从“脾虚寒热瘀毒互结”辨治慢性萎缩性胃炎  

Diagnosis and Treatment Based on Syndrome Differentiation for CAG Based on Spleen Deficiency, Cold-heat and Stasis Toxin

作　　者：刘涛[1] 张霞[2] 魏玮[1] 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]大同大学医学院,山西大同037000

出　　处：《中国中医药信息杂志》2018年第2期124-126,共3页Chinese Journal of Information on Traditional Chinese Medicine

摘　　要：慢性萎缩性胃炎(chronic atrophic gastritis,CAG)是胃癌前疾病,积极防治本病可预防胃癌的发生。中医治疗本病有较大优势。CAG病程长,应辨病与辨证相结合,宏观与微观辨证相补充,以"脾虚寒热瘀毒互结"为基本病机,立"平调寒热,补脾益胃,祛瘀解毒"为基本治法,以法制方,随证用药,阻断或逆转CAG进展,防止胃黏膜炎癌转化。Chronic atrophic gastritis （CAG） is pre-cancerous condition of gastric cancer. The active treatment for CAG can help with prevention of gastric cancer. TCM has superiority in efficacy for this disease. CAG is the chronic disease with long duration and generally slow progression. Treatment according to syndrome differentiation and symptom differentiation should be combined, and macrocosm and microcosm differentiation should be supplemental. The basic pathogenesis of CAG is mutual acting of “spleen deficiency, cold-heat and stasis toxin”. In view of the above, “regulating cold and heat, replenishing spleen and stomach, removing the blood stasis and detoxifying the toxin” should be set as basic treatment method, formulating principle of prescriptions and medicating according to syndromes, which cans top or reverse the progression of CAG and prevent the transformation from CAG to gastric cancer.

关 键 词：慢性萎缩性胃炎 脾虚寒热瘀毒互结 平调寒热 病机 

分 类 号：R274.915.31[医药卫生—中西医结合]