(ke)(ke)(ke)(ke)有(you)(you)(you)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)出(chu)(chu)血，表現(xian)為(wei)嘔(ou)(ou)血或(huo)(huo)(huo)(huo)排(pai)(pai)(pai)(pai)黑便(bian)(bian)(bian)（柏油樣便(bian)(bian)(bian)）以(yi)及大(da)(da)便(bian)(bian)(bian)潛血試驗呈陽(yang)性(xing)(xing)(xing)(xing)等(deng)(deng)(deng)。檢(jian)查(cha)診斷胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)鏡(jing)檢(jian)查(cha)：可(ke)(ke)(ke)(ke)(ke)直(zhi)接(jie)看(kan)(kan)到胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)液(ye)(ye)較(jiao)多(duo)，呈草綠色，胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)粘(zhan)膜(mo)(mo)(mo)(mo)(mo)充(chong)血、水(shui)(shui)(shui)(shui)(shui)腫、或(huo)(huo)(huo)(huo)呈糜爛；幽(you)門(men)(men)口(kou)(kou)(kou)開(kai)(kai)(kai)放，膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)從(cong)(cong)十(shi)二(er)(er)指(zhi)(zhi)腸(chang)(chang)通過幽(you)門(men)(men)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)至(zhi)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)（點擊(ji)看(kan)(kan)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)鏡(jing)圖像(xiang)）。病(bing)(bing)理活組織檢(jian)查(cha)提示胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)。胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)吸出(chu)(chu)物(wu)(wu)測(ce)(ce)定(ding)：插胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)管(guan)抽(chou)吸空(kong)腹和(he)(he)餐(can)后(hou)(hou)(hou)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)液(ye)(ye)，測(ce)(ce)定(ding)其(qi)(qi)中膽(dan)(dan)(dan)酸(suan)(suan)含(han)量(liang)(liang)，如空(kong)腹基礎胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)酸(suan)(suan)分(fen)(fen)(fen)泌(mi)(mi)量(liang)(liang)（BAO）＜3．5mmol／h，膽(dan)(dan)(dan)酸(suan)(suan)超(chao)過30μg/ml， 則可(ke)(ke)(ke)(ke)(ke)確診膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)返流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)。同(tong)位素(su)測(ce)(ce)定(ding)：靜脈(mo)(mo)注(zhu)射2mCi99mTc-丁亞胺雙醋(cu)酸(suan)(suan)，每(mei)(mei)(mei)(mei)隔5分(fen)(fen)(fen)鐘觀(guan)察(cha)肝(gan)及膽(dan)(dan)(dan)道(dao)(dao)(dao)共1小(xiao)(xiao)(xiao)時(shi)(shi)(shi)(shi)。1小(xiao)(xiao)(xiao)時(shi)(shi)(shi)(shi)病(bing)(bing)人員飲100ml水(shui)(shui)(shui)(shui)(shui)，內(nei)(nei)含(han)0.3mCi99mTc，以(yi)準確測(ce)(ce)定(ding)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)的(de)(de)(de)(de)(de)(de)(de)位置。隨后(hou)(hou)(hou)在(zai)2小(xiao)(xiao)(xiao)時(shi)(shi)(shi)(shi)內(nei)(nei)，每(mei)(mei)(mei)(mei)15分(fen)(fen)(fen)鐘檢(jian)查(cha)肝(gan)、膽(dan)(dan)(dan)囊及胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)區，決定(ding)腸(chang)(chang)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)返流(liu)(liu)(liu)(liu)(liu)(liu)指(zhi)(zhi)數。正常(chang)值為(wei)8．6±6．0；有(you)(you)(you)返流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)者(zhe)增(zeng)(zeng)至(zhi)86．3±7．1。也(ye)可(ke)(ke)(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong)99mTc標記的(de)(de)(de)(de)(de)(de)(de)溶液(ye)(ye)注(zhu)入(ru)(ru)十(shi)二(er)(er)指(zhi)(zhi)腸(chang)(chang)或(huo)(huo)(huo)(huo)空(kong)腸(chang)(chang)上段(duan)(duan)，然后(hou)(hou)(hou)描記胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)內(nei)(nei)同(tong)位素(su)的(de)(de)(de)(de)(de)(de)(de)含(han)量(liang)(liang)，用(yong)(yong)(yong)(yong)(yong)(yong)以(yi)了(le)解腸(chang)(chang)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)返流(liu)(liu)(liu)(liu)(liu)(liu)的(de)(de)(de)(de)(de)(de)(de)程(cheng)(cheng)度。治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao) 1.西(xi)藥(yao)(yao)(yao)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)：胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)動(dong)力藥(yao)(yao)(yao)：此類藥(yao)(yao)(yao)物(wu)(wu)能(neng)(neng)(neng)增(zeng)(zeng)加(jia)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)道(dao)(dao)(dao)蠕動(dong)，抑(yi)制膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)入(ru)(ru)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，常(chang)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)有(you)(you)(you)：嗎丁啉(lin)、莫(mo)沙必(bi)(bi)利。胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)保(bao)(bao)(bao)(bao)護劑(ji)(ji)：硫(liu)糖鋁，能(neng)(neng)(neng)與胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)的(de)(de)(de)(de)(de)(de)(de)黏(nian)蛋(dan)(dan)白(bai)絡(luo)合(he)(he)形成(cheng)保(bao)(bao)(bao)(bao)護膜(mo)(mo)(mo)(mo)(mo)，以(yi)保(bao)(bao)(bao)(bao)護胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)免(mian)受膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)損傷(shang)(shang)；胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)膜(mo)(mo)(mo)(mo)(mo)素(su)，能(neng)(neng)(neng)在(zai)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)內(nei)(nei)形成(cheng)膜(mo)(mo)(mo)(mo)(mo)狀(zhuang)(zhuang)物(wu)(wu)覆蓋(gai)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)，以(yi)減輕反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)的(de)(de)(de)(de)(de)(de)(de)膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)和(he)(he)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)酸(suan)(suan)對(dui)(dui)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)的(de)(de)(de)(de)(de)(de)(de)刺(ci)激(ji)(ji)(ji)；思(si)(si)密達，為(wei)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)保(bao)(bao)(bao)(bao)護劑(ji)(ji)，有(you)(you)(you)加(jia)強消化(hua)(hua)道(dao)(dao)(dao)黏(nian)膜(mo)(mo)(mo)(mo)(mo)屏(ping)障作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)，有(you)(you)(you)利于(yu)(yu)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)的(de)(de)(de)(de)(de)(de)(de)再生(sheng)；生(sheng)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)酮(tong)，能(neng)(neng)(neng)促(cu)使胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)分(fen)(fen)(fen)泌(mi)(mi)黏(nian)液(ye)(ye)，從(cong)(cong)而保(bao)(bao)(bao)(bao)護胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)；吉福(fu)士，有(you)(you)(you)保(bao)(bao)(bao)(bao)護胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)、促(cu)進(jin)炎(yan)(yan)癥(zheng)愈(yu)合(he)(he)作(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)。2.中藥(yao)(yao)(yao)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)：胡(hu)醫(yi)生(sheng)經(jing)過對(dui)(dui)膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)治(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)的(de)(de)(de)(de)(de)(de)(de)長(chang)期的(de)(de)(de)(de)(de)(de)(de)臨床(chuang)實踐(jian)認為(wei)，膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)性(xing)(xing)(xing)(xing)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)的(de)(de)(de)(de)(de)(de)(de)中醫(yi)辨證(zheng)(zheng)，大(da)(da)多(duo)屬于(yu)(yu)脾胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)升降(jiang)失調、水(shui)(shui)(shui)(shui)(shui)飲停(ting)(ting)滯胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)脘(wan)，兼有(you)(you)(you)肝(gan)氣(qi)郁結(jie)。按此辨證(zheng)(zheng)結(jie)果(guo)對(dui)(dui)癥(zheng)下(xia)(xia)藥(yao)(yao)(yao)，效果(guo)比較(jiao)理想(xiang)。3.飲食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)調養(yang)：飲食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)要(yao)(yao)(yao)清淡(dan)，不(bu)(bu)(bu)(bu)(bu)吃(chi)(chi)油膩(ni)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)，以(yi)免(mian)刺(ci)激(ji)(ji)(ji)膽(dan)(dan)(dan)汁(zhi)(zhi)(zhi)(zhi)分(fen)(fen)(fen)泌(mi)(mi)增(zeng)(zeng)多(duo)，加(jia)重(zhong)(zhong)反(fan)(fan)(fan)(fan)(fan)(fan)流(liu)(liu)(liu)(liu)(liu)(liu)和(he)(he)病(bing)(bing)情(qing)。應細(xi)嚼慢(man)(man)咽，忌暴飲暴食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)。避免(mian)飲釅茶(cha)、烈酒、濃咖啡(fei)和(he)(he)進(jin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)辛(xin)辣、過冷、過熱(re)和(he)(he)粗(cu)糙(cao)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)。4.去除某些(xie)加(jia)重(zhong)(zhong)病(bing)(bing)情(qing)的(de)(de)(de)(de)(de)(de)(de)因素(su)，包括(kuo)戒煙酒、避免(mian)精神緊(jin)張，保(bao)(bao)(bao)(bao)持心(xin)情(qing)舒暢(chang)，不(bu)(bu)(bu)(bu)(bu)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)或(huo)(huo)(huo)(huo)慎服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)對(dui)(dui)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)黏(nian)膜(mo)(mo)(mo)(mo)(mo)有(you)(you)(you)刺(ci)激(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)物(wu)(wu)，如阿司匹林、消炎(yan)(yan)痛(tong)(tong)(tong)、去痛(tong)(tong)(tong)片和(he)(he)保(bao)(bao)(bao)(bao)泰松等(deng)(deng)(deng)。 (2)沉香(xiang)利氣(qi)丸(wan)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)2丸(wan)，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，溫(wen)開(kai)(kai)(kai)水(shui)(shui)(shui)(shui)(shui)送(song)(song)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)。3．胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)虛氣(qi)逆型(xing)(xing)：(1)香(xiang)砂養(yang)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)丸(wan)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)水(shui)(shui)(shui)(shui)(shui)丸(wan)型(xing)(xing)9g，或(huo)(huo)(huo)(huo)濃縮丸(wan)劑(ji)(ji)每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1．2g，均為(wei)一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)。(2)香(xiang)砂養(yang)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)沖劑(ji)(ji)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1袋，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)，開(kai)(kai)(kai)水(shui)(shui)(shui)(shui)(shui)沖服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)。(3)香(xiang)砂養(yang)胃(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)口(kou)(kou)(kou)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)液(ye)(ye)：每(mei)(mei)(mei)(mei)次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)1支，一(yi)(yi)(yi)(yi)日(ri)(ri)(ri)(ri)(ri)口(kou)(kou)(kou)服(fu)(fu)(fu)(fu)(fu)(fu)(fu)(fu)2次(ci)(ci)(ci)(ci)(ci)(ci)(ci)(ci)。
反流性食管炎是指胃、十二指腸內容物反流至食管內而引起的食管粘膜發生的消化性炎癥。本病主要是由于各種原因引起的食道一胃接連區高壓帶的抗反流功能失調，或由于局部機械性抗反流機制障礙。不能阻止胃、十二指腸內容物反流到食管，以致胃酸、胃蛋白酶、膽鹽和胰酶等物質損傷了食道粘膜，引起炎癥、糜爛、潰瘍或狹窄。本病常與慢性胃炎、消化性潰瘍或食道孔癌等病并存。也可單獨存在。主要癥狀為吞酸、吐酸、胸骨后燒灼不適感或灼痛，以及吞咽障礙等。
本病相當于中醫學“吞酸”、“吐酸”、“胸痹”、“噎食”、“噎腮”、“吐血”等范疇。其病是飲食不節、情志不暢和脾胃虛弱等。飲食不節可直接傷及食管與胃，并可助熱化火，化燥傷津，食管失于懦養，若嗜食肥甘厚味可助濕生熱，濕熱蘊結，痰結氣阻，食道不利，胃氣不降，甚則上逆而發生本病。臨床常見的證型有：
1. 肝胃不和型：證見胸脘、胸脯灼熱或灼痛，胺悶反酸，吞噎食格，苔薄、脈弦。
2．痰濕郁阻型：證見胸烷、胸膈灼熱或灼痛，脘悶泛惡，肢體困重，心悸頭暈，苔膩，脈滑等。
3．胃虛氣逆型：證見胸脘、胸脯灼痛不適，吞噎食格，脘痞吐酸，納呆少食，面色蒼白，乏力，舌淡，脈濡弱。
一、可選用的西藥
1．抗酸劑：包括單一的或復方的堿性藥物，可任選一種或幾種聯合使用，8—12周為一療程。
(1)氫氧化鋁凝膠劑：每次服用4—6ml，一日3次，飯前1小時和睡前服用，病情嚴重時劑量可加倍。
(2)氫氧化鋁片劑：使用較少，服法為每次0．6—0．9g，一日3次，飯前服用。
(3)復方氫氧化鋁：每次2—4片，一日3—4次，飯前30分鐘或胃痛發作時嚼啐后服用。
(4)膠體次枸櫞酸鈕：每次1包，一日3—4次，化水沖服，飯前半小時和睡前服用。共用藥4—8周，一般用藥不要超過8周。開始下一個療程前的2個月內不要服用任何鉍劑。
2．抑酸劑：是治療本病的主要藥物，但治愈后一旦停藥，癥狀可復發。因此長療程維持治療十分必要。維持治療的用藥劑量一般采用治療量的半量，維持地間愈長，復發率愈低。
(1)西咪替丁：成人每次0．2g，一日3次，吃飯時或飯后服用，臨睡前再服0．4g，6—12周為一療程。兒童每日按每千克體重服用20—40mg，分次服用；也可于每日睡前頓服800mg。
(2)法莫替丁：每次20mg，一日2次，飯后或睡前服用。8—12周為一療程。
(3)奧美拉唑：每日用藥20mg，一日1次。
(4)雷尼替丁：每次口服0．15g，早晚各服1次，連服8—12周為一療程。
3．胃動力藥物：
(1)多潘立酮(嗎丁啉)：每次10—20mg，一日3次，飯前服用。
(2)甲氧氯普銨(胃復安)：口服每次5—10mg，一日2—3次，飯前服用。肌肉注射每次10—20mg，一般每日每千克體重用藥量不宜超過0．5mg。
(3)西沙必利(普瑞博思)：每次5一10mg，一日3次，飯前半小時服用。
4．胃粘膜保護劑：
硫糖鋁：每次1g，一日4次，餐后2—3小時服用，需嚼碎吞服。
二、可選用的中成藥
1．肝胃不和型：
(1)開胸順氣丸：每次3—9g，一日1—2次，溫開水送服。
(2)寬胸利膈丸：大蜜丸每次1丸，或水丸每次6g，均為一日2次，溫開水送服，小兒酌減。
(3)氣滯胃痛片沖劑：每次1袋，一日2—3次，開水沖化服。
2．痰濕郁阻型：
(1)清涎快膈丸：每次1．5—3g，一日3次，溫開水送服。
(2)沉香利氣丸：每次2丸，一日2次，溫開水送服。
3．胃虛氣逆型：
(1)香砂養胃丸：每次水丸型9g，或濃縮丸劑每次1．2g，均為一日2次。
(2)香砂養胃沖劑：每次1袋，一日2次，開水沖服。
(3)香砂養(yang)胃(wei)口(kou)服液(ye)：每次1支(zhi)，一日口(kou)服2次。
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