摘要
徐陆周认为慢性糜烂性胃炎病因病机:早期以湿热为主,脾虚为辅;中期本以脾虚为主,尤其是脾气虚,标以湿热;后期以气阴两虚为主,夹杂湿热、血瘀、阳虚等。该病的发生发展是湿热之邪耗伤脾胃气阴的一个过程。治疗早期强调清化湿热,并贯穿辨治始终;中期以健脾调气为主,兼清化湿热;后期注重益气养阴,不忘清化湿热、活血化瘀、温阳化湿等,谨防癌变。另外,徐陆周在运用加味芩蒲饮三期序贯辨治慢性糜烂性胃炎中,强调调护饮食和调畅情志,临证时注重与患者沟通,引导患者认清疾病本质,改变不良生活习惯,重视生活调摄,消除不良情绪,保持乐观态度,努力做到适应自然,避其邪气;调摄精神,内养真气;饮食有节,谨和五味;劳逸结合,不可过劳;和于术数,适当调补。
Professor Xu Lu-zhou believes that the etiology and pathogenesis of chronic erosive gastritis are as follows:damp-heat is the main pathogen in the early stage,spleen deficiency is the supplement factor.Spleen deficiency is the main pathogen in the middle stage,especially spleen qi deficiency,marked by damp-heat.Qi-yin Deficiency is the main pathogen in the later stage,combined with damp-heat,blood stasis and yang deficiency,etc.The occurrence and development of this disease is a process of damp-heat damaging spleen,stomach,qi and yin.In the early stage,treatment emphasizes clearing away damp-heat,and syndrome differentiation runs through the whole treatment.In the middle stage,treatment mainly invigorates the spleen and regulates qi,and clears away damp-heat.In the later stage,treatment pays attention to nourishing qi and yin,combined with clearing away dampheat,activating blood circulation and removing blood stasis,warming yang and removing dampness,so on,so as to prevent cancer.Supplemented Qinpu Decoction with three-stage sequential therapy based on syndrome differentiation has a remarkable effect on chronic erosive gastritis.In the course of diagnosis and treatment,Professor Xu emphasizes the nursing of diet and mood,pays great attention to communicating with patients,guides patients to understand the nature of disease,and change bad habits,emphasizes life adjustment,eliminating bad moods,maintaining optimism,and striving to adapt to nature and avoid its evil spirit;regulating spirit,nourishing healthy qi;moderating diet,harmonizing five flavors;balancing work and leisure,avoiding overwork,adjusting the ways cultivate health,and nourishing properly.
作者
贝鸽
徐陆周
BEI Ge;XU Lu-zhou(Nanjing University of TCM,Nanjing,Jiangsu,China,210023;Affiliated Hospital of Nanjing University of TCM,Nanjing,Jiangsu,China,210029)
出处
《河南中医》
2019年第10期1507-1510,共4页
Henan Traditional Chinese Medicine
关键词
慢性糜烂性胃炎
三期序贯疗法
加味芩蒲饮
徐陆周
chronic erosive gastritis
three-stage sequential therapy
Supplemented Qinpu Decoction
Xu Lu-zhou
