国医大师李佃贵运用虫类药治疗慢性萎缩性胃炎伴肠上皮化生经验  

TCM master LI Dian-gui’s experience in treating chronic atrophic gastritis with intestinal metaplasia with insect drugs

作　　者：郝旭蕊 李娜 白海燕[2] 李维康 刘凯娟 李佃贵[2] HAO Xu-rui;LI Na;BAI Hai-yan;LI Wei-kang;LIU Kai-juan;LI Dian-gui(Graduate School of Hebei College of Traditional Chinese Medicine,Shijiazhuang 050091,China;Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China)

机构地区：[1]河北中医学院研究生学院,石家庄050091 [2]河北省中医院,石家庄050011

出　　处：《中华中医药杂志》2020年第3期1236-1239,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局2017年度中医药类科研计划课题(No.冀中医药[2017]10号)。

摘　　要：慢性萎缩性胃炎(C A G)伴肠上皮化生(I M)是慢性胃炎长期发展的结果,属于胃癌前病变(PLGC),是消化系统的一种难治病。中医学中并没有具体的病名与之对应,根据患者的临床主症,可归纳为“胃痞”“胃脘痛”“嘈杂”等范畴。中医药治疗此病有很大的优势。虫类药以其走窜通达、疏逐搜剔之性,具有通络、化痰、祛风、祛瘀、解毒等独特的功效。李佃贵教授在临床上辨证精准、选药得当、配伍合理,联合具有通络止痛、袪瘀解毒作用的虫类药,常能逆转IM,治疗效果显著。Chronic atrophic gastritis with intestinal metaplasia is the result of long-term development of chronic gastritis,which belongs to precancerous lesion of gastric cancer and is a refractory disease of digestive system.There is no specific disease name corresponding to it in TCM.According to the main clinical symptoms,it can be summarized as‘gastric rubella’‘epigastric pain’‘noise’and other categories.TCM has great advantages in treating this disease.Insect drugs have unique effects of dredging collaterals,resolving phlegm,dispelling wind,removing blood stasis and detoxifying due to their accessibility and searching.Professor LI Dian-gui can often reverse intestinal metaplasia in clinic with accurate differentiation of symptoms and signs,proper selection of medicines and reasonable compatibility,combination with insect drugs with the functions of dredging collaterals,relieving pain,removing blood stasis and detoxifying,which has a remarkable therapeutic effect.

关 键 词：李佃贵 虫类药 慢性萎缩性胃炎伴肠上皮化生 经验 辨证 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]