中国中西医结合消化杂志2024,Vol.32Issue(3) :255-259.DOI:10.3969/j.issn.1671-038X.2024.03.14

劳绍贤教授"病证症结合"治疗胃癌前病变的临证思维与经验拾萃

Professor LAO Shaoxian's clinical thinking and experience extraction of the treatment in gastric precancerous lesions by using the academic thought of"combination of disease,pattern and symptom"

杨泽虹 黄远程 文艺 劳绍贤 胡玲 李培武 刘凤斌
中国中西医结合消化杂志2024,Vol.32Issue(3) :255-259.DOI:10.3969/j.issn.1671-038X.2024.03.14

劳绍贤教授"病证症结合"治疗胃癌前病变的临证思维与经验拾萃

Professor LAO Shaoxian's clinical thinking and experience extraction of the treatment in gastric precancerous lesions by using the academic thought of"combination of disease,pattern and symptom"

杨泽虹 1黄远程 1文艺 2劳绍贤 2胡玲 3李培武 2刘凤斌2
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作者信息

  • 1. 广州中医药大学第一临床医学院(广州,510006)
  • 2. 广州中医药大学第一附属医院岭南脾胃病研究所
  • 3. 广州中医药大学科创中心
  • 折叠

摘要

胃黏膜异型增生属于胃癌前病变的典型病理改变.通过多年的潜心研究,劳绍贤教授认为胃癌前病变的主要病机以脾胃气阴两虚为本,气滞血瘀、热毒内蕴为标;在健脾养阴基础上,提出以"清热以防变,祛瘀以通络"核心治法,强调针对具体病理改变施以专药的重要性,并结合多年的研究及临证经验拟定"抗增生方"治疗胃黏膜异型增生疗效较好,同时列举典型病例加以佐证;充分体现了劳绍贤教授提出的以"证为本、病为枢、症为标"的现代中医临证思维,可为中医药治疗胃癌前病变提供新视角.

Abstract

Gastric mucosal dysplasia is a typical pathological change of gastric precancerous lesions.Through years of painstaking research,Professor LAO Shaoxian believes that the main pathogenesis of gastric precancerous lesions is"dual deficiency of qi and yin of the spleenod and stomach,blood stasis due to qi stagnation,heat toxin is the excess";the core treatment method is"clear heat from preventing changes,removing blood stasis to dredge collaterals".LAO Shaoxian emphasizes the importance of applying special medicines for specific pathological chan-ges,and combines years of research and clinical experience to formula"Kangzengsheng Fang"in the treatment of dysplasia.At the same time,typical cases are cited to support the curative effect.It fully embodies the modern Traditional Chinese Medicine clinical thinking of"pattern-based,disease-centered,and symptom-based"proposed by Professor LAO Shaoxian,which can provide a certain new perspective for the treatment of gastric precancerous lesion s by Traditional Chinese Medicine.

关键词

胃癌前病变/异型增生/上皮内瘤变/临床经验

Key words

gastric precancerous lesions/dysplasia/intraepithelial neoplasia/clinical experience

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基金项目

广州中医药大学中医学学科中医基础理论研究"揭榜挂帅"项目(2022JB04)

刘凤斌广东省名中医传承工作室项目(粤中医办函20201号)

广州中医药大学"双一流"与高水平大学学科协同创新团队项目(2021xk18)

广州中医药大学"双一流"与高水平大学学科协同创新团队项目(2021xk47)

广州中医药大学"双一流"与高水平大学学科后备人才培育项目()

青年岐黄学者项目(国中医药人教发20207号)

国家中医药局区域中医(专科)诊疗中心建设与培育项目(国中医药医政函2018205)

出版年

2024
中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
参考文献量25
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