成都中医药大学学报2024,Vol.47Issue(5) :35-39.DOI:10.13593/j.cnki.51-1501/r.2024.05.008

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

蒋萃 王昶鸿 田茸 江泳
成都中医药大学学报2024,Vol.47Issue(5) :35-39.DOI:10.13593/j.cnki.51-1501/r.2024.05.008

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

蒋萃 1王昶鸿 1田茸 1江泳1
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作者信息

  • 1. 成都中医药大学,四川 成都 611137
  • 折叠

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.

Abstract

Intestinal metaplasia and dysplasia in the chronic atrophic gastritis(CAG)are precancerous states of gastric cancer.Tradi-tional Chinese Medicine(TCM)has advantages in reversing intestinal metaplasia and dysplasia.The author is the academic heir of Pro-fessor 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 dis-ease 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 benefi-ting Qi and nourishing Yin,clearing Heat and drying Dampness,harmonizing the Stomach and dredging collaterals.Based on the pre-scription,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

Key words

Chronic atrophic gastritis/Person-Symptom-Disease-Syndrome/Common core pathogenesis/Combination of disease and syndrome/"Yiwei Fuwei"prescription

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出版年

2024
成都中医药大学学报
成都中医药大学

成都中医药大学学报

影响因子:0.572
ISSN:1004-0668
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