国医大师李佃贵教授辨治慢性胃炎经验  

National Chinese medical science master Li Diangui’s experience in treating chronic gastritis

作　　者：娄莹莹[1] 刘小发[1] 张金丽[1] 孙润雪 LOU Ying-ying;LIU Xiao-fa;ZHANG Jin-li;SUN Run-xue(Hebei Hospital of Traditional Chinese Medicine,Hebei Shijiazhuang 050011)

机构地区：[1]河北省中医院

出　　处：《世界中西医结合杂志》2019年第10期1384-1387,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局及河北省名中医传承工作室建设项目

摘　　要：总结国医大师李佃贵教授治疗慢性胃炎的辨治经验及临床用药特点,李教授在治疗中倡导浊毒学说,强调从整体论治,四诊合参,全面了解病情,识别真伪,探求本原;同时重视辨证论治,分型论治,总结出慢性胃炎浊毒证的特色辨证思路;证症结合,慢性胃炎分为痛、胀、痞、满、呆、嗳、烧、酸、烦症进行论治,专症专药;重在运脾,巧用“运”法,使补中寓消,消中有补,补不碍滞,消不伤正,恢复动而不息之态;斡旋中焦、调和胃气在慢性胃炎的治疗中至关重要,总结出化浊解毒和胃、养肝健脾和胃、理气降逆和胃、活血化瘀和胃、解毒养心和胃、通腑下气和胃六法;强调精神因素的关键影响,疏肝养心调神,达到安和调达;整体制方忌过偏过亢,用药轻灵平和。By summarizing the National Chinese medical science master Li Diangui′s experience in the treatment of chronic gastritis,and the characteristics of medicine application,Professor Li advocate the theory of turbid toxin in the treatment of chronic gastritis,emphasizing the holistic treatment,comprehensive understanding of the disease,identification of the truth and falsehood,and exploration of the origin of the disease.At the same time,he pays attention to syndrome differentiation and treatment,classification and treatment,and sums up the characteristics of chronic gastritis with turbid toxin syndrome.Combined with syndromes,chronic gastritis can be divided into pain,distension,fullness,stagnation,burning,acid and annoyance,which can be treated with special medicine.He emphases on the transport of spleen,skillful use of the"luck"method,so that the middle of the elimination,elimination of the supplementary,not hinder delay,eliminate injury,and restore the movement and constant state.He thinks that Mediating middle focus and reconciling stomach qi are very important in the treatment of chronic gastritis and summarize the six methods of removing turbidity and detoxification,nourishing liver and invigorating spleen and stomach,regulating qi and lowering reverse,activating blood circulation to remove blood stasis and stomach,detoxifying and nourishing heart and stomach,dredging the innermost qi.He pays attention to the key influence of the mental factors,soothe the liver and nourish the heart and adjust the spirit so that reach the goal of peace and adjustment and avoids excessive bias and hyperactivity,and takes medicine gently,light and flexible.

关 键 词：慢性胃炎 胃脘痛 痞满 嘈杂 反酸 临证经验 

分 类 号：R573[医药卫生—消化系统]