迟莉丽基于“既病防变”理论分期论治慢性萎缩性胃炎经验  

Experience of Professor CHI Lili in Treating Chronic Atrophic Gastritis by Stages Based on “Controlling Development of Existing Disease” Theory

作　　者：刘彤 王帅[2] LIU Tong;WANG Shuai(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]山东中医药大学,山东济南250014 [2]山东中医药大学附属医院,山东济南250011

出　　处：《山东中医杂志》2023年第6期633-636,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(编号:2017-052)。

摘　　要：迟莉丽教授认为脾气亏虚为慢性萎缩性胃炎发病之本,久病及肾;湿热邪毒为其致病之标,瘀毒阻络贯穿疾病始终,情志失调在疾病发生发展中起到重要作用。治疗上主张分期(早期、中期、晚期)论治,基于“既病防变”理论,针对不同时期的病机特点确定相应治则,以求及早阻断疾病演变和进展:早期清热祛湿为主,兼以行气化瘀,中期健脾补气与活血化瘀并重,晚期重视脾肾同治。Professor CHI Lili holds that deficiency of spleen-qi is the root of disease with chronic disease involving kidney,and damp heat and toxin is the branch of disease.Blood stasis and toxin blocking the collaterals run through the whole disease course,while emotional disorder plays an important role in the occurrence and development of disease.The treatment should be based on different stages(early stage,middle stage,late stage).Based on the theory of“controlling development of existing disease”and according to the characteristics of disease mechanism in different stages,the corresponding treatment principles are applied so as to block the development of the disease as soon as possible.In early stage,clearing heat and removing dampness is mainly applied,accompanied by circulating qi and resolving stasis;in middle stage,invigorating spleen and tonifying qi should be applied as well as activating blood and resolving stasis;in late stage,spleen and kidney should be treated simultaneously.

关 键 词：慢性萎缩性胃炎 炎癌转化 既病防变 分期论治 脾气亏虚 湿热邪毒 情志失调 迟莉丽 

分 类 号：R259.733[医药卫生—中西医结合]