首页|解郁联合刺络法论治慢性萎缩性胃炎伴焦虑

解郁联合刺络法论治慢性萎缩性胃炎伴焦虑

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慢性萎缩性胃炎患者中焦气机升降失常,导致心火无肾水制约上炎扰神.木与土之间生克失常,土虚木承或土实侮木,而肝失条达,情志失常.又因该病病程久,多伴胃腑阴络瘀滞,血络之热上扰神志,故慢性萎缩性胃炎与焦虑、抑郁状态存在着极为密切的联系,应以解郁通络为治则.但慢性萎缩性胃炎患者脾胃本差,通络之品又多有走窜伤胃之弊端,因此本文论证了皮和胃、肠之间存在的联系,提出以刺络法代替通络药物,临床上以解郁法复气机升降,配合刺络法通络散瘀,可有效治疗慢性萎缩性胃炎并改善焦虑、抑郁状态.
Treatment of Chronic Atrophic Gastritis with Anxiety by Relieving Depression Combined with Pricking Collaterals
Patients with chronic atrophic gastritis have an abnormal upward and downward movement of the middle energizer qi,which leads to heart fire flaming upward and harassing the heart,because heart fire has no kidney water restriction in this condition.The engendering and restraining balance between wood and earth becomes abnormal,with earth being deficient and wood overwhelming,or earth being in excess rebelling wood.As a result,liver fails to act freely and the patient becomes moody.If the disease lasts long,it is often accompanied by stomach collateral stagnation,and the heat in the blood collateral upward harasses the mind.Therefore,chronic atrophic gastritis is closely related to anxiety and depression,and should be treated with the principle of relieving depression and unblocking collaterals.However,traditional Chinese herbal medicine for unblocking the meridians often has the disadvantage of causing damage to the stomach,and the spleen and stomach in patients with chronic atrophic gastritis are poor.Therefore,this article demonstrates the connection between the skin,stomach,and intestines,and proposes to use the method of puncturing collaterals instead of collateral unblocking herbal medicines for the treatment of this condition.In clinical practice,oral administration of traditional Chinese medicine using the method of relieving depression can restore qi upward and downward movement,and combined with the method of puncturing collaterals to unblock collaterals and disperse blood stasis,this method can effectively treat chronic atrophic gastritis and improve anxiety and depression.

Chronic atrophic gastritisAnxietyPuncturing collateralsZhang Fuli

史宝睿、苏金峰、李富震、潘国雄、张福利

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黑龙江中医药大学,黑龙江 哈尔滨 150040

慢性萎缩性胃炎 焦虑 刺络法 张福利

中央支持地方高校改革发展资金人才培养项目(2021)黑龙江省中医药科研项目

ZHY2020-80

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(3)
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