谭波从脾虚气逆论治胃黏膜肠上皮化生经验  

Tan Bo's Experience in Treating Gastric Intestinal Metaplasia Based on the Theory of Spleen Deficiency Qi Inversion

作　　者：丁伟亮 王玉芹 谭波 DING Wei-liang;WANG Yu-qin;TAN Bo(Linqu County Hospital of TCM,Weifang 262600,China)

机构地区：[1]临朐县中医院,潍坊262600

出　　处：《中国合理用药探索》2023年第9期118-121,共4页Chinese Journal of Rational Drug Use

摘　　要：胃黏膜肠上皮化生(GIM)是消化系统疑难疾病之一,目前临床治疗手段有限,且临床疗效不一。中医多从本虚标实认识GIM,本虚为脾胃气虚,标实为痰浊瘀毒。谭波教授从医43年,熟谙经典,学验俱丰,结合现代医学检查手段及自身临床经验,认为脾虚气逆为GIM的基本病机,临床治疗以益气和胃降逆为主,并以和胃降逆方治疗GIM,随症化裁,临床疗效确切。Gastric intestinal metaplasia(GIM)is one of the difficult diseases of the digestive system,with limited treatment options and varying clinical efficacy.Traditional Chinese medicine often recognizes GIM based on the deficiency of the spleen and stomach,while it is characterized by phlegm,turbidity,stasis,and toxin.Professor Tan Bo has been working as a doctor for 43 years.He is familiar with the classics,with both profound knowledge and rich experience.Considering the results by modern medical test and examination methods and his own clinical experience,he believes that spleen deficiency qi inversion is the basic pathogenesis of GIM.In clinical settings,benefit qi and stomach to reduce the inverse should be the main treatment strategy.Thus he use Hewei Jiangni(benefit qi and stomach to reduce the inverse)decoction to treat GIM,and adjust according to the symptoms as needed,and definit clinical efficacy was achieved.

关 键 词：胃黏膜肠上皮化生 脾虚 胃气上逆 名老中医经验 谭波 

分 类 号：R249[医药卫生—中医临床基础]