唐旭东教授运用“调中复衡”理论治疗慢性胃炎经验撷菁  

Professor TANG Xudong′s Experience in Treating Chronic Gastritis Based on“Harmonizing the Middle to Restore Balance”Theory

作　　者：吕林[1] 黄开月 王凤云[1] 马祥雪 唐旭东[1] LYU Lin;HUANG Kaiyue;WANG Fengyun;MA Xiangxue;TANG Xudong(Institute of Digestive Diseases,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China;Graduate School of China Academy of Chinese Medical Sciences,Beijing 100029,China)

机构地区：[1]中国中医科学院西苑医院脾胃病研究所,北京100091 [2]中国中医科学院研究生院,北京100029

出　　处：《世界中医药》2025年第1期116-120,共5页World Chinese Medicine

基　　金：国家自然科学基金面上项目(81873297)——基于内质网应激介导下IRE1/XBP1通路探讨功能性消化不良胃动力障碍及香砂六君子干预研究;中国中医科学院中医药科技重大成果引导项目(ZZ13-ZD-02)——从肝脾论治功能性胃肠病的证治规律及机制研究;中国中医科学院优秀青年科技人才培养专项(ZZ13-YQ-006)——肠道菌群在FD发病的作用及香砂六君子干预研究;中国中医科学院创新工程项目(CI2021A01003)——中医药随机对照试验中药复方安慰剂制作与评价;中国中医科学院西苑医院能力提升项目(XYZX0303-07)——治疗慢性萎缩性胃炎的中药复方SQQT饮的开发研究。

摘　　要：脾胃病是临床常见病、多发病,历代医家诊疗均重视兼固脾胃。唐旭东教授以董建华院士“通降论”学术思路为基础,结合自身临床实践,创建了脾胃病辨证新八纲,即“脏腑、虚实、气血、寒热”,既是中医临床辨证消化系统疾病的具体抓手和操作技术路线,也是落实“通降论”之理的具体方法。提出“调中复衡”理论是新八纲指导下的具体治疗措施,“调”为斡旋、燮理,“中”为中州脾胃,“复”为恢复之义,“衡”为平衡之义;“中”是“调”的对象,“复”是“调”的作用,“衡”是调的目标。“脾胃为后天之本”“调中复衡”强调了中州脾胃功能的核心作用,也强调了中焦气机升降功能正常和五脏功能协调的重要性。慢性胃炎(CG)是临床上最常见的消化系统疾病,唐旭东教授结合新的社会环境,运用脾胃病辨证新八纲对CG的病因病机进行了新的阐释,并采用“调中复衡”理论治疗GC,取得良效,值得推广。Spleen and stomach disorders are common and frequently encountered conditions in clinical practice,and throughout history,physicians have emphasized the importance of fortifying the spleen and stomach.Professor TANG Xudong,based on the academic ideas of Academician DONG Jianhua′s“theory of unblocking and descending”and combining his own clinical experience,developed a new eight-pronged differentiation framework for spleen and stomach diseases,i.e.,“Zang-Fu,deficiency and excess,qi and blood,cold and heat”.This framework serves as both a specific guide and operational technique for differentiating digestive system diseases in traditional Chinese medicine(TCM),as well as a practical method for implementing the“theory of unblocking and descending”.Professor TANG proposed the“harmonizing the middle to restore balance”theory as a specific therapeutic approach under the guidance of the new eight-pronged framework.The term“harmonizing”refers to modulation and regulation;“middle”refers to the central region of the spleen and stomach;“restore”means recovery;“balance”refers to equilibrium.The“middle”is the target of the harmonizing,“restore”is the effect of the harmonizing,and“balance”is the goal of the harmonizing.Since“the spleen and stomach are the acquired foundation”,the“harmonizing the middle to restore balance”approach emphasizes the core role of the spleen and stomach function in the central region,as well as the importance of normalizing the ascending and descending function of the middle energizer and coordinating the functions of the five Zang organs.Chronic gastritis(CG)is one of the most common digestive diseases in clinical practice.Professor TANG Xudong,taking into account the new social environment,applied the new eight-pronged differentiation framework for spleen and stomach disorders to offer a fresh interpretation of the etiology and pathogenesis of CG.Using the“harmonizing the middle to restore balance”theory,Professor TANG Xudong has successfull

关 键 词：通降论 新八纲 调中复衡 慢性胃炎 @董建华 @唐旭东 名医经验 选方用药 

分 类 号：R573.3[医药卫生—消化系统]