王晖运用病机分层理论治疗慢性萎缩性胃炎证治经验  

Experience of WANG Hui in treating chronic atrophic gastritis based on pathogenesis stratification theory

作　　者：陈靓 唐可伟 陈霞波[3] 王建康[3] 周开[3] 龚文波[3] 张业[3] 顾颖杰[3] 王晖(指导)[3] CHEN Liang;TANG Ke-wei;CHEN Xia-bo;WANG Jian-kang;ZHOU Kai;GONG Wen-bo;ZHANG Ye;GU Ying-jie;WANG Hui(Yao Jiang Community Health Service Center,Jiangbei District,Ningbo 315020,China;Traditional Chinese Medicine Hospital,Haishu District,Ningbo 315010,China;Zhejiang Chinese Medical University Affiliated Ningbo Traditional Chinese Medicine Hospital,Ningbo 315012,China)

机构地区：[1]宁波市江北区姚江社区卫生服务中心,宁波315020 [2]宁波市海曙区中医医院住院部内分泌科,宁波315010 [3]浙江中医药大学附属宁波市中医院,宁波315012

出　　处：《中华中医药杂志》2020年第7期3475-3477,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：浙江省陈霞波名老中医专家传承工作室(No.GZS2017017);宁波市首批市级医疗卫生品牌学科中医内分泌诊疗中心(No.PPXK2018-07)。

摘　　要：慢性萎缩性胃炎是消化系统的常见病与疑难病。王晖主任中医师涉足杏林50余载,治疗该病时提出在中医整体观的基础上,立足“气化学说”“病机理论”,运用多学科手段,宏观和微观结合,病理和病机结合,病机和病证结合,药性和药理结合,在辨证论治指导下善用专方专药,牢牢把握基本病机,动态掌握阶段病机,精细梳理兼夹病机,细心探索潜伏病机,果断处理即时病机,最终达到缓解临床症状,逆转萎缩、肠上皮化生及异型增生的目的。Chronic atrophic gastritis is a common but stubborn disease in the digestive system.WANG Hui,with his five decades clinical experience,considers the treatment of such disease should lay on the foundation of overall concept of traditional Chinese medicine with the bases of gasification doctrine and pathogenesis stratification theory.The treatment process should also apply multidisciplinary methods,integrate macro and micro aspects,combined the following pairs:theory and mechanisms of the disease;mechanisms and symptoms of the disease;property and elements of the medicine,and finally dispense unique prescriptions based on the theory of treatment according to syndrome differentiation.In doing so,it requires doctors to fully aware the basic mechanisms of the disease,different syndromes in different stages,other diseases that followed,and latent diseases.Such treatment finally aims at symptoms mitigation and the reversion of atrophy,intestinal metaplasia and atypical hyperplasia.

关 键 词：慢性萎缩性胃炎 肠上皮化生 癌前病变 病机分层理论 名医经验 王晖 

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