Objective:To probe relationship between TCM syndrome types of gastroesophageal reflux disease and 24-hour pH value plus bilirubin in the esophagus.Methods:95 cases of gastroesophageal reflux disease were classified according to syndrome differentiation

and they were respectively examined with endoscope

and 24-hour pH value and bilirubin were monitored.Results:The type of heat stagnation in the liver and stomach accounted for 69.47%

with acid reflux and mixed reflux as a main reflux type.The number of acid reflux

the DeMeester score and the percentage of bile reflux time were significantly higher than those of other types（P<0.05）.The inflammatory degree under endoscope of excess syndrome was more severe than that of deficiency syndrome

and less pathological reflux occurred for the deficiency syndrome.Conclusion:Stagnation of heat in the liver and stomach is a main syndrome type for gastroesophageal reflux disease

which is closely related with acid reflux and mixed reflux.It is inferred that the failure of the liver and gallbladder in controlling conveyance and dispersion

and upward invasion of stomach-qi are closely related to acid reflux and mixed reflux induced by relaxation of the spincter of the esophageal low segment.