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王宗明运用泻热通降法辨治慢性萎缩性胃炎的经验集萃
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Abstract:
慢性萎缩性胃炎(Chronic Atrophic Gastritis, CAG)是指胃粘膜固有腺体萎缩,在中医属于“胃痞”等范畴,病机以中焦气化不利,脾胃升降失司为主,在中医临床上以虚实夹杂症多见。王教授为全国第六批名老中医药专家传承指导老师,从事临床教学、科研工作10余载,对慢性萎缩性胃炎有着多年治疗的经验,并在临床实践中取得良好的成效。笔者在跟师学习过程中发现王教授治疗慢性萎缩性胃炎注重整体辨证,主要运用清热利湿、降气通下,调和脾胃之法,疗效显著。现将王教授治疗慢性萎缩性胃炎的思路归纳如下,以飱同道。
Chronic Atrophic Gastritis (CAG) refers to the atrophy of gastric mucosa, which belongs to the category of “gastric ruffian” and so on in Chinese medicine. It is primarily characterized by impaired digestive and absorption functions, and spleen and stomach dysfunctions. Clinically, it often presents with a mixture of deficiency and excess symptoms. Professor Wang Zongming has been engaged in clinical teaching and scientific research for more than 10 years, and is the sixth batch of famous old Chinese medicine experts in China. He has had many years of experience in the treatment of chronic atrophic gastritis, and he has achieved good results in clinical practice. In the study with the teacher, the author found that Professor Wang paid attention to the overall syndrome differentiation, used the method of clearing heat, improving dampness, reducing Qi, and harmonizing the spleen and stomach, and achieved obvious effect in the clinical diagnosis and treatment of chronic atrophic gastritis. Now professor Wang’s treatment of chronic atrophic gastritis is summarized as follows for the benefit of researchers in the same field.
[1] | Crafa, P., Russo, M., Miraglia, C., et al. (2018) From Sidney to OLGA: An Overview of Atrophic Gastritis. Acta bio-medica: Atenei Parmensis, 89, 93-99. |
[2] | 臧圣凯, 刘万里. 中药治疗慢性萎缩性胃炎的作用机制研究概述[J]. 中国中医药科技, 2024, 31(3): 568-571. |
[3] | 范剑薇. 基于“虚气留滞”理论探讨慢性萎缩性胃炎的病机及论治[J]. 中国民间疗法, 2024, 32(12): 19-21. |
[4] | 蔡宗宗, 余维微, 陈志坚, 等. 健脾益胃通络方联合四联疗法治疗脾胃虚弱型慢性萎缩性胃炎临床研究[J]. 新中医, 2024, 56(12): 52-56. |
[5] | 黄晓殷. 福建省胃癌高发区慢性萎缩性胃炎的患病特征及相关影响因素分析[D]: [硕士学位论文]. 福州: 福建医科大学, 2021. |
[6] | 陈小芳, 朱健环, 杨自成, 等. 刘红英教授汤治疗慢性萎缩性胃炎伴肠化的临证经验[J]. 云南中医中药杂志, 2024, 45(4): 12-14. |
[7] | 陈颖, 田耀洲, 林琳, 等. 田耀洲教授辨治慢性萎缩性胃炎经验采撷[J]. 光明中医, 2024, 39(8): 1526-1529. |
[8] | 杨晋翔, 贾玉. 国医大家董建华论治脾胃病学术经验探讨[J]. 中国中西医结合消化杂志, 2018, 26(9): 724-725. |
[9] | 徐璐, 王渝涵, 李非凡, 等. 基于“炎癌转化”理论探讨中医药治疗慢性萎缩性胃炎的机制[J]. 中医康复, 2024, 1(4): 39-43. |
[10] | 赵涵, 丁娜, 商振宁. 慢性萎缩性胃炎规范化治疗效果分析[J]. 中国标准化, 2024(12): 257-260. |
[11] | 朱晓静, 聂燕, 刘俊, 等. 羔羊胃提取物维B12胶囊治疗490例胃黏膜肠化生患者的疗效分析[J]. 中国中西医结合消化杂志, 2024, 32(6): 473-480. |