刘凤斌运用药对治疗慢性萎缩性胃炎伴异型增生  

Analysis of Liu Fengbin's experience in treating chronic atrophic gastritis with dysplasia by using couplet medicines

作　　者：钟晓莹 黄远程[1] 杨泽虹 文艺[2] 庄昆海[2,3] 刘凤斌[2,3] 李培武[2] ZHONG Xiaoying;HUANG Yuancheng;YANG Zehong;WEN Yi;ZHUANG Kunhai;LIU Fengbin;LI Peiwu(Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Baiyun Hospital,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510420,China)

机构地区：[1]广州中医药大学,广州510405 [2]广州中医药大学第一附属医院,广州510405 [3]广州中医药大学第一附属医院白云医院,广州510420

出　　处：《吉林中医药》2024年第8期914-918,共5页Jilin Journal of Chinese Medicine

基　　金：刘凤斌广东省名中医传承工作室项目(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“中医药防治胃‘炎-癌’转化的协同创新团队”(2021xk47);学科后备人才培育项目(A1-2601-22-415-008);第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2020〕76号)。

摘　　要：刘凤斌教授善于运用中医药诊治慢性萎缩性胃炎,形成独特的临床经验,他认为本病以脾虚为本,气滞、湿(热)阻、血瘀为标,患病日久、未能及时有效控制,终至脾气亏衰、瘀毒胶结则发生“炎-癌前”转化,即脾虚为本、瘀毒为变是异型增生的关键病机。经多年临床实践和验证,形成确有疗效的扶正通络解毒方,作为治疗本病的核心方药,同时根据五脏相关理论灵活选用不同药对,注重和胃通降,使气行则瘀毒得散,灵活运用疏肝解郁以助胃气通降、宣肺调达以助脾升胃降。此外,强调安心神以使脾胃升降自和,提倡治后天不忘先天,补肾以健脾;善于使用活血解毒药对直捣病处,使病变得以迅速逆转。Professor Liu Fengbin has unique insights and experience in the diagnosis and treatment of chronic atrophic gastritis with traditional Chinese medicine.He believes that its root cause lies in spleen deficiency,while qi stagnation,damp(heat)obstruction,blood stasis are its manifestations.If the disease is not controlled in time and effectively,it may lead to results of deficient spleen qi and cementation of poisonous damp-heat and static blood,and ultimately the inflammation and precancerous transformation.That is,deficiency of spleen qi and cementation of damp-heat and blood stasis constitute the key pathogeneses of chronic atrophic gastritis with dysplasia.After years of clinical practice and verification,Professor Liu Fengbin develops Fuzheng Tongluo Jiedu Formula as the core prescription for the treatment of this disease.Meanwhile,he selects different couplet medicines flexibly based on the five-zang viscera correlation theory.He advocates harmonizing the stomach for descending adverse qi,so that the blood stasis and damp-heat can be dispersed.In addition,Professor Liu Fengbin underlines dispersing stagnated liver qi,ventilating lung qi,and tranquillizing the mind to help the spleen and stomach return to their normal physiological functions.Besides,it is necessary to tonify the kidney,which helps strengthen the spleen.He is also good at using couplet medicines for promoting blood circulation and detoxication to directly target the affected areas,so that the lesions can be quickly reversed.

关 键 词：慢性萎缩性胃炎 异型增生 药对 学术经验 刘凤斌 

分 类 号：R256.3[医药卫生—中医内科学]