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基于络病理论探析慢性萎缩性胃炎由痞到积的病理演变 被引量:15

Pathological Evolution of Chronic Atrophic Gastritis from Pi to Ji Based on Collateral Disease Theory
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摘要 基于络病理论,将慢性萎缩性胃炎归属于胃络病范畴,从络病学角度出发阐述慢性萎缩性胃炎的病机为"胃络瘀阻,胃阴亏虚"。胃络瘀阻为导致慢性萎缩性胃炎发病之根本,病程后期脏腑失于濡养,胃阴亏虚为慢性萎缩性胃炎由痞至积、病情加重的主要原因。导师姜树氏教授根据多年临床经验,基于络病理论,结合慢性萎缩性胃炎发病特点及微观辨证学具体情况辨证论理,以"散瘀通络、畅达中焦,滋阴补虚、和胃宁络,开瘀散结、消坚化积"为基本治疗原则,并取得了显著疗效,为慢性萎缩新胃炎提供了新的诊疗思路和理论依据。 The chronic atrophic gastritis belongs to the category of stomach collaterals based on the theory of collateral disease. Pathogenesis of chronic atrophic gastritis is "Stomach collaterals blood stasis,Stomach yin deficiency"from the perspective of collateral disease. Stomach collaterals blood stasis is the root cause of chronic atrophic gastritis,in the late stage of the disease,viscera loss in nourishing,stomach yin deficiency is the main cause of condition aggravation from"pi"to "ji ". On the basis of pathogenesis,treatment based on the theory of collateral disease,combined with the specific circumstances of microcosmic dialectical differentiation,establish the principle of treatment is "Dispersing blood stasis in collaterals to fluent""Nourishing collaterals in stomach and yin deficiency""Dispersing accumulation",providing a new way of thinking and theory for the treatment of chronic atrophic gastritis.
作者 曹奇 姜树民
出处 《中国中医基础医学杂志》 CSCD 北大核心 2017年第9期1205-1207,共3页 JOURNAL OF BASIC CHINESE MEDICINE
关键词 慢性萎缩性胃炎 病理演变 胃络瘀阻 胃阴虚损 Chronic atrophic gastritis pathological evolution stomach collaterals blood stasis
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