[1]蒋凤霞,郭鑫宇,高 珊,等.基于“肺朝百脉主治节”理论探讨慢性萎缩性胃炎证治[J].陕西中医,2024,(6):808-811.[doi:DOI:10.3969/j.issn.1000-7369.2024.06.018]
 JIANG Fengxia,GUO Xinyu,GAO Shan,et al.Evidence and treatment of chronic atrophic gastritis based on the theory of “convergence of vessels in the lung” and “lung governing coordinative activities of viscera”[J].,2024,(6):808-811.[doi:DOI:10.3969/j.issn.1000-7369.2024.06.018]
点击复制

基于“肺朝百脉主治节”理论探讨慢性萎缩性胃炎证治
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年6期
页码:
808-811
栏目:
学术探讨
出版日期:
2024-06-05

文章信息/Info

Title:
Evidence and treatment of chronic atrophic gastritis based on the theory of “convergence of vessels in the lung” and “lung governing coordinative activities of viscera”
作者:
蒋凤霞郭鑫宇高 珊王晓燕
(山东中医药大学针灸推拿学院,山东 济南 250014)
Author(s):
JIANG FengxiaGUO XinyuGAO ShanWANG Xiaoyan
(Acupuncture and Moxibustion and Massage College of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)
关键词:
慢性萎缩性胃炎 肺朝百脉 主治节 肺胃相关
Keywords:
Chronic atrophic gastritis Convergence of vessels Lung governing coordinative activities of viscera Lung and stomach related theory Deficiency Toxicity Stasisu
分类号:
R 573.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.06.018
文献标志码:
A
摘要:
慢性萎缩性胃炎(CAG)以胃腺减少萎缩为主要特征,可归属于中医学“胃脘痛”“胃痞病”“反胃”等范畴,脏腑辨证病位在胃,是目前常见的一类消化系统疾病,影响因素多样。现阶段中西医结合治疗,或直接采用中医治疗已经成为CAG治疗的必然趋势。中医治病以整体观念为指导思想,《黄帝内经》中记载“肺朝百脉、主治节”,在脏腑功能、五行生克、经络循行等方面,肺胃二者联系密切,在《理虚元鉴》中也记载:“肺气一病,百病蜂起”,在重视脾胃气机升降的同时,从肺着手,注重脏腑同调,防治并举。因此基于“肺朝百脉主治节”理论探讨慢性萎缩性胃炎证治,旨在探寻CAG辨治的基本规律,以期为CAG的临床治疗提供思路和方法,更好地指导中医临床实践。
Abstract:
Chronic atrophic gastritis(CAC)mainly characterized by reduced atrophy of the gastric glands,can be attributed to the categories of gastric pain,gastric plague regurgitation in Chinese medicine.The disease is located in the stomach,which is a common digestive disease with various influencing factors.At this stage,the combination of Chinese and western medicine,or the direct use of Chinese medicine has become an inevitable trend in the treatment of CAG.Chinese medicine takes the overall concept as the guiding ideology in treating diseases,and it is recorded in the Yellow Emperor's Classic of Internal Medicine that “the lungs are in the direction of all the veins,and are the master of the joints”,and the lungs and the stomach are closely linked in terms of the functions of the internalorgans,the birth of the five elements,and the circulation of the meridians,and it is also recorded in the Lixu Yuanjian that when the lungs are sick,all diseases will rise up,in the importance of the spleen and stomach qi lifting and lowering at the same time,from the lungs,focusing on viscera and bowels of the same adjustment,prevention and treatment.Therefore,the discussion on the evidence and treatment of chronic atrophic gastritis based on the theory of the lungs face the hundred veins and the main treatment section aims to explore the basic rules of CAG treatment,with a view to providing a way of thinking and methodology for the clinical treatment of CAG.

参考文献/References:

[1] LI Y F,XIA R,ZHANG B,et al.Chronic atrophic gastritis:A review[J].Journal of Environmental Pathology,Toxicology and Oncology:Official Organ of The International Society for Environmental Toxicology and Cancer,2018,37(3):241-259.
[2] 朱永钦,朱永苹,黄连梅,等.慢性萎缩性胃炎中医病因病机和辨证分型的临床研究进展[J].中华中医药学刊,2017,35(2):322-325.
[3] 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.
[4] 彭君伟,周帆,方静,等.浅析叶天士从肺论治脾胃病经验[J].环球中医药,2018,11(11):1758-1760.
[5] 王传博,王婕琼,李泽庚,等.“肺朝百脉、主治节”理论探讨[J].中医杂志,2013,54(15):1341-1342.
[6] 李泽庚,王传博,彭波.肺主治节之我见[J].辽宁中医杂志,2010,37(1):59-60.
[7] 方莉,王传博,王婕琼,等.肺朝百脉主治节理论研究评述[J].中国中医基础医学杂志,2016,22(2):149-151,164.
[8] 陈万群,范青峰,李飞,等.益胃消瘀颗粒对慢性萎缩性胃炎血清胃功能的影响[J].现代医药卫生,2023,39(1):21-25.
[9] 杨冠军.补母泻子法穴位埋线治疗肺胃郁热型痤疮48例[J].中国民间疗法,2017,25(9):22-23.
[10] 何泮.胃系病从肺论治缘由初探[J].河南中医,2000,23(2):8-9.
[11] 王笛钇,康小玲,阚宇,等.经筋与经脉的差异性及其辨证论治思路的探讨[J].中医临床研究,2022,14(7):53-56.
[12] 唐元瑜,纪立金.以人为本谨防温病卫气营血传变的治疗思路[J].中华中医药志,2018,33(3):989-992.
[13] 黄玉燕,汤尔群.浅论中医疫病的三焦传变[J].时珍国医国药,2016,27(6):1442-1443.
[14] 王萍,唐旭东,卞立群,等.慢性萎缩性胃炎中医证候特征及辨证用药规律分析[J].中国中医药信息杂志,2008,15(12):92-93.
[15] 孔维枝,相宏杰,张海东,等.名中医曹志群基于“虚、瘀、毒”理论防治慢性萎缩性胃炎“炎、癌”转化经验[J].陕西中医,2023,44(10):1443-1447.
[16] 周松,赵家亮.肺胃同治法治疗肺系疾病经验举隅[J].山西中医,2022,38(6):5-7.
[17] 武小雷,孙钢.孙钢教授论治胃食管反流性咳嗽的临床经验[J].临床医学研究与实践,2019,4(13):145-146.
[18] KAWASHIMA K,LEE E B,HIRAI T,et al.Effects of crude platycodin on gastric secretion and experimental ulcerations in rats[J].Chem Pharm Bull(Tokyo),1972,20(4):755-758.
[19] 王荫三.刍议胃病从肺论治[J].新中医,1999,18(11):3-5.
[20] 杨锐平,林小靖,陶春晖,等.基于文献的慢性萎缩性胃炎中医证候特征及用药规律研究[J].世界中医药,2023,18(6):871-876.
[21] 刘晟,苟筱雯,赵林华,等.态靶辨证在肺胃热盛型糖尿病中的运用——白虎汤加黄连、桑白皮[J].辽宁中医杂志,2020,47(3):4-6.
[22] 景传庆,张伟.在“肺生血”理论下论“肝肺循环轴”与特发性肺纤维化[J].中医杂志,2019,60(16):1371-1373,1377.
[23] 林振吕,郑光威,张琳,等.蝎毒多肽对胃癌SGC-7901细胞侵袭转移的作用[J].中国临床药理学杂志,2016,32(13):1206-1209.
[24] 王鑫,盛文,商建伟,等.王沛教授在肿瘤治疗中九香虫的应用[J].世界中西医结合杂志,2018,13(12):1665-1668.
[25] 孙文斌.叶天士调气机法治胃病浅探[J].浙江中医药大学学报,2014,38(5):566-568.
[26] 王盼,刘文静,韩增银,等.刘启泉从肺论治慢性萎缩性胃炎经验[J].辽宁中医杂志,2021,48(3):22-24.
[27] 高尚社.国医大师周仲瑛教授治疗慢性萎缩性胃炎验案赏析[J].中国中医药现代远程教育,2013,11(3):4-6,14.
[28] 陈修圆.医学实在易[M].北京:中国中医药出版社,2006:6.
[29] 陈琦,赵亚硕,宋纪显,等.半夏厚朴汤通过抑制炎症反应改善CIH小鼠肺脏损伤的机制研究[J].世界科学技术-中医药现代化,2023,25(1):351-358.
[30] 田硕,许二平,武晏屹,等.体表机制:中药外治机制新思考[J].中华中医药杂志,2021,36(8):4433-4438.
[31] 高洁.胃蛋白酶原、胃泌素-17在慢性萎缩性胃炎中的表达及其与幽门螺杆菌感染相关性分析[J].陕西医学杂志,2019,48(1):131-134.
[32] 吴水清,黄建成,李达周,等.OLGA及OLGIM分期系统对1790例慢性萎缩性胃炎患者胃癌风险的评估价值[J].陕西医学杂志,2021,50(6):756-758.
[33] 晏露宁,汝触会,陈爱凤,等.基于PKA依赖cAMP信号介导肺胃SP表达探讨中医肺胃相关理论的机制研究[J].浙江中西医结合杂志,2022,32(11):997-1000,1007.

相似文献/References:

[1]王艳威,季 杰,巩子汉,等.半夏泻心汤加减治疗慢性萎缩性胃炎脾胃湿热证临床研究*[J].陕西中医,2020,(4):500.
 WANG Yanwei,JI Jie,GONG Zihan,et al.Clinical efficacy and safety evaluation of Banxia Xiexin decoction in the treatment of chronic atrophic gastritis of spleen-stomach damp-heat type[J].,2020,(6):500.
[2]杨小静,陈 延△.香砂六君子汤治疗慢性萎缩性胃炎临床研究*[J].陕西中医,2020,(5):597.[doi:DOI:10.3969/j.issn.10007369.2020.05.012]
 YANG Xiaojing,CHEN Yan.The Second Clinical.Clinical study of Xiangsha Liujunzi decoction on chronic atrophic gastritis[J].,2020,(6):597.[doi:DOI:10.3969/j.issn.10007369.2020.05.012]
[3]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,(6):793.[doi:DOI:10.3969/j.issn.10007369.2020.06.026]
[4]周小娟,魏凯善,李 讯,等.从“肺朝百脉”论糖尿病周围神经病变[J].陕西中医,2021,(11):1591.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.022]
 ZHOU Xiaojuan,WEI Kaishan,LI Xun,et al.A preliminary study of “Lung and lotaustralin” on diabetic peripheral neuropathy[J].,2021,(6):1591.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.022]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年基金资助项目(81403326); 山东省自然科学基金资助面上项目(ZR2022MH149); 齐鲁医派中医学术流派传承项目(2022-02-038); 山东省高等学校科技计划项目(J18KA253); 针灸防治胃肠疾病研究青年科研创新团队建设项目(2020-54-18)
更新日期/Last Update: 2024-06-11