中国中西医结合消化杂志2024,Vol.32Issue(5) :436-439.DOI:10.3969/j.issn.1671-038X.2024.05.12

党中勤教授治疗慢性萎缩性胃炎癌前病变经验探析

Analysis of professor DANG Zhongqin's experience in treating precancerous lesions of chronic atrophic gastritis

曹鑫 李梦阁 党志博 刘晓慧 党中勤
中国中西医结合消化杂志2024,Vol.32Issue(5) :436-439.DOI:10.3969/j.issn.1671-038X.2024.05.12

党中勤教授治疗慢性萎缩性胃炎癌前病变经验探析

Analysis of professor DANG Zhongqin's experience in treating precancerous lesions of chronic atrophic gastritis

曹鑫 1李梦阁 2党志博 2刘晓慧 1党中勤2
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作者信息

  • 1. 河南中医药大学第二临床医学院(郑州,450008)
  • 2. 河南省中医院肝胆脾胃科
  • 折叠

摘要

慢性萎缩性胃炎癌前病变是向胃癌转变的高风险类型,因此应对此高度重视.中医药在治疗本病上有独特优势,党中勤教授通过多年临床实践和经验总结,认为脾胃虚弱是本病的发病之本,贯穿疾病始终,气滞、湿热、痰浊、血瘀等病理产物是疾病进展的重要因素.治疗上以健脾益气为基础,自拟和胃止痛方、理中和胃方、消痞和胃方三个基础方,根据病情变化,病-证-症理论与微观辨证相结合,加减应用,效果颇佳.本文以期通过对慢性萎缩性胃炎癌前病变的中医病因病机、治法方药、案例举隅等几个方面的论述,为治疗慢性萎缩性胃炎癌前病变提供新的思路.

Abstract

Precancerous lesions of chronic atrophic gastritis are a high-risk type of gastric cancer,so it should be taken seriously.Traditional Chinese medicine has unique advantages in the treatment of this disease.Professor DANG Zhongqin,through years of clinical exploration and experience summary,believes that the weakness of the spleen and stomach is the root of the disease throughout the disease,Qi stagnation,damp heat,phlegm turbid-ness,blood stasis,and other pathologic products are important factors in the progression of the disease.The treat-ment is based on invigorating the spleen and supplementing Qi,developing Hewei Zhitong prescription,Lizhong Hewei prescription,and Xiaopi Hewei prescription.According to the condition,the combination of disease-syn-drome-symptom theory and microscopic differentiation,addition,and subtraction application,the effect is quite good.This paper discusses the etiology and pathogenesis of precancerous lesions of chronic atrophic gastritis in tra-ditional Chinese medicine,treatment methods,prescriptions,cases,and other aspects to provide new ideas for the treatment of precancerous lesions of chronic atrophic gastritis.

关键词

慢性萎缩性胃炎/胃癌前病变/健脾益气/微观辨证

Key words

chronic atrophic gastritis/precancerous lesions of gastric cancer/invigorating spleen and supple-menting Qi/microscopic differentiation

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基金项目

河南省卫生健康委国家中医临床研究基地科研专项(2021JDZX2070)

河南省中医药科学研究专项(2023ZY2062)

全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)

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
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