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"态靶因果"辨证在肝胃郁热型慢性胃炎中的临床应用

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慢性胃炎(Chronic Gastritis,CG)是一种慢性胃部疾病,在所有胃病中发病率最高,主要表现为中上腹部胀痛不适、烧心感,同时并见食欲不振、消化不良、反酸、呃逆、恶心、呕吐等.病程较长,若失治或误治,会发生不同程度的进展.近年来,中医辨证治疗方案在CG中的应用逐渐成熟且疗效可靠."态靶因果"首创与内分泌诊疗,是一种全新的中医学治疗方式,运用现代医学技术进行诊断,精准把握疾病发展全过程,确定理法方药,实现对疾病全方位的掌握."态靶因果"是中医诊疗的一大创新,开辟了现代中医认识疾病及诊治疾病的新角度,该理论已应用于中医内科多种疾病的诊治中,但态靶辨证作为一种全新的思维模式,大众认可度较为局限,应用领域相对较少.本研究讨论了"态靶因果"辨证在肝胃郁热型CG中的运用,即利用中医学辨证论治的理论将肝胃郁热型CG归属为郁态、热态后,再结合现代医学的理化指标确定其"症状靶"和"标靶"等,根据CG所归属的"态""症状靶"和"标靶"等选取靶方与靶药,借鉴现代中药及药理学研究,结合中药性味归经,选方选药,定量打靶,使"病"与"证"相结合.
Clinical application of"state-target and cause-effect"syndrome differentiation in chronic gastritis with stagnation heat of liver and stomach
Chronic gastritis is a chronic stomach disease with the highest incidence in all patients with stomach diseases.Its main manifestations include distending pain in the middle and upper abdomen,heartburn,and loss of appetite,indigestion,pantothenic acid,hiccups,nausea,vomiting and so on.The course of the disease is long,and if it is not treated or mistreated,different degrees of progress will occur.In recent years,the application of TCM syndrome differentiation in chronic gastritis is gradually mature and effec-tive."State-target and cause-effect"innovates endocrine diagnosis and treatment,and it is a new way of traditional Chinese medicine treat-ment,which combines the use of modern medical technology diagnosis and accurate grasp of the whole process of disease development to determine the principle,formula and medicine and achieve an all-round grasp of the disease."State-target and cause-effect"is a major innovation of TCM diagnosis and treatment,which provides a new perspective of modern TCM to understand and diagnose diseases.This theory has been applied to the diagnosis and treatment of a variety of diseases in the internal medicine of traditional Chinese medicine,but as a new mode of thinking,the recognition degree of the public is relatively limited,and the application field is relatively few.Therefore,to promote its application and realize the accurate treatment of diseases is an important task at present.This paper discusses the application of"state-target and cause-effect"syndrome differentiation in chronic gastritis of stagnation heat of liver and stomach,that is,traditional Chi-nese medical theory of syndrome differentiation and treatment classifies chronic gastritis of stagnation heat of liver and stomach as depres-sive state and heat state,and then determines its"symptom target"and"objective target"combined with the physical and chemical indexes of modern medicine.According to the"state","symptom target"and"objective target"of chronic gastritis,the target prescription and tar-get drug are selected,and then the research of modem Chinese medicine and pharmacology is used for reference,and the prescription and drug selection are combined with the quantitative target,so as to combine"disease"and"syndrome".

State-target and cause-effectChronic gastritisStagnation heat of liver and stomach

马蝶、王正国

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甘肃中医药大学,甘肃 兰州,730000

庆阳市中医院,甘肃 庆阳,745000

态靶因果 慢性胃炎 肝胃郁热

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(27)