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牛兴东教授治疗胆汁反流性胃炎的临床经验

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胆汁反流性胃炎在消化系统疾病中比较常见,是引起胃炎甚至胃癌的重要致病因素之一。牛兴东教授治疗脾胃病的学术思想为"调气、活血、解毒"。在临床治疗胆汁反流性胃炎时提出本病病位在胃,主要涉及肝、胆、脾等脏腑。牛兴东教授将本病分为3类证型,早期肝胃不和、胃失和降为主要证型;后因失治误治,病情加重则为脾失健运、腑气不通型;病程较长,迁延不愈为脾阳不振、胃络瘀阻型。在此病机的指导下,提出了疏肝理气、和胃降逆,运脾化湿、消食通腑,健脾温中、活血化瘀三法。
Clinical experience of Professor NIU Xingdong in the treatment of bile reflux gastritis
Bile reflux gastritis is a common alkaline reflux gastritis in digestive system diseases,and is one of the important pathogenic factors causing gastritis and even gastric cancer.Professor NIU Xingdong's academic thought of treating spleen and stomach diseases is"regulating Qi,promoting blood circulation and detoxifying".In the clinical treatment of bile reflux gastritis,it is suggested that the disease is located in the stomach,mainly involving the liver,gallbladder,spleen and other viscera.Professor NIU Xingdong divided the disease into three types of syndrome,the early for the liver and stomach disharmony,stomach disharmony as the main type of syn-drome,the late failure to treat the wrong treatment,the aggravation of the disease for the spleen,the Fu-Qi ob-struction type,the course of the disease is longer,prolonged not to recover for the spleen Yang deficiency,stom-ach stasis type.Under the guidance of the pathogenesis,three methods were put forward:soothing the liver and regulating Qi,soothing the stomach and regulating the reverse,soothing the liver and gallbladder,eliminating food and Tongfu organs,strengthening the spleen and warming the middle,promoting blood circulation and remo-ving blood stasis.

NIU Xingdongbile reflux gastritisexperience

任国华、秦瑛烁、孙亚丽、刘婷、牛兴东

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内蒙古自治区中医医院脑病科(呼和浩特,010000)

内蒙古医科大学

牛兴东 胆汁反流性胃炎 经验

国家中医药管理局全国名中医工作室传承工作室

国中医药人教函2021202号

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
年,卷(期):2024.32(9)