慢性萎缩性胃炎的中医辨治思路与对策  

TCM Syndrome Differentiation and Countermeasures for Chronic Atrophic Gastritis

作　　者：王龙华[1] 李柏[1] 李萍[1] 王凤磊[1] 李静[1] 张福文[1] 张玉柱[1] 田德禄[1] 丁霞[2] WANG Longhua;LI Bai;LI Ping;WANG Fenglei;LI Jing;ZHANG Fuwen;ZHANG Yuzhu;TIAN Delu;DING Xia(Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100700,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学,北京100029

出　　处：《世界中医药》2024年第15期2334-2338,共5页World Chinese Medicine

基　　金：国家自然科学基金重大研究计划项目(92059102)——基于相分离激酶活性报告系统的胃癌炎癌转化关键信号轴可视化研究。

摘　　要：慢性萎缩性胃炎(CAG)是临床上公认的胃癌前疾病,中医药治疗CAG具有明显的优势及鲜明的特色。从CAG病因病机等方面的研究入手,对中医药治疗CAG提出治本独取阳明,补虚泻实,顾护脾胃,升降气机,调气和血,祛瘀通络,祛邪解毒,甘平凉润,和胃护络的辨治思路与对策,以期进一步提高中医药治疗CAG的临床疗效。Chronic atrophic gastritis(CAG)is widely recognized as a precancerous condition for gastric cancer.Traditional Chinese medicine(TCM)offers significant advantages and distinctive features in treating CAG.This study explored the etiology and pathogenesis of CAG and proposed TCM treatment strategies based on syndrome differentiation that focused on addressing the root causes solely by Yangming,supplementing deficiencies and draining excesses,protecting the spleen and stomach,ascending and descending qi,regulating qi and blood,removing stasis and dredging collaterals,expelling pathogenic factors and removing toxin,moistening by sweet,plain,and cold drugs,and harmonizing and soothing the stomach.These strategies aim to enhance the clinical efficacy of TCM in treating CAG.

关 键 词：慢性萎缩性胃炎 辨治思路 对策 中医 胃癌前疾病 病因 病机 独取阳明 

分 类 号：R242[医药卫生—中医临床基础] R573.32[医药卫生—中医学]