文献类型：期刊文献

中文题名：王道坤教授衷中参西辨治慢性萎缩性胃炎思路探析

英文题名：An analysis of professor WANG Daokun’s thoughts on distinguishing and treating chronic atrophic gastritis by Chinese medicine with reference to Western medicine

作者：牟德海[1,2];杨晓轶[2,3];殷世鹏[2,4];马骏[2,3];王道坤(指导)[5]

第一作者：牟德海

机构：[1]甘肃中医药大学期刊编辑部,甘肃兰州730101;[2]敦煌医学与转化省部共建教育部重点实验室,甘肃兰州730000;[3]甘肃中医药大学基础医学院,甘肃兰州730101;[4]甘肃中医药大学图书馆,甘肃兰州730101;[5]甘肃中医药大学附属医院名医工作室,甘肃兰州730020

第一机构：甘肃中医药大学期刊编辑部

年份：2025

卷号：42

期号：1

起止页码：20

中文期刊名：甘肃中医药大学学报

外文期刊名：Journal of Gansu University of Chinese Medicine

基金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)。

语种：中文

中文关键词：慢性萎缩性胃炎;衷中参西;辨病论治;方证论治;临床经验;王道坤

外文关键词：chronic atrophic gastritis;Chinese medicine with reference to Western medicine;disease diagnosis and treatment;syndrome and prescription-based treatment;clinical experience;WANG Daokun

摘要：对王道坤教授衷中参西辨治慢性萎缩性胃炎的思路进行总结、分析。王教授将慢性萎缩性胃炎明确为胃痞症,因本病缺乏特异性临床表现,其强调临证诊断时当以中医学传统四诊方法与西医学的科技检查手段相结合,主张衷中参西。通过望、闻、问、切可以明确慢性萎缩性胃炎的病因病机和辨证分型,配合胃镜和病理检查则可以直观地了解胃黏膜的病变及其严重程度。王教授认为,慢性萎缩性胃炎胃黏膜功能障碍归属于中医学脾胃升降功能失常范畴,其核心病机为脾之清阳不升,胃之浊阴不降,虚实夹杂,临床治疗当扶正祛邪兼顾,治宜专病专方,予治萎防变胶囊;本病病因病机复杂,与肝、脾、肾关系最为密切,痰湿、气郁、血瘀、食滞等为其主要病理因素,临床证型多样,当以方证论治,不可拘泥于某方某药;病情严重者,则宜标本兼治、消补兼施,在辨证用药的基础上,配伍白花蛇舌草、仙鹤草、败酱草等益气养阴,祛瘀解毒,预防癌变。王教授衷中参西辨治慢性萎缩性胃炎的思路,对今日中医之临床具有积极的借鉴意义。中医学应加强对“形体”的思考与研究;中医理论体系中“气化”与“形体”的沟通融合,或为中医学发展乃至中西医结合发展的基础和关键。
This article summarizes and analyzes professor WANG Daokun's thoughts on diagnosing and treating chronic atrophic gastritis(CAG)by Chinese medicine with reference to Western medicine.Professor WANG clearly classifies CAG as a type of“stomach stuffiness”syndrome.Due to the lack of specific clinical manifestations of this disease,he emphasizes that in clinical diagnosis,traditional TCM four-diagnosis methods should be combined with technological examination methods of Western medicine,advocating Chinese medicine with reference to Western medicine.Through observation,auscultation and olfaction,inquiry,and palpation,the etiology,pathogenesis,and syndrome differentiation types of CAG can be determined.In combination with gastroscopy and pathological examinations,the lesions of the gastric mucosa and their severity can be visually understood.Professor WANG believes that the dysfunction of the gastric mucosal function in CAG belongs to the category of abnormal ascending and descen-ding functions of the spleen and stomach in TCM.The core pathogenesis is the failure of the clear yang of the spleen to ascend and the turbid yin of the stomach to descend,with a combination of deficiency and excess.In clinical treatment,both strengthening the body and eliminating pathogenic factors should be considered.Specialized prescriptions for specific diseases,such as the“Zhiwei Fangbian Capsule”,should be given.The etiology and pathogenesis of this disease are complex,and it is most closely related to the liver,spleen and kidney.Phlegm-dampness,qi stagnation,blood stasis,and food retention are its main pathological factors,and there are various clinical syndrome types.Treatment should be based on the syndrome and prescription,not being limited to certain prescriptions or medicines.For severe cases,both treating the root cause and symptoms,and using both elimination and tonification methods are appropriate.On the basis of syndrome differentiation and medication,combinations of herbs such as Hedyotis diffusa,Agrimonia pilosa,and Patrinia scabiosaefolia are used to nourish qi and yin,remove blood stasis and detoxify to prevent canceration.Professor WANG's thoughts on diagnosing and treating CAG by Chinese medicine with reference to Western medicine has positive referential significance for contemporary clinical practice of TCM.TCM should strengthen the thinking and research on the“physical form”;the communication and integration of“qi transformation”and“physical form”in the theoretical system of TCM may be the basis and key for the development of TCM and even the integration of TCM and Western medicine.