从“土木不调”连贯演变角度探讨慢性萎缩性胃炎中医证型演变过程  

Investigation on the evolution process of TCM syndrome type of chronic atrophic gastritis from the perspective of coherent evolution of"disharmony between liver and spleen"

作　　者：黄智斌[1] 陈延[2] HUANG Zhibin;CHEN Yan(Lingnan School of Reinforcing the Earth,Guangdong Provincial Hospital of Chinese Medicine,Guangdong,Guangzhou 510120,China;Fangcun Branch,Guangdong Provincial Hospital of Chinese Medicine,Guangdong,Guangzhou 510370,China)

机构地区：[1]广东省中医院岭南补土流派工作室,广东广州510120 [2]广东省中医院芳村分院,广东广州510370

出　　处：《中国医药科学》2024年第13期78-81,共4页China Medicine And Pharmacy

基　　金：广州民政科技基金课题(2021MZK27);广东省中医院院内专项:补土流派工作室项目(2013KT1516)。

摘　　要：本文从“土木不调”连贯演变角度探讨慢性萎缩性胃炎进展过程的中医病机以及治则治法。本文认为慢性萎缩性胃炎进展致胃癌是一个动态演变过程,单纯以证型作为用药依据难免存在方案缺乏整体完整性及连贯性的缺陷,慢性萎缩性胃炎的发生发展与“木”“土”关系密切,其病机根据“木”与“土”的虚实不同,进而出现“土木不调”状态。根据“木”与“土”的虚实不同,可从木土壅滞、木不疏土、土虚木乘与土木失荣对慢性萎缩性胃炎的进展过程进行分析,慢性萎缩性胃炎可出现“木土壅滞-木不疏土-土虚木乘-土木失荣”的连贯演变表现。The pathogenesis of chronic atrophic gastritis and its treatment principles and methods from the perspective of coherent evolution of"disharmony between liver and spleen"is investigated in this paper.It is believed in this paper that gastric cancer caused by the progression of chronic atrophic gastritis is a dynamic evolution process,and it is inevitable that there is a defect of lack of overall integrity and coherence in the scheme based solely on syndrome types.The occurrence and development of chronic atrophic gastritis is closely related to"liver"and"spleen",and its pathogenesis is according to the difference between deficiency and excess of"liver"and"spleen",and then there is a state of"disharmony between liver and spleen".Based on the difference between the deficiency and excess of the"liver"and"spleen",the progress of chronic atrophic gastritis can be analyzed from the perspective of stagnant and jamming of liver and spleen,failure of conveyance and dispersion from liver to spleen,spleen deficiency and liver hyperactivity,and disequilibrium between liver and spleen.Chronic atrophic gastritis can show a coherent evolution of"stagnant and jamming of liver and spleen,failure of conveyance and dispersion from liver to spleen,spleen deficiency and liver hyperactivity,and disequilibrium between liver and spleen".

关 键 词：土木不调 慢性萎缩性胃炎 中医 证型 

分 类 号：R259[医药卫生—中西医结合]