基于淡以养脾理论从脾阴论治慢性萎缩性胃炎  

Treating Chronic Atrophic Gastritis from Syndrome Differentiation of Spleen Yin Based on Theory of Bland Flavour Nourishing Spleen

作　　者：陈必华 陈双钰 柴银英 李佳扬 裘生梁 CHEN Bihua;CHEN Shuangyu;CHAI Yinying;LI Jiayang;QIU Shengliang(The First Affiliated Hospital of Zhejiang Chinese Medical University/Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou Zhejiang 310006,China;The First School of Clinical Medicine of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China)

机构地区：[1]浙江中医药大学附属第一医院/浙江省中医院,浙江杭州310006 [2]浙江中医药大学第一临床医学院,浙江杭州310053

出　　处：《新中医》2024年第18期194-198,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划中医药科学研究基金项目(A类)(2022ZA056);浙江省大学生科技创新活动计划(新苗人才计划)(2023R410006)。

摘　　要：通过查阅中医古籍与现代医学文献,从脾阴角度探析慢性萎缩性胃炎(CAG),并探微淡以养脾理论,且以之作为切入点详述治法方药,发现多种病因可造成脾阴虚,而脾阴虚作为病机在脾之运及化方面与CAG存在密切的关联。张锡纯提出的淡以养脾理论以淡入脾胃、阴虚专责重于脾为架构,并从阴阳五行、脏腑生理特性、解剖学、药性五味等方面阐释淡味补养脾阴的缘由及优势,从而引申出以淡为主,甘淡合用的治法及多种相应方药,治疗脾阴虚证有独到之处,为治疗脾阴虚型CAG拓展了思路,具有积极的临床意义。By consulting Chinese ancient books and modern medical literatures,analyzes chronic atrophic gastritis(CAG)from the perspective of spleen yin,explores the theory of bland flavour nourishing spleen,and discusses the treatment methods and prescriptions based on it.It is found that various factors can cause spleen yin deficiency,and spleen yin deficiency as a pathogenesis is closely related to CAG in the aspects of transportation and transformation of the spleen.ZHANG Xichun's theory of bland flavour nourishing spleen is based on the framework of bland flavour entering the spleen and stomach and treating yin deficiency mainly from the spleen,and he explains the reasons and advantages of bland flavour to nourish the spleen yin in the aspects of yin-yang and five phases,physiological characteristics of zang-fu organs,anatomy,and medicinal flavours and five natures,thus extending the treatment methods:mainly treating by bland flavour and combining sweet and bland flavours together as well as a variety of corresponding prescriptions.This has unique features in the treatment of spleen yin deficiency,which has a positive clinical significance to treat CAG with spleen yin deficiency.

关 键 词：慢性萎缩性胃炎 脾阴虚 淡以养脾 张锡纯 

分 类 号：R256.3[医药卫生—中医内科学]