[1]王素盈,马佳乐,索卓群,等.名中医李慧臻内外并治分期辨治慢性萎缩性胃炎经验[J].陕西中医,2025,46(2):245-249.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.021]
　WANG Suying,MA Jiale,SUO Zhuoqun,et al.Professor LI Huizhen's experience in treating chronic atrophic gastritis by internal and external stages[J].,2025,46(2):245-249.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.021]
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名中医李慧臻内外并治分期辨治慢性萎缩性胃炎经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年2期
页码:
245-249
栏目:
名中医经验
出版日期:
2025-02-05

文章信息/Info

Title:
Professor LI Huizhen's experience in treating chronic atrophic gastritis by internal and external stages
作者:
王素盈1; 马佳乐2; 索卓群1; 胡鑫海1; 李慧臻2; 赵双梅2
(1.天津中医药大学,天津 300193; 2.天津中医药大学第二附属医院,天津 300250)
Author(s):
WANG Suying1; MA Jiale2; SUO Zhuoqun1; HU Xinhai1; LI Huizhen2; ZHAO Shuangmei2
(1.Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China; 2.The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China)
关键词:
慢性萎缩性胃炎;  临证经验;  分期辨治;  内外并治;  半夏泻心汤
Keywords:
Chronic atrophic gastritis;  Clinical experience;  Differentiation and treatment by stages;  Internal and external treatment;  Banxia Xiexin decoction
分类号:
R 573.3
DOI:
DOI:10.3969/j.issn.1000-7369.2025.02.021
文献标志码:
A
摘要:
慢性萎缩性胃炎是病情缠绵难愈的临床常见的消化系统疾病,肠上皮化生和异型增生常合并出现,严重威胁患者的身体健康。名中医李慧臻经过长期的临床实践,结合多年经验和相关研究,形成了独特有效的学术思想,认为其病程迁延难愈,脾胃虚损贯穿病程始终,夹杂湿热,血瘀等邪实,其病机错综复杂。在治疗上强调根据病情的不同阶段,精准施治,内外结合,以达到调和脾胃功能、清除病邪的治疗效果。共分为三期辨治:初期治以健脾疏肝,补泻并用; 中期治以清热利湿,寒热平调; 后期治以活血化瘀,祛瘀生新,同时强调中医外治疗法的重要作用,中医外治疗法配合中药可以有效提高临床疗效。
Abstract:
Chronic gastritis refers to chronic inflammation of gastric mucosa caused by multiple factors,and is a common clinical disease caused by multiple factors such as infection with Helicobacterpylori,bile reflux,drugs and autoimmunity.According to the Sydney systematic classification method,chronic gastritis is divided into two types:non-atrophic gastritis and chronicatrophicgastritis.CAG is usually characterized by atypical and non-specific symptoms,mainly including abdominal pain,fullness,belching,loss of appetite,etc.Cag is often accompanied by gastric mucosa and intestinal metaplasia and dysplasia over time,which is a kind of precancerous lesion of gastric cancer.Chinese medicine has unique advantages in the treatment of this disease,Professor LI Huizhen is the national outstanding clinical talents of traditional Chinese medicine,has many years of experience in clinical,teaching and scientific research,is good at “internal and external treatment” of a variety of digestive system diseases,has a wealth of clinical experience and unique academic ideas in the prevention and treatment of CAG.

参考文献/References:

[1] BANKS M,GRAHAM D,JANSEN M,et al.British society of gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma[J].Gut,2019,68(9):1545-1575.
[2] SIPPONEN P,PRICE A B.The sydney system for classification of gastritis 20 years ago[J].J Gastroenterol Hepatol,2011,26(1):31-34.
[3] 林意珊.自拟百丹胃萎汤治疗慢性萎缩性胃炎的临床疗效[J].保健医学研究与实践,2023,20(2):80-82.
[4] 李春深.黄帝内经[M].天津:天津科学技术出版社,2017:427.
[5] 马佳乐,李慧臻.中医治疗慢性萎缩性胃炎研究进展[J].陕西中医,2019,40(11):1646-1648.
[6] 孙一奎,韩学杰,张印生.医旨绪余[M].北京:中国中医药出版社,2008:144.
[7] 曲永龙,任亮,张玉苹.《脾胃论》学术构架探析[J].中华中医药杂志,2024,39(2):652-655.
[8] 张效科,丁纪茹,周强,等.叶天士治疗脾胃病学术思想浅析[J].陕西中医药大学学报,2020,43(3):42-45.
[9] 张凤芹,白光.幽门螺杆菌相关性胃病从“毒、郁”论治[J].辽宁中医杂志,2015,42(7):1244-1245.
[10] 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,2024,45(2):244-247.
[11] 陈泽慧,杨晋翔,韩海啸,等.慢性萎缩性胃炎患者出生季节与体质类型分布规律的相关性分析[J].中华中医药杂志,2018,33(1):359-361.
[12] 尤怡,张印生.金匮翼[M].北京:中医古籍出版社,2003:253.
[13] 杜亮,吴学勇,吴伟.慢性萎缩性胃炎与胃镜、胃黏膜病理及幽门螺旋杆菌感染的相关性研究[J].陕西医学杂志,2017,46(12):1676-1677.
[14] 唐宗海,魏武英,李佺.血证论(典藏版)[M].北京:人民卫生出版社,2017:267.
[15] 门前坤,李慧臻.半夏泻心汤治疗慢性萎缩性胃炎的临床研究进展[J].中国中医药现代远程教育,2017,15(7):142-144.
[16] 叶春荣,邹声颖,付肖岩,等.慢性萎缩性胃炎伴上皮内瘤变人群中医体质分布研究[J].中国中西医结合杂志,2021,41(8):907-911.
[17] 南京中医学院.伤寒论[M].上海:上海科学技术出版社,2018:262.
[18] 李苗苗,李慧臻,马佳乐,等.李慧臻运用半夏泻心汤治疗胃癌前病变经验[J].湖北中医杂志,2021,43(5):30-33.
[19] 殷静,易晋宇,徐波,等.血瘀理论与慢性萎缩性胃炎的诊治[J].中华中医药学刊,2019,37(3):624-627.
[20] 钱超尘,孙思邈撰,沈澍农,等.中华养生经典:千金方、千金翼方[M].北京:中华书局,2013:314.
[21] 王婷,王海燕,富文俊.不同针灸疗法治疗慢性萎缩性胃炎效果的网状Meta分析[J].中国全科医学,2024,27(23):2913-2920.
[22] 吴灿,邓行行,罗燕文,等.针灸联合加味香砂六君子汤对脾胃虚弱型慢性萎缩性胃炎中医证候、组织学及疗效的影响[J].中华中医药学刊,2022,40(7):185-188.
[23] 王小花,徐彦龙.中医特色灸法治疗慢性萎缩性胃炎临床研究进展[J].亚太传统医药,2023,19(3):244-248.
[24] 王萍,卞立群,杨倩,等.慢性胃炎中医诊疗专家共识(2023)[J].中华中医药杂志,2023,38(12):5904-5911.

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备注/Memo

备注/Memo:
[基金项目]国家自然科学基金资助面上项目(82274442)
更新日期/Last Update: 2025-02-08