首页|林慧光教授治疗慢性萎缩性胃炎伴肠上皮化生经验

林慧光教授治疗慢性萎缩性胃炎伴肠上皮化生经验

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慢性萎缩性胃炎(CAG)是临床常见疾病,常合并肠上皮化生,通常被认为是癌前病变.林慧光教授认为CAG主要病机是脾胃气虚,在此基础上发展成气逆、热毒、湿浊等复杂病机.其虚实辨证以虚为主,占十之八九,虚中又以气虚为主,在气虚基础上常伴气滞、痰湿、血瘀等.CAG治则是"扶正为主,兼以祛邪",治法为益气健脾、理气解毒;经验方"慢萎宁",从甘、辛、苦3种药味入手,以益气健脾、理气降逆、清热解毒3个方面组方,具有标本并治、邪正兼顾、寒热平调之特色,在临床应用中取得实际疗效.林慧光教授治疗CAG经验丰富、疗效确切,值得推广与借鉴.
Professor Lin Huiguang's experience in treating chronic atrophic gastritis with intestinal meta-plasia
Chronic atrophic gastritis(CAG)is a common clinical disease,which is often accompanied by intestinal metaplasia and is usually considered to be a precancerous lesion.Professor Lin Huiguang believes that the main pathogen-esis of CAG is Qi deficiency of spleen and stomach,which develops into complex pathogenesis such as reversed flow of Qi,heat toxicity and damp turbidity.This disease is mainly characterized by deficiency after syndrom differentiation,and Qi de-ficiency is the main type.On the basis of Qi deficiency,it is often accompanied by Qi stagnation,phlegm dampness,blood stasis,etc.The treatment principle of CAG is"strengthening the healthy Qi and eliminating pathogenic factors".The treat-ment method is to tonify Qi and invigorate spleen,regulate Qi and detoxify.The classical formula Manweining,starting from the three kinds of medicinal nature of sweet,pungent and bitter,and the three aspects of tonifying Qi and invigorating spleen,regulating Qi and calming the adverse-rising energy,and clearing heat and detoxifying,has the characteristics of treating both the root causes and manifestations,taking into account healthy Qi and pathogenic factors,and balancing the cold and heat,which has obtained practical effects in clinical application.Prof.Lin Huiguang has rich experience and defi-nite curative effect in the treatment of CAG,which is worthy of promotion and reference.

CAGintestinal metaplasiasyndrome differentiation for treatmentLin Huiguangclinical experience

李宏霖、陈慧婷、林慧光、周丽

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福建中医药大学中医学院,福建 福州 350122

慢性萎缩性胃炎 肠上皮化生 辨证论治 林慧光 临床经验

福建省自然科学基金福建中医药大学校管重点项目全国中医临床优秀人才研修项目(第五批)(2022)

2021J01927X2020013国中医药人教函[2022]239号

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(2)
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