How effective is Chinese medicine in treating gastroesophageal reflux?

Gastroesophageal reflux is categorized as acid reflux in Chinese medicine and can be treated with Zuo Jin Wan, Xiao Chai Hu Tang, and Xuan Fu Dai Ochre Tang. 1. Zuo Jin Wan is composed of Rhizoma Coptidis and Cornu Cervi Pantotrichum, which has the efficacy of dredging the liver and draining heat, harmonizing the stomach and lowering rebelliousness (regulating the stomach qi, so as to make the upwardly rebellious qi descend), and it can be used to treat epigastric and coeruleal pains caused by liver-fire invading the stomach (the fire produced by liver invades into the stomach), vomiting of acid, and dislikes of hot beverages, and other diseases. The adverse effects and contraindications of Zuo Jin Wan are not clear, and it should be noted that it is not suitable for people with spleen and stomach deficiency and cold (spleen and stomach weakness and cold). 2. Xiao Chaihu Tang is composed of Chaihu, Scutellaria baicalensis, Radix et Rhizoma Pinelliae, Radix et Rhizoma Ginseng, and Ginger, etc. It has the effect of dispersing the liver and harmonizing the stomach, and subduing rebelliousness. Gastroesophageal reflux belongs to the syndrome of liver and gallbladder heat depletion, with symptoms such as bitter mouth and dry throat, heartburn, distension and pain in the abdomen and ribs as the main symptoms, and can be treated with Xiao Chai Hu Tang combined with Wen Gallbladder Tang with additional subtractions. The adverse effects of Xiao Chai Hu Tang are not clear, and it is contraindicated in patients with deficiency of yin and blood. 3. Cirrhosporin Ochre Soup is composed of Cirrhosporin, ginseng, ginger and ochre, etc. It has the effects of lowering the rebellious phlegm (correcting retrograde qi and removing phlegm from the body), benefiting qi and harmonizing the stomach (tonifying qi to regulate the stomach and internal organs). When GERD is recognized as a syndrome of deficiency and rebellious Qi in the middle, with symptoms such as acid reflux, vomiting of water, gastric distension and loss of appetite as the main symptoms, Xuanfu Daichu Tang with additional subtractions can be used for treatment. The adverse effects and contraindications of Huanfu Daichu Tang are not clear, and it is better to take the medicine in small amount and frequently to prevent vomiting after taking it. The above Chinese medicines are effective in the treatment of GERD, and their evidence-based treatment can improve the symptoms of acid reflux and heartburn, etc. The specific use of the medicines should be consulted with professional physicians for diagnosis and treatment advice.