基于当代京津冀名老中医药专家经验的慢性萎缩性胃炎病因病机及证素规律研究  

Study on Etiology,Pathogenesis and Syndrome Elements of Chronic Atrophic Gastritis Based on Experience of Famous Traditional Chinese Medicine Experts in Beijing,Tianjin And Hebei

作　　者：徐伟超[1] 李佃贵[1] 杜艳茹[1] XU Weichao;LI Diangui;DU Yanru(Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,Hebei,China)

机构地区：[1]河北省中医院,河北石家庄050011

出　　处：《辽宁中医杂志》2021年第4期28-31,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家中医临床研究基地建设项目(国中医药办科技函[2018]18号);河北省省级科技计划项目(20377737D,19277754D);河北省自然科学基金(H2020423017)。

摘　　要：目的基于当代京津冀名老中医药专家经验,分析慢性萎缩性胃炎的病因病机及证素分布规律,梳理、阐述该病病因病机。方法基于河北省中医院《当代名老中医药专家脾胃病数据库(1911—2018年)》以及《学术期刊脾胃病数据库(1989—2018年)》,整合、建立河北省中医院《国家中医临床研究基地当代名老中医药专家诊治慢性萎缩性胃炎文献数据库》,利用Microsoft Excel 2013和SPSS 23.0统计软件进行分析。结果慢性萎缩性胃炎主要病因(1158条)有浊毒内蕴、阴虚内热、情志不畅、脉络瘀阻、久病年老、脾胃素虚、饮食伤胃、外邪犯胃。病机以浊毒内蕴、暗耗胃阴、气滞血瘀、胃气阻滞、肝气犯胃、胃失和降、不通则痛、不荣则萎居多。病理性质以寒、热、虚、实、浊毒、痰等为主,病位主要在脾、胃,涉及肝、肾、心。病理因素证素多为浊毒、阴虚、气滞、血瘀、寒凝、气虚、湿阻、热郁、食积、痰饮。单一病性证素以浊毒、阴虚、气滞、血瘀较为多见,病位主要在脾、胃,与肝、心、肾关系密切。二病性证素以浊毒+阴虚、气滞+血瘀、气虚+湿阻。三病性证素以浊毒+阴虚+血瘀、气滞+寒凝+血瘀常见,二、三病性证素组合病位主要在脾、胃,与肝、肾、心关系密切。结论当代名老中医药专家对慢性萎缩性胃炎病因病机认识较前人认识增加了络病、浊毒等认识,在肝胃气滞、胃络瘀阻、脾胃虚弱等方面有了更深层次的认识,一定程度上丰富、充实了中医基础理论,并有待于进一步规范、总结。Objective Based on the experience of famous experts of traditional Chinese medicine in Beijing,Tianjin and Hebei,to analyze the etiology,pathogenesis and distribution of syndrome elements of chronic atrophic gastritis,sort out and elaborate the etiology and pathogenesis of the disease.Methods Based on the Database of Spleen and Stomach Diseases(1911-2018)of Contemporary Famous and Old Experts of Traditional Chinese Medicine and the Database of Spleen and Stomach Diseases(1989-2018)of Academic Journals,the Database of Diagnosis and Treatment of Chronic Atrophic Gastritis by Contemporary Famous and Old Experts of Traditional Chinese Medicine in The National Clinical Research Base of Traditional Chinese Medicine was integrated and established,using Microsoft excel 2013 and SPSS.23.0 statistical software for analysis.Results The main causes of chronic atrophic gastritis(1158 items)are turbid toxin accumulation,Yin deficiency and internal heat,unsmooth emotion,blood stasis,long illness and old age,deficiency of spleen and stomach,food damage to the stomach,external evil invading the stomach.The main pathogenesis is turbid toxin accumulation,consumption of stomach Yin,Qi stagnation and blood stasis,stomach Qi stagnation,liver Qi invading stomach,stomach disharmony,pain due to obstruction and wilting due to loss of nourishing.The pathological features were mainly cold,heat,deficiency,excess,turbid toxin and phlegm.The main location of the disease was spleen and stomach,involving liver,kidney and heart.The pathological factors were turbid toxin,Yin deficiency,Qi stagnation,blood stasis,cold coagulation,Qi deficiency,dampness,heat stagnation,food accumulation and phlegm.Turbid toxin,Yin deficiency,Qi stagnation and blood stasis are the most common syndrome elements of single syndrome.The location of the disease is mainly in spleen and stomach,which is closely related to liver,heart and kidney.The syndrome elements of the two syndromes are turbid toxin+Yin deficiency,Qi stagnation+blood stasis,Qi deficiency+dampness.The sy

关 键 词：京津冀 名老中医药专家 慢性萎缩性胃炎 病因病机 证素 

分 类 号：R249[医药卫生—中医临床基础]