世界中医药2024,Vol.19Issue(15) :2334-2338.DOI:10.3969/j.issn.1673-7202.2024.15.021

慢性萎缩性胃炎的中医辨治思路与对策

TCM Syndrome Differentiation and Countermeasures for Chronic Atrophic Gastritis

王龙华 李柏 李萍 王凤磊 李静 张福文 张玉柱 田德禄 丁霞
世界中医药2024,Vol.19Issue(15) :2334-2338.DOI:10.3969/j.issn.1673-7202.2024.15.021

慢性萎缩性胃炎的中医辨治思路与对策

TCM Syndrome Differentiation and Countermeasures for Chronic Atrophic Gastritis

王龙华 1李柏 1李萍 1王凤磊 1李静 1张福文 1张玉柱 1田德禄 1丁霞2
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作者信息

  • 1. 北京中医药大学东直门医院,北京,100700
  • 2. 北京中医药大学,北京,100029
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摘要

慢性萎缩性胃炎(CAG)是临床上公认的胃癌前疾病,中医药治疗CAG具有明显的优势及鲜明的特色.从CAG病因病机等方面的研究入手,对中医药治疗CAG提出治本独取阳明,补虚泻实,顾护脾胃,升降气机,调气和血,祛瘀通络,祛邪解毒,甘平凉润,和胃护络的辨治思路与对策,以期进一步提高中医药治疗CAG的临床疗效.

Abstract

Chronic atrophic gastritis(CAG)is widely recognized as a precancerous condition for gastric cancer.Traditional Chi-nese medicine(TCM)offers significant advantages and distinctive features in treating CAG.This study explored the etiology and pathogenesis of CAG and proposed TCM treatment strategies based on syndrome differentiation that focused on addressing the root causes solely by Yangming,supplementing deficiencies and draining excesses,protecting the spleen and stomach,ascending and de-scending qi,regulating qi and blood,removing stasis and dredging collaterals,expelling pathogenic factors and removing toxin,mois-tening by sweet,plain,and cold drugs,and harmonizing and soothing the stomach.These strategies aim to enhance the clinical effi-cacy of TCM in treating CAG.

关键词

慢性萎缩性胃炎/辨治思路/对策/中医/胃癌前疾病/病因/病机/独取阳明

Key words

Chronic atrophic gastritis/Thought of syndrome differentiation and treatment/Countermeasures/Traditional Chinese medicine/Premalignant lesion of gastric cancer/Etiology/Pathogenesis/Treating the root cause solely by Yangming

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基金项目

国家自然科学基金重大研究计划项目(92059102)

出版年

2024
世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
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