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查安生从阴常不足论治老年慢性萎缩性胃炎经验

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慢性萎缩性胃炎是消化系统常见疾病,随着中国人口老龄化进程的不断推进,老年患者的患病人数也在逐年上升,针对CAG的治疗,中医药具有独特的优势.查安生提出,老年患者阴常不足,再因肝郁、湿热、血瘀等,致使胃阴耗伤.胃阴者,胃之津液也,乃胃腑之根本,胃之受纳腐熟必依赖于胃阴的濡养,胃阴日久不复,胃体失养,通降不能,发为萎缩.在治疗上查师提出以甘凉濡润之药,补胃阴之不足,使胃络得养,再配以疏肝泄热、化湿清热、活血和络等法,荡涤胃腑邪气,阴复则胃得养,邪去则胃体安,最终使通降恢复,萎缩复原.
Experience of ZHA Ansheng in Treating Chronic Atrophic Gastritis in the Elderly Based on the Yin Often being Inadequate
Chronic atrophic gastritis (CAG) is a common disease of the digestive system. With the aging of China's population, the number of elderly patients is also increasing year by year. Traditional Chinese medicine has unique advantages in the treatment of CAG. Advantage. ZHA Ansheng pointed out that elderly patients often have insufficient yin, and then suffer from gastric yin depletion and damage due to liver stagnation, dampness and heat, blood stasis, etc. The body fluid in the stomach is the foundation of the stomach, and the stomach's acceptance and ripening must de-pend on the stomach. If the Yin is nourished, the stomach Yin will no longer recover over time, and the stomach body will lose nourishment, and it will be unable to pass down and descend, leading to atrophy. In terms of treatment, the doctor proposed to use sweet, cool and moistening medicine to replenish the deficiency of stomach Yin and nourish the stomach collaterals, and then use methods such as soothing the liver and releasing heat, removing dampness and clearing heat, activating blood circulation and harmonizing collaterals to cleanse the stomach evil Qi and Yin. If it is restored, the stomach will be nourished, and if the evil is removed, the body of the stomach will be at peace, and finally Tongjiang will be restored and atrophy will be restored.

Chronic atrophic gastritis in the elderlyInsufficient YinExperience of famous doctorsZHA Ansheng

吴子函、查安生、金春春、段莹莹、兰彩霞

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安徽中医药大学 安徽合肥 230038

安徽中医药大学第一附属医院 安徽合肥 230031

老年慢性萎缩性胃炎 阴常不足 名医经验 查安生

安徽省查安生名中医工作室项目安徽省中医药领军人才培养对象项目安徽省卫生健康委科研项目

[2020]10号[2018]23号AHWJ2021a021

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(3)
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