基于“治未病”思想就疏肝和胃法对慢性萎缩性胃炎治疗防变作用的理论机制探讨

Investigation Based on Preventive Treatment of Disease to Theoretical Mechanism of Effect of Dispersing Stagnated Liver Qi for Regulating Stomach on Chronic Atrophic Gastritis

文章就疏肝和胃法对慢性萎缩性胃炎(CAG)的治疗防变作用从中医发病学、理论基础和实践依据、疗效作用、防变机制等4个方面,进行了理论分析和探讨。认为中医肝郁导致肝胃不和的病机变化是胃黏膜萎缩发生和发展的前提条件之一,疏肝和胃法作为治疗CAG主要治法之一,其发挥的治疗作用及对胃黏膜萎缩进一步发展变化的"防变"作用,亦基于中医"治未病"思想,且有其理论基础和实验依据。

In this paper, we theoretically analyzed and investigated how the therapy of dispersing stagnated liver qi tor regulating stomach influences on the treatment and prevention of chronic atrophic gastritis in four aspects, which are TCM pathogenesis, theoretical and practical basis, efficacy, and anti - change mechanism. We considered the mechanisms of disharmony of liver and stomach caused by liver Qi stagnation is one of the prerequisites for further development on gastric mucosal atrophy. As one of the main treatment method, dispersing stagnated liver qi for regulating stomach is also based on the ideology of preventive treatment of disease, which has the theoretical and practical basis on the anti - change for gastric mucosal atrophy; thereby it plays a therapeutic role in CAG.