基于叶桂“甘守津还”探究慢性萎缩性胃炎治疗  

Exploration on the treatment of chronic atrophic gastritis based on Ye Gui's“Gan Shou Jin Huan”

作　　者：郑攀攀 郑英伦 王秋雨 赵方 冯培民[1] ZHENG Panpan;ZHENG Yinglun;WANG Qiuyu(Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan 610072,China;Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan 610075,China)

机构地区：[1]成都中医药大学附属医院,四川成都610072 [2]成都中医药大学,四川成都610075

出　　处：《四川中医》2025年第2期53-56,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：在《温热论》中,叶天士将“甘守津还”理论运用于治疗邪在气分,胃津已伤,借助甘草补中益胃、生津布津,以救胃燥气伤者,将其延伸为用药以甘为主,护守中焦,润燥布津。慢性萎缩性胃炎是消化系统慢性疾病,以多因素引起胃黏膜损伤为特征,痞满、上腹痛、嘈杂、反酸等为该病常见的临床表现。病理可见胃黏膜上皮固有腺体的减少、纤维替代、肠化、假幽门腺化生等。从中医角度出发,该病以脾胃虚弱为发病之本,故临证可基于“甘守津还”理论,以甘为主配伍其他药味,具体可用甘寒生津、甘温行津、酸甘化津等方法进行治疗,使津液生化归于正常,对患者临床症状起到改善作用。In the theory of Treatise on WarmHeat Diseases,Ye Tianshi applied the theory of maintaining with sweet medicinals and restoring the body fluids to the treatment of pathogenic factors in Qi,and damaged stomach fluid.With the help of licorice that is able to tonify the middle energizer and replenish the stomach,and produce and circulate the body fluid,the patients with stomach dryness and Qi injury can be saved.Then this theory was extended to use traditional Chinese medicine with sweet properties,in order to guard the middle energizer and moisten the dryness of body fluid.Chronic atrophic gastritis is a chronic disease of the digestive system.It is characterized by gastric mucosal injury caused by multiple factors.Fullness,upper abdominal pain,noisy,and acid reflux are common clinical manifestations of the disease.Pathology showed reduction of gastric mucosal epithelial glands,fiber replacement,intestinal metaplasia,pseudopyloric gland metaplasia,etc.From the perspective of traditional Chinese medicine,the disease is based on the weakness of the spleen and stomach.Therefore,based on the theory of maintaining with sweet medicinals and restoring the body fluids,the diseaase can be cured with herbs with sweet properties combining with other drugs.The sepcific methods can be divided into Engendering Liquid with Cold and Sweetness,Transporting the Body Fluid with Sweet-warm Herbs,Nourishing Yin with Sour and Sweet Tastes and other methods.So the generation and transportation of the body fluid is normal,and the clinical symptoms of the patients are improved.

关 键 词：甘守津还 甘味药 津液 慢性萎缩性胃炎 

分 类 号：R256.3[医药卫生—中医内科学]