Gastroesophageal Reflux Disease / Acid Reflux / Heartburn by Alan Sher L.Ac
Original Post Date June 29, 2016 by Alan Sher
When I see a patient for the first time, I try to give them some
understanding of the process I use to determine precisely what is going on and
which herbs are the most beneficial for their situation. To illustrate
this process, I will give a short explanation of my approach to someone
presenting with gastroesophageal reflux disease (GERD). It is my
experience that Chinese herbs plus dietary and lifestyle changes will
invariably improve this condition, and frequently lead to a complete cure.
GERD is commonly referred to as acid reflux with heartburn as
one of the main symptoms. According to Traditional Chinese Medicine (TCM)
the primary concern then is ‘upward counterflow of Stomach qi’. All of
the patterns of this dysfunction are too complex and numerous to elaborate on
here, but I do want people to understand that TCM is an extremely sophisticated
and detailed way of uncovering these mechanisms.
So, once I have used all of the diagnostic tools of TCM to
identify all of the patient’s particular underlying patterns, I then perform
the acupoint diagnostic system developed here at MMVBS Associates. This
method confirms and expands on the TCM diagnoses and thus allows me to
establish which herbs are most appropriate for my patient.
For example – a person comes in with the symptoms of heartburn, runny
nose, foggy-headedness, abdominal discomfort and slight anxiety. Their
pulse has a slippery and bowstring quality and their tongue is pale, dusky,
scalloped on the sides with a thick white coat. They also tell me of some
work and family related stress in their lives and that most symptoms are worse when it is windy.
I determine that they have upward counterflow of stomach qi
caused by stagnation of their liver qi and dampness due to spleen qi
vacuity. (There are certainly more patterns involved in this case but
unfortunately they are beyond the scope of this article.) At this point
some of the TCM herbal categories that I need to examine are – harmonize the
stomach; tonify the spleen; resolve dampness; and smooth the flow of liver
qi. Furthermore, at MMVBS Associates we have amassed a substantial and
comprehensive database of the western pharmacology of Chinese herbs with their
respective uses for most diseases and conditions, as well as the signs and
symptoms corresponding to each one. Therefore I would also consider the
following categories of antiallergy, antibiotic, antifungal, antianxiety,
anti-inflammatory, antiulcer and others to make my choice of herbs the most
specific and therapeutic for this particular patient.
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