[1]焦林珂,崔向宁,王玉玲,等.名中医崔向宁从“和法”治疗慢性胃炎经验[J].陕西中医,2024,(2):244-247,252.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.021]
 JIAO Linke,CUI Xiangning,WANG Yuling,et al.Cui Xiangning's experience in treating chronic gastritis from the “Harmony” method[J].,2024,(2):244-247,252.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.021]
点击复制

名中医崔向宁从“和法”治疗慢性胃炎经验
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年2期
页码:
244-247,252
栏目:
名中医经验
出版日期:
2024-02-05

文章信息/Info

Title:
Cui Xiangning's experience in treating chronic gastritis from the “Harmony” method
作者:
焦林珂12崔向宁1王玉玲12沈子焕12陈 琛1丁 帆12
(1.中国中医科学院广安门医院,北京 100053; 2.北京中医药大学临床医学院,北京 100029)
Author(s):
JIAO LinkeCUI XiangningWANG YulingSHEN ZihuanCHEN ChenDING Fan
(Guang'anmen Hospital,China Academy of Traditional Chinese Medicine,Beijing 100053,China)
关键词:
慢性胃炎 和法 寒热 以平为期 气血 阴阳
Keywords:
Chronic gastritis Harmonization Cold and heat Peace and quiet Qi and blood Yin and yang
分类号:
R 573.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.02.021
文献标志码:
A
摘要:
“和法”作为中医学中的治疗大法,最早源于《中庸》“致中和”思想,指通过平调寒热、补泻互用等多种治疗手法,以使机体脏腑气血、阴阳、寒热达到“以平为期”的生理状态。其核心思想为“和其不和也”,对现代临床具有重要指导意义。慢性胃炎包含萎缩性和非萎缩性两种,是临床上常见的慢性消化系统疾病,其病机复杂多样,单用西药治疗较为单一。崔向宁老师在临床中对于此病的治疗颇有研究,且疗效显著,认为“诸病不已,必寻道脾胃之中”。治疗上善以“和法”理论为指导,以调和气机贯穿始终,运用平调寒热、补泻兼施、辛开苦降等多种治疗方法,并结合现代病理与药理,自拟和胃消痞方,临床应用效如桴鼓。现就崔向宁老师对于此病的治疗心得和用药特点进行总结与探讨,以期为今后临床辨证治疗此病提供经验总结与理论参考。
Abstract:
As a therapeutic method in Chinese medicine,the “Harmony” first originated from the idea of “To Neutralize and Harmonize” in “The Doctrine of the Mean”,referring to the use of a variety of therapeutic techniques through the leveling of toning down cold and heat,tonic and diarrhea,in order to make the body internal organs,qi and blood,yin and yang,cold and heat to achieve a physiological state of “peace and quiet”.Its core idea is “to harmonize with its disharmony”,which is of great significance to modern clinical practice.Chronic gastritis,including atrophic and non-atrophic,is a common chronic digestive disease in clinical practice,and its pathogenesis is complex and varied,which is more singularly treated by western medicine alone.Prof.Cui Xiangning has researched the treatment of this disease in the clinic,and the therapeutic effect is remarkable,and she believes that “if all diseases do not stop,we must find the way to the spleen and stomach”.She is good at taking the theory of “Harmony” as a guide in the treatment,harmonizing the qi throughout the whole process,applying a variety of therapeutic methods such as regulating cold and heat,tonifying and diarrhoeing,and opening and lowering the bitterness,etc.,and combining with the modern pathology and pharmacology,she has developed her own formula “Hewei Xiaopi”,which has been clinically effective as a rafter.This article summarizes and discusses Professor Cui Xiangning's therapeutic insights and medication characteristics of this disease,in order to provide empirical summaries and theoretical references for the future clinical diagnosis and treatment of this disease.

参考文献/References:

[1] 房静远,杜奕奇,刘文忠,等.中国慢性胃炎共识意见(2017年,上海)[J].胃肠病学,2017,22(11):670-687.
[2] VIRANI S S,ALONSO A,BENJAMIN E J,et al.Heart disease and stroke statistics-2020 update:A report from the american heart association[J].Circulation,2020,141(9):139-196.
[3] 刘成刚.冠心病患者长期服用阿司匹林对胃黏膜损伤情况的分析[J].临床合理用药杂志,2017,10(11):93-94.
[4] 郝长浩,李吉彦,沈会,等.从“和法”思想探析经方治疗中焦“痞证”[J].中华中医药杂志,2021,36(12):6955-6958.
[5] 卢雯湉,周惠芳.中和思想下张仲景之“和”探赜[J].中华中医药杂志,2022,37(5):2454-2458.
[6] 汪晓艳.马骏运用“和法”辨治脾胃病经验举要[J].中医药临床杂志,2021,33(7):1254-1257.
[7] 佚名.黄帝内经素问[M].北京:中国中医药出版社,2014:18.
[8] 党赢,张锁,刘钰,等.“和”法源流及其在中医学中的应用范围探讨[J].西部中医药,2022,35(5):48-50.
[9] 李赛鹤,刘力,王捷虹,等.基于“和”法探究中医药治疗慢性萎缩性胃炎[J].陕西中医,2020,41(6):793-795.
[10] 张晓雷,沙茵茵,马家驹,等.“广义和法”的概念以及中医辨析[J].环球中医药,2015,8(12):1481-1482.
[11] 方慧,刘俊宏,符博雅,等.经方对慢性萎缩性胃炎的病名、病机和治法探讨[J].陕西中医,2022,43(11):1625-1627.
[12] 孙明明,李聪,史林.王庆国教授对慢性萎缩性胃炎的治疗经验探析[J].陕西中医,2019,40(2):260-263.
[13] 郝钰婷,王健.和法治疗脾胃病思路探析[J].中国民间疗法,2022,30(23):21-24.
[14] 姜续杰,刘丰萍.从脾胃生理特性探讨脾胃病的病理特点及辨证用药规律[J].实用中医内科杂志,2013,27(1):73-74.
[15] 陈佳,张湘苑,赵林华,等.重构本草——海金沙[J].吉林中医药,2023,43(5):586-588.
[16] 胡诗宛,张伟,丁齐又,等.重构本草——金钱草[J].长春中医药大学学报,2023,39(5):476-479.
[17] 李点.基于“木郁达之”探讨化肝煎之临证运用[J].广州中医药大学学报,2021,38(4):842-845.
[18] 李艳英,黄能听,韩馥蔓,等.左金丸的古代文献分析[J].中国实验方剂学杂志,2022,28(12):39-47.
[19] 郑彩杏,周小青,李金霞,等.失笑散化学成分、药理作用及临床应用的研究进展[J].世界中医药,2023,18(9):1333-1336.
[20] 王阳.基于络病理论探析慢性萎缩性胃炎“气络失和,毒损血络”病机[J].陕西中医,2020,41(11):1632-1634.
[21] 左军,张力文,王加朋,等.黄芪建中汤治疗脾胃虚寒型胃痛中医治疗研究进展[J].辽宁中医药大学学报,2023,25(9):5-8.
[22] 邱志济,朱建平,马璇卿.朱良春治疗萎缩性胃炎“对药”临床经验和特色[J].实用中医药杂志,2000,18(10):35-36.
[23] 吴春红,熊鸣峰,唐晓玲,等.白花蛇舌草-半枝莲对药治疗常见肿瘤的思路探析[J].中国中医药现代远程教育,2022,20(12):199-202.
[24] 苏保伟,王景杰.胆汁反流性胃炎发病机制及其肠化生分子作用机制研究进展[J].陕西医学杂志,2020,49(9):1199-1201.
[25] 高红艳,牛春燕,刘凯歌,等.丹参酮ⅡA对大鼠应激性胃黏膜损伤的保护作用[J].陕西医学杂志,2009,38(11):1467-1469.

相似文献/References:

[1]党 东,杨国强,郭新建△.海贝方治疗慢性胃炎临床研究*[J].陕西中医,2019,(10):1370.
[2]房涛,王歌文,赵佳华.益胃汤加减联合三联疗法对HP感染所致慢性胃炎患者血清炎性因子、HP清除率的影响*[J].陕西中医,2019,(11):1598.
 FANG Tao,WANG Gewen,ZHAO Jiahua..Effects of addition and subtraction of Yiwei decoction combined with triple therapy on serum inflammatory factors and HP clearance rate in patients with chronic gastritis caused by HP infection[J].,2019,(2):1598.
[3]莫佳瑶,陈 琳,段倩倩,等.健脾和胃方治疗慢性胃炎临床研究*[J].陕西中医,2020,(8):1081.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.017]
 MO Jiayao,CHEN Lin,DUAN Qianqian,et al.Clinical effect of Jianpi Hewei prescription in the treatment of chronic gastritis[J].,2020,(2):1081.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.017]
[4]邹国辉,戴 祺,郑冰冰,等.调中化湿汤联合益生菌治疗HP相关性慢性胃炎合并缺铁性贫血临床研究[J].陕西中医,2021,(7):914.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.027]
[5]杨 震.论肝主敷和[J].陕西中医,2022,(10):1323.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.001]
[6]惠 荣,杨 龙,唐远山.,等.从肠道菌群角度探讨金郁小柴胡汤治疗慢性胆囊炎机制[J].陕西中医,2023,(3):328.[doi:DOI:10.3969/j.issn.1000-7369.2023.03.013]
[7]李环娜,唐远山,古 宇,等.基于数据挖掘唐远山教授从肝论治眩晕病临床经验[J].陕西中医,2023,(9):1312.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.037]
 LI Huanna,TANG Yuanshan,GU Yu,et al.Professor Tang Yuanshan's clinical experience in treating vertigo from liver based on data mining[J].,2023,(2):1312.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.037]
[8]段丽敏,袁媛,赵强,等.基于“郁病相生理论”探析慢性胃炎伴焦虑抑郁状态病机与治则[J].陕西中医,2025,46(6):800.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.016]
 DUAN Limin,YUAN Yuan,ZHAO Qiang,et al.The pathogenesis and treatment of chronic gastritis with anxiety and depression based on the theory of depression[J].,2025,46(2):800.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.016]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助面上项目(81973842)
更新日期/Last Update: 2024-02-07