基于国医大师郭子光“人-症-病-证”体系探析慢性萎缩性胃炎临床辨治路径  

Analysis on Path of Clinical Differentiation and Treatment of Chronic Atrophic Gastritis Based on Person-Symptom-Disease-Syndrome of National Traditional Chinese Medicine Master Guo Ziguang

作　　者：蒋萃[1] 王昶鸿 田茸[1] 江泳[1] Jiang Cui;Wang Changhong;Tian Rong;Jiang Yong(Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China)

机构地区：[1]成都中医药大学,四川成都611137

出　　处：《成都中医药大学学报》2024年第5期35-39,共5页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81973929);四川省自然科学基金项目(2023NSFSC1805);成都中医药大学杏林苗圃人才专项(MPRC2022003)。

摘　　要：慢性萎缩性胃炎(Chronic Atrophic Gastritis,CAG)中常见的肠上皮化生、异型增生属于胃癌前状态。中医在逆转肠上皮化生及异型增生方面具有治疗优势。笔者系国医大师郭子光教授学术传承人,在郭师学术思想指导下,初步提出基于“人-症-病-证”体系慢性萎缩性胃炎临床辨治路径。以病为纲,抓住CAG“脾气胃阴亏虚,湿热瘀阻胃络”的共性核心病机;兼顾个性,结合患者不同证型的个性病机。以“益气养阴,清热燥湿,和胃通络”为基本治则,创制了“益胃复萎”方这一验方,基于此方,分型分期加减论治。病证结合,最大化地优化临床疗效,更能发挥中医特色优势。Intestinal metaplasia and dysplasia in the chronic atrophic gastritis(CAG) are precancerous states of gastric cancer.Traditional Chinese Medicine(TCM) has advantages in reversing intestinal metaplasia and dysplasia.The author is the academic heir of Professor Guo Ziguang,the first master of TCM.Under the guidance of Professor Guo's academic thought,the author preliminarily proposed the clinical syndrome differentiation and treatment path of CAG based on the “Person-Symptom-Disease-Syndrome” system.Taking disease as the key link,we should grasp the common core pathogenesis of CAG,which is deficiency of Spleen Qi and Stomach Yin,Dampness-heat and blood stasis of Stomach collateral;Give consideration to personality,combined with the personality pathogenesis of patients with different syndrome types.The prescription of "Yiwei Fuwei" was created by the basic treatment pricinple which is benefiting Qi and nourishing Yin,clearing Heat and drying Dampness,harmonizing the Stomach and dredging collaterals.Based on the prescription,the treatment was divided into types and stages.The combination of disease and syndrome can maximize the clinical efficacy and give full play to the characteristic advantages of TCM.

关 键 词：慢性萎缩性胃炎 人-症-病-证 共性核心病机 病证结合 “益胃复萎”方 

分 类 号：R249[医药卫生—中医临床基础] R228[医药卫生—中医学]