王小奇论治慢性萎缩性胃炎的用药规律浅析  

Analysis of WANG Xiaoqi's medication rules in the treatment of chronic atrophic gastritis

作　　者：华鑫 张楚楚 蒋廷 谢菲菲 钱素婷 刘庆生[1] HUA Xin;ZHANG Chuchu;JIANG Ting;XIE Feifei;QIAN Suting;LIU Qingsheng(Department of Gastroenterology,Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medicine University,Hangzhou,310007,China)

机构地区：[1]浙江中医药大学附属杭州市中医院消化科,杭州310007

出　　处：《中国中西医结合消化杂志》2024年第3期251-254,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：浙江省中医药科技计划项目(No:2023ZL091);杭州市医药卫生重点计划项目(No:ZD20210047)。

摘　　要：王小奇主任工作四十余载,在多年的临床实践中逐渐形成了独特的辨证用药理论体系,在慢性萎缩性胃炎的诊治中别具一格。王小奇主任认为慢性萎缩性胃炎基本病机无非肝郁气滞,脾胃虚弱,湿、瘀、毒等病理因素相伴随,因此在治疗时围绕肝脾论治,精准选用药对,标本兼治。此外,王小奇主任讲究辨证与辨病相结合,对于萎缩与肠上皮化生等不同的病理结果,有独到的用药心得,可以有效延缓甚至逆转胃癌前病变的发生、发展,值得临床推广。Director WANG Xiaoqi has been working for more than 40 years and has gradually formed a unique theoretical system of dialectical medication through years of clinical practice,which is unique in the diagnosis and treatment of chronic atrophic gastritis.Director WANG Xiaoqi believes that the basic pathogenesis of chronic atrophic gastritis is nothing more than stagnation of Qi due to depression of the liver,weakness of the spleen and the stomach,accompanied by pathological factors such as dampness,blood stasis,and poison.Therefore,in the treatment,the focus is on the liver and spleen,precise selection of medication pairs,and mutual consideration of symptoms and root cause.In addition,Director WANG Xiaoqi emphasizes the combination of syndrome differentiation and disease differentiation.He has unique medication experience for different pathological results such as atrophy and intestinal metaplasia,which can effectively delay or even reverse the occurrence and development of gastric precancerous lesions,and is worthy of clinical promotion.

关 键 词：慢性萎缩性胃炎 肠上皮化生 用药规律 

分 类 号：R573.32[医药卫生—消化系统]