基于“龙虎回环”论治慢性萎缩性胃炎  

Treatment of Chronic Atrophic Gastritis Based on "Dragon-Tiger Loop"

作　　者：丁鑫 袁方[2] 刘冬梅[2] 王毅 姜璐[2] DING Xin;YUAN Fang;LIU Dongmei;WANG Yi;JIANG Lu(The First Clinical Medical College of Shandong University of Traditional Chinese Medicine,Ji′nan Shandong China 250000;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji′nan Shandong China 250000)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250000 [2]山东中医药大学附属医院,山东济南250000

出　　处：《中医学报》2022年第10期2061-2064,共4页Acta Chinese Medicine

基　　金：山东省自然科学基金项目(ZR2017LH064);山东省中医药发展计划项目(20190101);济南市科技计划项目(201704067)。

摘　　要：慢性萎缩性胃炎的发病以脾胃虚损为基础,痰瘀等邪气内扰是发病的重要条件,而气机升降失常是由虚致瘀、因瘀致虚的重要诱因。肝升肺降之“龙虎回环”是全身气机升降出入的关键。两者一升一降,相反相成,关系一身气机运动。若肝肺两脏气机升降出入失常,则机体气机紊乱,百病由生。治肺先治气,治气先调肝,调肝理肺,宣畅气机是治病的关键。因此论治慢性萎缩性胃炎时要重视恢复气机升降,但又不可局限于理气一法,根据临床症状的侧重,或采取健脾和胃、益气养血的固本之法,或采取化痰祛瘀、活血通络的要着之法,或采取凉润通降的变通之法,从而更好地改善患者的生活质量,减少复发率。The pathogenesis of chronic atrophic gastritis(CAG) is based on the deficiency of the Spleen and Stomach, and the internal disturbance of pathogenic Qi such as Phlegm and Blood stasis is an important condition for the pathogenesis of the disease, and the abnormal rise and fall of the Qi movement is an important incentive for Stasis caused by deficiency and deficiency caused by Stasis.The "dragon-tiger loop" of the Liver ascending and the Lung descending is the key to the ascending, descending, exiting, and entering of the whole body′s Qi.One rises and one falls, and the opposite complements each other, which is closely related to the Qi movement of the whole body.If the Qi movement of the Liver and Lungs is abnormal, the Qi movement of the body will be disordered, and all kinds of diseases appear.Treating the Lung needs to treat Qi first, and treating Qi needs to regulate the Liver first.Regulating the Liver and the Lung to adjust Qi movement is the key to curing the diseases.Therefore, when discussing the treatment of chronic atrophic gastritis, attention should be paid to restoring the rise and fall of Qi movement, but it should not be limited to one method of regulating Qi, which is, according to the emphasis of clinical symptoms, either adopt the method of strengthening the Spleen and Stomach, or adopt the method of nourishing Qi and Blood and consolidating the root, or adopt the method of resolving Phlegm and removing Blood stasis, promoting blood circulation and dredging collaterals, or adopt the flexible method of Wenliang Tongjiang, so as to better improve the life quality of patients and reduce the recurrence rate.

关 键 词：慢性萎缩性胃炎 “龙虎回环”理论 气机升降 肝升肺降 

分 类 号：R256.3[医药卫生—中医内科学]