赵智强辨治慢性萎缩性胃炎
|
摘要
赵智强教授认为,对于慢性萎缩性胃炎的中医论治,应当重点分析其病因病机,病因主要与外邪侵袭、饮食不节、情志失调、禀赋不足等有关,病机认为慢性萎缩性胃炎存在变迁的过程,脾胃虚弱为发病之本、气机阻滞为致病之标、痰瘀搏结为久病之源,在临证运用上以辛开苦降、寒温并用,治分虚实、攻补兼施,中西结合、预防癌变等3个方面为特点,处方上常常运用半夏泻心汤、左金丸、栀子干姜汤、连朴饮等,并善于根据患者不同的临床表现加减用药,思路灵活多变,切不可拘泥于一方一法。
Professor Zhao Zhiqiang believes that the TCM treatment of chronic atrophic gastritis, should focus on analysis of the etiology and pathogenesis. The etiology is mainly related to invasion of exogenous pathogens, improper diet, emotional disorders and insufficient talents. Chronic atrophic gastritis has a process of change. Weakness of spleen and stomach is the root of the disease, qi stagnation is the sign of the disease, phlegm and blood stasis are the source of chronic disease. In clinical application, it is characterized by the combination of pungent and bitter natured drugs, cold and warm natured drugs; the differentiation of deficiency and excess, reinforcement and elimination in combination; the combination of Chinese and Western medicine, and the prevention of carcinogenesis. Banxia Xiexin Decoction, Zuojin Pill, Zhizi Ganjiang Decoction and Lianpo Decoction are often used in prescriptions. He is good at adding or subtracting drugs according to different clinical manifestations of patients. His ideas are flexible and changeable, never stick to one method.
Professor Zhao Zhiqiang believes that the TCM treatment of chronic atrophic gastritis, should focus on analysis of the etiology and pathogenesis. The etiology is mainly related to invasion of exogenous pathogens, improper diet, emotional disorders and insufficient talents. Chronic atrophic gastritis has a process of change. Weakness of spleen and stomach is the root of the disease, qi stagnation is the sign of the disease, phlegm and blood stasis are the source of chronic disease. In clinical application, it is characterized by the combination of pungent and bitter natured drugs, cold and warm natured drugs; the differentiation of deficiency and excess, reinforcement and elimination in combination; the combination of Chinese and Western medicine, and the prevention of carcinogenesis. Banxia Xiexin Decoction, Zuojin Pill, Zhizi Ganjiang Decoction and Lianpo Decoction are often used in prescriptions. He is good at adding or subtracting drugs according to different clinical manifestations of patients. His ideas are flexible and changeable, never stick to one method.
引文
[1]葛来安,付勇,吕国雄,等.何晓晖教授论治慢性萎缩性胃炎经验探析[J].南京中医药大学学报, 2015, 31(3):283-287.
[2]魏玮,杨洋.慢性萎缩性胃炎诊治现状及中医药治疗优势[J].中医杂志, 2016, 57(1):36-40.
[3]李东垣.脾胃论[M].北京:中国中医药出版社, 2007.
[4]陈佳,李守英,徐红.慢性萎缩性胃炎的研究进展[J].中国老年学杂志, 2013, 33(14):3540-3542.
[5]黄帝内经[M].张春强,编.长春:吉林文史出版社, 2017.
[6]虞抟.医学正传[M].北京:中医古籍出版社, 2002.
[7]杨雪芹.慢性萎缩性胃炎与饮食习惯的关联性分析[D].长春:吉林大学, 2011.
[8]刘守真.素问病机气宜保命集[M].北京:人民卫生出版社,1959.
[9]胡婷.更年期女性慢性萎缩性胃炎的中医证型分布规律研究[D].南京:南京中医药大学, 2018.
[10]黄妙珍.慢性萎缩性胃炎与细胞凋亡和基因调控[J].浙江中医学院学报, 2002, 25(6):78-79.
[11]叶天士.临证指南医案[M].华岫云,编订.北京:华夏出版社, 1995.
[12]赵惠.周仲瑛应用游山散加味治疗胃痛经验[J].环球中医药, 2014, 7(1):57-58.
[13]巢元方.诸病源候论[M].太原:山西科学技术出版社,2015.
[14]伊春锦,黄德清,黄昉萌,等.夏枯草、白花蛇舌草治疗慢性萎缩性胃炎“癌前病变”初探[J].福建中医药,2007, 52(4):34.
[2]魏玮,杨洋.慢性萎缩性胃炎诊治现状及中医药治疗优势[J].中医杂志, 2016, 57(1):36-40.
[3]李东垣.脾胃论[M].北京:中国中医药出版社, 2007.
[4]陈佳,李守英,徐红.慢性萎缩性胃炎的研究进展[J].中国老年学杂志, 2013, 33(14):3540-3542.
[5]黄帝内经[M].张春强,编.长春:吉林文史出版社, 2017.
[6]虞抟.医学正传[M].北京:中医古籍出版社, 2002.
[7]杨雪芹.慢性萎缩性胃炎与饮食习惯的关联性分析[D].长春:吉林大学, 2011.
[8]刘守真.素问病机气宜保命集[M].北京:人民卫生出版社,1959.
[9]胡婷.更年期女性慢性萎缩性胃炎的中医证型分布规律研究[D].南京:南京中医药大学, 2018.
[10]黄妙珍.慢性萎缩性胃炎与细胞凋亡和基因调控[J].浙江中医学院学报, 2002, 25(6):78-79.
[11]叶天士.临证指南医案[M].华岫云,编订.北京:华夏出版社, 1995.
[12]赵惠.周仲瑛应用游山散加味治疗胃痛经验[J].环球中医药, 2014, 7(1):57-58.
[13]巢元方.诸病源候论[M].太原:山西科学技术出版社,2015.
[14]伊春锦,黄德清,黄昉萌,等.夏枯草、白花蛇舌草治疗慢性萎缩性胃炎“癌前病变”初探[J].福建中医药,2007, 52(4):34.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |