傅汝梅微观辨证治疗慢性萎缩性胃炎经验

Endoscopic Microcosmic Syndrome Differentiation Treatment of Chronic Atrophic Gastritis by FU Rumei

傅汝梅教授认为慢性萎缩性胃炎可归属于中医“胃痞”、“胃痛”、“痞满”、“呃逆”等病证范畴,该病病机可以概括为“虚”、“毒”、“瘀”三方面,临床实践中,针对“脾虚络阻毒损”病机应用益气化瘀解毒方并结合胃黏膜微观辨证加减用药治疗慢性萎缩性胃炎,能显著改善胃黏膜组织病理学及内镜下微观征象,且有较好的抗幽门螺杆菌作用,临床疗效显著。

Chronic atrophic gastritis(CAG)can be summed up as“gastric ruffian”,“epigastric pain”,“stomach bilges”,“belching”and so on.Professor FU Rumei thinks its main pathogenesis is Qi deficiency,toxin and stasis,the effect of Chronic Atrophic Gastritis with Yiqi Huayu Jiedu Recipe and adding endoscopic microcosmic syndrome differentiation are favorable,can significantly relieves the degree of mucosal atrophy,intestinal meteplasia,dysplasia,mucosal lesions and microscopic signs under gastroscope.