[1]易涵,丁小萌,尹建华,等.名中医戈焰基于“肝胃同病”论治岭南地区慢性非萎缩性胃炎经验[J].陕西中医,2025,46(6):831-834.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.023]
　YI Han,DING Xiaomeng,YIN Jianhua,et al.Experience of renowned TCM expert GE Yan in treating chronic non-atrophic gastritis in lingnan region based on the “liver-stomach comorbidity” theory[J].,2025,46(6):831-834.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.023]
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名中医戈焰基于“肝胃同病”论治岭南地区慢性非萎缩性胃炎经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年6期
页码:
831-834
栏目:
名中医经验
出版日期:
2025-06-05

文章信息/Info

Title:
Experience of renowned TCM expert GE Yan in treating chronic non-atrophic gastritis in lingnan region based on the “liver-stomach comorbidity” theory
作者:
易涵1; 丁小萌1; 尹建华2; 戈焰2; 陈垚2
（1.广州中医药大学，广东 广州 510405；2.广东省第二中医院，广东 广州 510095）
Author(s):
YI Han1; DING Xiaomeng1; YIN Jianhua2; GE Yan2; CHEN Yao2
（1.Guangzhou University of Chinese Medicine，Guangzhou 510405，China；2.Guangdong Second Traditional Chinese Medicine Hospital，Guangzhou 510095，China）
关键词:
慢性非萎缩性胃炎; 慢性浅表性胃炎; 肝胃同病; 岭南地区; 补虚; 开郁
Keywords:
Chronic non-atrophic gastritis; Chronic superficial gastritis; Concurrent liver-stomach disorders; Lingnan region; Tonifying deficiency; Resolving depression
分类号:
R 573.32
DOI:
DOI:10.3969/j.issn.1000-7369.2025.06.023
文献标志码:
A
摘要:
慢性非萎缩性胃炎（CNAG）在岭南地区的核心病机为脾虚肝郁、湿热滞胃。名中医戈焰在岭南临证多年，基于“肝胃同病”理论，提出“补虚开郁、清胃祛湿”的治法，并将CNAG分为以下三种证型：脾胃虚弱证、肝气郁结证、湿热滞胃证，治疗上，脾胃虚弱证以香砂六君子汤为基础，重用党参、白术、黄芪健运中焦；肝气郁结证以四逆散为核心，配伍柴胡、白芍疏肝和胃；湿热滞胃证则加用岭南特色草药救必应、蒲公英、火炭母清胃祛湿。戈焰老师紧扣岭南湿热气候及饮食特点，通过补虚开郁，清胃祛湿能显著改善CNAG症状。戈焰老师立足“病机-证型-治法”一体化诊疗模式，结合地域特色用药，临床疗效确切，为岭南地区CNAG的治疗提供了学术经验。
Abstract:
Chronic non-atrophic gastritis (CNAG) in Lingnan region is primarily attributed to spleen deficiency with liver depression and dampness-heat retention in the stomach.Renowned TCM expert GE Yan,guided by the “Concurrent Liver-Stomach Disorders” theory,advocates a therapeutic strategy of “tonifying deficiency,resolving depression,clearing heat,and eliminating dampness”,tailored to three syndrome patterns:spleen-stomach deficiency treated with Xiangsha Liujunzi decoction (emphasizing codonopsis,atractylodes,and astragalus);liver qi depression managed by Sini powder combined with bupleurum and white peony;dampness-heat retention addressed by lingnan-specific herbs like jiubiying,dandelion,and huotanmu.This approach integrates regulation of Liver-stomach qi dynamics and elimination of pathogens while reinforcing healthy qi,aligning with Lingnan’s dampness-heat climate and dietary habits.Renowned TCM expert GE’s “Pathogenesis-Syndrome-Treatment” model,enriched by regional herbology,offers a clinically validated and replicable framework for CNAG management,highlighting the synergy of classical theory and geographical adaptation in TCM practice.

参考文献/References:

[1]李军祥,陈誩,吕宾,等.慢性萎缩性胃炎中西医结合诊疗共识意见(2017年)[J].中国中西医结合消化杂志,2018,26(2):121-131.
[2]DU Y,BAI Y,XIE P，et al.Chronic gastritis in China:A national multi-center survey[J].BMC Gastroenterol,2014,14(1):1-9.
[3]GATTA L，VAKIL N，VAIRA D.Global eradication rates for helicobacter pylori infection:Systematic review and meta-analysis of sequential therapy[J].BMJ,347(71):1-14.
[4]中华医学会消化病学分会.第六次全国幽门螺杆菌感染处理共识报告（非根除治疗部分）[J].胃肠病学,2022,27(5):289-304.
[5]FAN T,SUN Q,CAO S,et al.Clinical outcomes of early gastric cardiac cancer treated with endoscopic submucosal dissection in patients with different indications[J].BMC Gastroenterol,2021,21(1):119.
[6]佚名.灵枢经[M].北京：中国中医药出版社，2006:28.
[7]唐旭东,王凤云,张声生,等.消化系统常见病慢性非萎缩性胃炎中医诊疗指南(基层医生版)[J].中华中医药杂志,2019,34(8):3613-3618.
[8]房静远,杜奕奇,刘文忠,等.中国慢性胃炎诊治指南(2022年,上海)[J].胃肠病学,2023,28(3):149-180.
[9]黄远程,黄超原,梁怀枫,等.慢性非萎缩性胃炎与慢性萎缩性胃炎证候、证素分布规律文献研究[J].中医杂志,2019,60(16):1417-1422.
[10]叶天士.临证指南医案[M].北京：人民卫生出版社，2006：123-264.
[11]文达良,苏晶.岭南地理气候环境及体质特点与温病关系的研究[J].中国中医基础医学杂志,2010,16(4):276-277.
[12]刘斌斌,胡运莲,林敏,等.幽门螺杆菌感染与中医“湿热生虫”关系的研究[J].中国中医基础医学杂志,2019,25(8):1094-1096.
[13]林国清,柯晓,周凡,等.HP感染隆起糜烂性胃炎脾胃湿热证与CagA、VacA的相关性研究[J].福建中医学院学报,2010,20(1):45-47.
[14]曾洪灏,钟毅.邱健行治疗幽门螺旋杆菌感染胃炎经验[J].陕西中医,2023,44(1):108-111.
[15]吴仪洛.本草从新[M].上海:上海科学技术出版社,1982:36.
[16]张元素.医学启源[M].北京：中国中医药出版社,2019:248.
[17]陈士铎.本草新编[M].北京：中国医药科技出版社，2011:129-132.
[18]黄元御,麻瑞亭,孙洽熙.玉楸药解[M].北京：人民卫生出版社,2024：217.
[19]佚名.神农本草经[M].北京：学苑出版社，2008：215-216.
[20]叶天士.本草经解[M].北京：学苑出版社，2011:86.
[21]贾所学,卢星,李绍林,等.药品化义[M].北京:中国中医药出版社,2015：29.
[22]严洁.得配本草[M].北京：人民卫生出版社，2007：32.
[23]梁欣仪.岭南中药救必应胃肠黏膜损伤修复作用机制研究[D].广州：广州中医药大学,2021.
[24]周学东,陈艳,林瑞.蒲公英炮制中总黄酮含量变化及对胃炎治疗分析[J].世界中医药,2020,15(23):3612-3616.
[25]李翰嵩,贾纯亮,梁磊,等.蒲公英甾醇通过NOD1/NF-κB通路对HP相关性胃炎脾胃湿热证小鼠改善作用研究[J].中医药导报,2021,27(11):25-29.

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备注/Memo

备注/Memo:
第七批全国老中医药专家学术经验继承项目[国中医药人教函(2022)76号]；广东省中医药局科研项目（20231023);广东省第二中医院“拔尖人才”计划项目[粤二中医院党(2024)46号]
更新日期/Last Update: 2025-06-09