文献类型：期刊文献

中文题名：王道坤扶正化瘀法治疗慢性萎缩性胃炎的临证经验

英文题名：Clinical experience of WANG Daokun's Fuzheng and stasis treatment for chronic atrophic gastritis

作者：刘俊宏[1,2];李林蔓[3];符博雅[4];赖学倩[4];李亚静[4];李明[4]

第一作者：刘俊宏

机构：[1]中国中医科学院研究生院,北京100700;[2]甘肃中医药大学附属医院,兰州730000;[3]石河子大学第一附属医院,石河子832008;[4]甘肃中医药大学,兰州730000

第一机构：中国中医科学院研究生院,北京100700

年份：2023

卷号：38

期号：12

起止页码：5871

中文期刊名：中华中医药杂志

外文期刊名：China Journal of Traditional Chinese Medicine and Pharmacy

收录：CSTPCD;;北大核心:【北大核心2020】；CSCD:【CSCD2023_2024】；

基金：甘肃省科学技术厅重点研发计划项目(No.2022RCXM020);甘肃省中医药防治慢性疾病重点实验室开放课题(No.GSSYLXM-05-ZXYJH-6)。

语种：中文

中文关键词：王道坤;慢性萎缩性胃炎;健脾和胃;行气化瘀

外文关键词：WANG Daokun;Chronic atrophic gastritis;Strengthening the spleen and stomach;Promoting qi to remove blood stasis

摘要：王道坤教授认为慢性萎缩性胃炎的病机属于虚实夹杂之证,多由脾胃虚弱,胃络瘀阻,虚瘀交错等因素共同所致。提出扶正化瘀、标本兼顾的辨证法则,治疗上虚以健脾益气,理气和胃,瘀以行气化瘀、化痰消痞为主,使得气血并调,瘀血自消。临证遣方用药忌刚用柔,平淡轻灵顾护脾胃之气,有效逆转胃黏膜腺体萎缩、肠上皮化生和不典型增生等病理性改变,突出了治病求本的辨治思想。
Professor WANG Daokun believes that the pathogenesis of chronic atrophic gastritis belongs to the syndrome of deficiency and accumulation,which is mostly caused by the weakness of the spleen and stomach,the blockage of the stomach collagals,and the interlacing of deficiency and blood stasis.It puts forward the syndrome differentiation rule of‘Fuzheng Huayu'and‘Balance of symptoms and root causes'.The treatment of upper deficiency is to strengthen spleen and qi,regulating qi-flowing for harmonizing stomach,regulate qi and blood stasis,and eliminate phlegm and abdominal distention,so that qi and blood can be regulated and blood stasis can eliminate itself.The medicine of clinical prescription should avoid just using soft,plain and light to take care of stomach qi,and effectively reverse the pathological changes of gastric mucosal gland atrophy,intestinal metaplasia and atypical hyperplasia,highlighting the diagnosis and treatment idea of seeking the root of the disease and treating the syndrome differentiation.