马贵同辨治慢性萎缩性胃炎经验

Professor Ma Guitong's Experience in Treating Chronic Atrophic Gastritis on Syndrome Differentiation

介绍马贵同教授辨治慢性萎缩性胃炎的临床经验。慢性萎缩性胃炎的发生多与素体虚弱、外邪入侵、饮食不节、七情过极、劳倦过度等有关;脾胃虚弱多为本病的发病基础,基本病机为脾失健运,中焦气机阻滞,久则由气及血。治疗应通补兼施,标本兼顾;合理运用活血化瘀药;注重情志和饮食调理。

This paper introduced professor Ma Guitong＇s experience in the treatment of chronic atrophic gastritis. It is argued that chronic atrophic gastritis is associated with debility, attack of exogenous pathogens, improper diet, emotional stress and exhaustion. The basic pathogenesis is failure of spleen in governing transportation and transformation, qi stagnation of middle energizer, and qi disease involving blood. Deficiency of spleen and stomach is the base of the pathogenesis. According to the long duration and complex symptoms of chronic atrophic gastritis, professor Ma advances reinforcement and elimination in combination, simultaneous treatment of principal and subordinated symptoms, reasonable use of agents promoting circulation and removing stasis, regulating spleen and stomach through emotion and diet in the treatment.