劳绍贤教授“病证症结合”治疗胃癌前病变的临证思维与经验拾萃  

Professor LAO Shaoxian's clinical thinking and experience extraction of the treatment in gastric precancerous lesions by using the academic thought of"combination of disease,pattern and symptom"

作　　者：杨泽虹 黄远程 文艺[2] 劳绍贤[2] 胡玲[3] 李培武[2] 刘凤斌[2] YANG Zehong;HUANG Yuancheng;WEN Yi;LAO Shaoxian;HU Ling;LI Peiwu;LIU Fengbin(The First Clinical School,Guangzhou University of Chinese Medicine,Guangzhou,510006,China;Lingnan Institute of Spleen and Stomach Diseases,the First Affiliated Hospital of Guangzhou University of Chinese Medicine;Science and Technology Innovation Center,Guangzhou University of Chinese Medicine)

机构地区：[1]广州中医药大学第一临床医学院,广州510006 [2]广州中医药大学第一附属医院岭南脾胃病研究所 [3]广州中医药大学科创中心

出　　处：《中国中西医结合消化杂志》2024年第3期255-259,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：广州中医药大学中医学学科中医基础理论研究“揭榜挂帅”项目(No:2022JB04);刘凤斌广东省名中医传承工作室[No:粤中医办函(2020)1号];广州中医药大学“双一流”与高水平大学学科协同创新团队项目(No:2021xk18,No:2021xk47);广州中医药大学“双一流”与高水平大学学科后备人才培育项目(中医学二级学科:中医内科学);青年岐黄学者[No:国中医药人教发(2020)7号];国家中医药管理局区域中医(专科)诊疗中心建设与培育项目[No:国中医药医政函(2018)205]。

摘　　要：胃黏膜异型增生属于胃癌前病变的典型病理改变。通过多年的潜心研究,劳绍贤教授认为胃癌前病变的主要病机以脾胃气阴两虚为本,气滞血瘀、热毒内蕴为标;在健脾养阴基础上,提出以“清热以防变,祛瘀以通络”核心治法,强调针对具体病理改变施以专药的重要性,并结合多年的研究及临证经验拟定“抗增生方”治疗胃黏膜异型增生疗效较好,同时列举典型病例加以佐证;充分体现了劳绍贤教授提出的以“证为本、病为枢、症为标”的现代中医临证思维,可为中医药治疗胃癌前病变提供新视角。Gastric mucosal dysplasia is a typical pathological change of gastric precancerous lesions.Through years of painstaking research,Professor LAO Shaoxian believes that the main pathogenesis of gastric precancerous lesions is"dual deficiency of qi and yin of the spleenod and stomach,blood stasis due to qi stagnation,heat toxin is the excess";the core treatment method is"clear heat from preventing changes,removing blood stasis to dredge collaterals".LAO Shaoxian emphasizes the importance of applying special medicines for specific pathological changes,and combines years of research and clinical experience to formula"Kangzengsheng Fang"in the treatment of dysplasia.At the same time,typical cases are cited to support the curative effect.It fully embodies the modern Traditional Chinese Medicine clinical thinking of"pattern-based,disease-centered,and symptom-based"proposed by Professor LAO Shaoxian,which can provide a certain new perspective for the treatment of gastric precancerous lesion s by Traditional Chinese Medicine.

关 键 词：胃癌前病变 异型增生 上皮内瘤变 临床经验 

分 类 号：R735.2[医药卫生—肿瘤]