基于气机理论浅析慢性萎缩性胃炎的病机及辨治  

Pathogenesis and Syndrome Differentiation of Chronic Atrophic Gastritis Based on the Theory of Qi Movement

作　　者：龙虹颖 田锋亮[2] 黄学宽[1] LONG Hongying;TIAN Fengliang;HUANG Xuekuan(Chongqing Medical University,Chongqing 400016,China;Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China)

机构地区：[1]重庆医科大学,重庆400016 [2]重庆市中医院,重庆400021

出　　处：《基层中医药》2022年第11期67-71,共5页Basic Traditional Chinese Medicine

摘　　要：慢性萎缩性胃炎(CAG)是以中上腹疼痛、饱胀、嗳气、反酸等不适为主要症状的慢性炎症性消化系统疾病。气机理论是传统中医理论之一,对于疾病的发生发展具有重要意义。本文从中医整体观入手,基于气机理论探析CAG及炎-癌转化病机,认为CAG病机复杂,虚实相兼,临床治疗各有侧重,但均离不开气机理论。以气机失调为核心病机,辨析虚实不同病机对CAG发病的影响,治疗上以调整气机为根本,辨证论治,补虚泻实,旨在为CAG的中医治疗提供更多参考。Chronic atrophic gastritis(CAG)is a chronic inflammatory digestive disease with the main symptoms of upper and middle abdominal pain,bloating,belching,and acid regurgitation.The theory of qi movement,one of the theories of traditional Chinese medicine(TCM),is of great significance for explaining the occurrence and progression of diseases.On the basis of the holistic view of TCM and the theory of qi movement,we analyzed the pathogenesis of CAG and inflammationcancer transformation.We believe that the pathogenesis of CAG is complicated with both deficiency and excess and this disease should be treated according to the different syndromes of the patients on the basis of the theory of qi movement.Taking qi imbalance as the core pathogenesis,we analyze the influences of deficiency and excess of different factors on the occurrence of CAG and propose the therapy of regulating qi movement,tonifying deficiency,and reducing excess based on syndrome differentiation,aiming to provide more reference for the TCM treatment of CAG.

关 键 词：慢性萎缩性胃炎 炎-癌转化 气机理论 虚实 通调气机 

分 类 号：R25[医药卫生—中医内科学]