摘要
胃癌是中国恶性肿瘤中最常见的类型，其发病率和死亡率居我国消化系统恶性肿瘤之首，严重威胁着人们的身体健康和生命安全。胃癌前病变是较易转变为癌组织的病理学变化。从病因病机、分型论治、各家发挥、辨病论治的角度阐述了中医药对胃癌前病变的认识。认为胃癌前病变为本虚标实之证，本虚以脾胃气虚和／或阴虚为主，标实以胃络瘀血、毒损胃络为主；目前辨证论治多分为3～5型；现代中医各家对本病的认识各有侧重；有些医家根据特异性的病理变化选用针对性药物进行治疗。对中医药研究胃癌前病变中存在的问题进行了分析，并对今后的研究进行了展望。
Gastric cancer is one of the most common malignant tumors in China and has the highest incidence and mortality, which is a serious threat to people＇ s health and life safety. Precancerous lesions of gastric cancer （PLGC） are kind of pathological changes being easily transformed into cancer. The paper expounded the cognition of TCM on PLGC from the angles of etiology, pathogenesis, classification, views of different schools, disease differentiation and treatment. The authors thought that PLGC are the syndrome of deficiency in the root and excess in the tip. The deficiency in the root shows as spleen-stomach qi deficiency and/or spleen-stomach yin deficiency,and excess in the tip shows as blood stasis in stomach collateral and toxin damaging stomach collateral. The syndrome differentiation and treatment divides PLGC into three to five types. Different TCM physicians have various opinions and select various medicinals for treating the disease according its specific pathological changes. The problems existing in the research on PLGC were analyzed and future studies were prospected in the paper.
出处
《北京中医药大学学报（中医临床版）》
2013年第1期7-11,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(No.81173232)
关键词
胃癌前病变
中医药
述评
gastric precancerous lesions of gastric canaer
Chinese medicine
review
