李锋临证辨治慢性萎缩性胃炎经验介绍  

Experience Instruction of LI Feng Treating Chronic Atrophic Gastritis Based on Clinical Syndrome Differentiation

作　　者：姜睿斌 张璇[2] 张晓菊 董晓静 薛松妍 尚浩佩 李锋(指导) JIANG Ruibin;ZHANG Xuan;ZHANG Xiaoju;DONG Xiaojing;XUE Songyan;SHANG Haopei;LI Feng

机构地区：[1]空军军医大学第一附属西京医院中医科暨全军中医内科中心,陕西西安710032 [2]陕西中医药大学,陕西咸阳712046 [3]渭南市华州区中医医院,陕西渭南714100

出　　处：《新中医》2021年第10期210-214,共5页New Chinese Medicine

基　　金：陕西省名中医工作室建设项目(2019-29)。

摘　　要：李锋教授依据中医学"胃主腐熟水谷,阳明多气多血"理论,明晰慢性萎缩性胃炎的中医病位在胃,与脾相应、与肝相关的病机特点;提出当健脾为先、温中为本、疏肝为枢,采用益消-温散-疏和三法联用指导组方用药,配合食疗、非药物疗法与情绪调理,阻抑慢性萎缩性胃炎胃黏膜萎缩与肠化生。According to the Chinese medicine theory"the stomach governs decomposition of food and drinks,and stomach meridian is full of qi and blood",Prof.LI Feng clarified that the location of chronic atrophic gastritis is the stomach,and the pathogenesis is associated with the spleen and the liver.Professor LI proposed that the treatment should give priority to fortify the spleen,be based on warming the middle,and attach importance to soothing the liver.In addition to the principles above,he propounded a combination of three methods that functioned as medication guidance:Yiqi Xiaopi method,Wenzhong Sanjie method,and Shugan Hewei method.Besides,he thought that dietetic therapy,non-medicine therapy,and adjustment of mood can be adjuvant treatments of the three methods,so as to inhibit gastric atrophy and intestinal metaplasia both caused by chronic atrophic gastritis.

关 键 词：萎缩性胃炎 益气消痞 温中散结 疏肝和胃 李锋 

分 类 号：R573.32[医药卫生—消化系统]