In Traditional Chinese Medicine (TCM), gastroesophageal reflux disease (GERD) is often viewed as a result of disharmony in the body's internal organs, particularly involving the stomach and liver. It is believed that factors such as improper
Hello, Dr.
Lin.
After the Lunar New Year this February, I started experiencing gastroesophageal reflux again.
Although I have had previous episodes of GERD, this time it has been persistent and difficult to treat.
I suspect that one reason for this recurrence might be that I did not complete my treatment course.
I usually stop taking Western medicine after three to four days once I notice some improvement.
This time, I have been seeing a Western doctor and have been on medication for about 20 days, which has also shown some improvement.
However, I am unsure how long I should continue taking the Western medication.
One doctor mentioned that I might need to take it for as long as four months.
Doctor, should I complete the Western treatment course and, if there is no improvement, then switch to Traditional Chinese Medicine (TCM), or should I switch to TCM now? I have never seen a TCM practitioner before.
Should I first allow Western medicine to completely resolve my symptoms before seeking TCM to address the root cause and prevent recurrence?
Qiang Qiang, 20~29 year old female. Ask Date: 2010/06/04
Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Qiang Qiang/0/27 user,
1.
After the Lunar New Year this February, you experienced a recurrence of gastroesophageal reflux disease (GERD), and given your previous history of GERD, it appears that you are experiencing recurrent episodes, which may suggest chronic gastritis; now you are facing an acute flare-up.
2.
It is recommended that you complete the prescribed treatment course, taking the Western medications as directed for four months to achieve complete resolution of your symptoms.
3.
After completing the Western treatment, you may consider transitioning to Traditional Chinese Medicine (TCM).
First, allow Western medicine to fully resolve your symptoms before seeking TCM to address the root cause and prevent recurrence.
It is advisable to consult a qualified TCM practitioner for diagnosis and treatment, as this approach is generally safer and free of side effects.
In my clinical experience, diagnosis-based herbal treatment combined with dietary adjustments has yielded positive outcomes and helped prevent the recurrence of conditions like GERD.
Wishing you good health.
Sincerely,
Dr.
Lin Qingzhong
Assistant Professor, Department of Traditional Chinese Medicine
Fengyuan Hospital, Taiwan
Reply Date: 2010/06/04
More Info
When it comes to managing gastroesophageal reflux disease (GERD), the integration of Traditional Chinese Medicine (TCM) with Western medicine can provide a holistic approach to treatment. Your experience with GERD, characterized by recurrent symptoms despite treatment, is not uncommon. Many patients find that their symptoms can be persistent and require a multifaceted approach to achieve lasting relief.
First, it’s important to understand the nature of GERD from both Western and TCM perspectives. In Western medicine, GERD is often treated with proton pump inhibitors (PPIs) or H2 blockers, which reduce stomach acid production. These medications can be effective in alleviating symptoms, but they may not address the underlying causes of the condition, such as dietary habits, lifestyle factors, or stress. The recommendation to continue medication for an extended period, such as four months, is based on the need to ensure that the esophagus heals and that symptoms do not return.
From a TCM perspective, GERD is often viewed as a disharmony within the body, particularly involving the stomach and spleen. TCM practitioners may identify patterns such as "stomach heat" or "liver qi stagnation," which can contribute to the symptoms of reflux. Treatment may involve herbal remedies, acupuncture, and dietary adjustments aimed at restoring balance and promoting digestive health. Common herbal formulas might include Ban Xia Hou Po Tang, which helps to regulate qi and alleviate phlegm, or Xiao Feng San, which can help with heat and inflammation.
Given your situation, it is advisable to complete the course of Western medication as prescribed by your physician. This will allow you to assess the full effect of the treatment. If you find that your symptoms persist despite completing the medication, it may be beneficial to consult a TCM practitioner. They can provide a different perspective on your condition and may offer complementary treatments that can help prevent recurrence and improve your overall digestive health.
Switching to TCM before completing your Western treatment could lead to confusion regarding which treatment is effective. It’s essential to give each approach a fair chance to work. After completing your Western treatment, if symptoms persist, you can then explore TCM options. This sequential approach allows for a clearer understanding of what works for you.
Additionally, lifestyle modifications can play a crucial role in managing GERD. Consider dietary changes, such as avoiding spicy foods, caffeine, and large meals, which can exacerbate symptoms. Eating smaller, more frequent meals and avoiding lying down immediately after eating can also help. Stress management techniques, such as mindfulness or yoga, may further support your digestive health.
In conclusion, while it is beneficial to explore TCM for GERD, it is wise to complete your current Western treatment first. Afterward, you can evaluate your symptoms and consider integrating TCM into your care plan. This approach not only respects the methodologies of both medical systems but also empowers you to take control of your health in a comprehensive manner. Always consult with healthcare professionals from both fields to ensure a coordinated and safe approach to your treatment.
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