运用伏邪理论辨析幽门螺杆菌感染慢性胃炎病机演变
Application of the theory of latent pathogen to analyze the pathogenesis of Helicobacter pylori infection in chronic gastritis
张杨毅 1林振文 1李灿东 2陈凌琦2
作者信息
- 1. 福建中医药大学附属福州中医院,福州 350001
- 2. 福建中医药大学,福州 350122
- 折叠
摘要
幽门螺杆菌感染是发生慢性胃炎最重要因素之一,早期多数患者无症状表现.幽门螺杆菌隐匿致病的特点与中医伏邪理论有相通之处.文章通过运用中医伏邪理论,将传统望闻问切与现代科学诊疗技术相结合,整体辨析幽门螺杆菌感染慢性胃炎病机演变及预后转归.最终将其归纳为:以邪伏不发、湿阻气机为始,发而显微、湿郁化热为渐,痰瘀入络、邪显成巢为著;并探讨疾病各阶段诊断可能存在漏诊误判的情况发生.以期为提高中医临证辨析幽门螺杆菌感染慢性胃炎提供重要的理论参考.
Abstract
Helicobacter pylori(Hp)infection is one of the most critical factors in the development of chronic gastritis,and most patients have no apparent symptoms in the early stages.The characteristics of Hp's insidious pathogenicity are similar to the theory of latent pathogen.This paper analyses the evolution and prognosis of Hp infection in chronic gastritis in a dynamic and holistic way by applying the theory of latent pathogen and combining traditional diagnostic techniques with modern scientific diagnostic techniques.This paper summarizes the evolution of the pathogenesis of Hp-infected chronic gastritis as follows:the beginning of the pathogenesis of the disease is that the latent pathogen is hidden and the dampness blocks the qi,the beginning of the pathogenesis is that the dampness becomes microscopic and the dampness becomes heat,and the phlegm becomes phlegm and stasis enters the ligaments and the latent pathogen becomes nesting.It is also discussed the possibility of misdiagnosis and misinterpretation in the diagnosis of various stages of the disease,in hope to provide important theoretical references for the improvement of traditional chinese medicine diagnosis of Hp infection in chronic gastritis.
关键词
伏邪理论/中医诊断学/幽门螺杆菌/慢性胃炎/病机演变/整体观/伏湿病邪Key words
Theory of latent pathogen/Traditional Chinese medicine diagnosis/Helicobacter pylori(Hp)/Chronic gastritis/Pathogenesis evolution/Holistic view/Hidden dampness引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据