刘铁军辨治慢性萎缩性胃炎  

Liu Tiejun's Experience in Treating Chronic Atrophic Gastritis

作　　者：沈东 邓厚波[2] 刘铁军[2] SHEN Dong;DENG Houbo;LIU Tiejun(Changchun University of Chinese Medicine, Changchun 130117, China;Affiliated Hospital of Changchun University of Chinese Medicine, Changchun 130021, China)

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学附属医院,长春130021

出　　处：《长春中医药大学学报》2019年第1期33-35,共3页Journal of Changchun University of Chinese Medicine

基　　金：吉林省中医药科技项目(2017036)

摘　　要：刘铁军教授认为,慢性萎缩性胃炎应该以毒损胃络立论,脾胃虚损是慢性萎缩性胃炎的发病基础,而寒邪是慢性萎缩性胃炎的主要病理因素,肝郁贯彻在胃炎的整个过程,三者共同作用,滋生毒邪,毒损胃络,导致了慢性萎缩性胃炎的发生、发展,在继承前人经验、学识的基础上,结合多年临床经验,主张以温阳通络,肝胃同治为基本治则,临证以方证为主导,予经典方剂合方加味应用,在运用温中补虚、散寒通络的方剂时,配合疏肝解郁之法,提倡中医下法在慢性萎缩性胃炎治疗中的运用,常以小剂量大黄起逐毒邪外出之效,逆转或阻断胃黏膜肠上皮化生和不典型增生,体现"已病防变"的中医"治未病"特点。According to Professor Liu Tiejun, chronic atrophic gastritis should be treated on a basis of poison damage to stomach collaterals, spleen and stomach deficiency is an important pathogenesis of chronic atrophic gastritis, and cold pathogen is the main pathologic factor of chronic atrophic gastritis. Tonifying deficiency in the use of temperature, invigorating the circulation, prescription with liver resolve depression of the party, and promoting the traditional Chinese medicine branch in use in the treatment of chronic atrophic gastritis, often with small dose of Dahuang (rhubarb) by poison evil out of work, to reverse or blocking intestinal metaplasia and atypical hyperplasia of gastric mucosa, reflect "preventing transform when sickness" Chinese medicine "cure not ill" characteristics.

关 键 词：慢性萎缩性胃炎 毒损胃络 寒邪 中医下法 

分 类 号：R256.39[医药卫生—中医内科学]