慢性胃炎证型及胃黏膜表现研究概况

Overview of Performance on Chronic Gastritis Syndrome and Gastric Mucosa

慢性胃炎(chronic gastritis,CG)病因多为脾胃虚弱、感受外邪、情志失调,终致中焦气机不利,升降失司,不能受纳腐熟水谷。脾胃气虚是发病基础,脾胃气虚则气血生化无源,免疫力低下,易感毒及产生瘀血、食滞、痰饮等病理产物,致脏腑气机失调,经脉不通,局部组织失养而形成慢性炎症。张仲景根据"按之不痛为虚,痛者为实"原则辨其虚实,确定证治大法。辨证分型主要有脾胃虚弱、脾胃虚寒、寒邪客胃、饮食伤胃、肝郁气滞、肝气犯胃、肝胃不和、肝胃郁热、湿热中阻、瘀血停胃、胃阴亏耗等。胃镜下黏膜表现作为中医望诊延伸,是辨证分型的物质基础,各证型和胃黏膜变化之间有一定内在联系。对CG病因病机、辨证分型、辨证治疗及证型与胃镜下黏膜表现的相关性等方面概括,表明结合内镜下微观辨证对诊治CG具有明显优势,为临床处方用药提供依据。

The etiology of chronic gastritis（CG）is weakness of spleen and stomach, feel the evils, emotional disorders. The final result is the middle energizer qi depression, lifting dysfunction, not receivingdigestin g food. The spleen and stomach qi deficiency is the basic factor in the pathogenesis of CG. The syndrome differentiation are mainly deficiency cold of spleen and stomach,cold evil guest stomach, diet hurt a stomach, liver qi stagnation, liver stomach disharmony, heat resistance, bl- ood stasis to stop the stomach, stomach yindepletion etc. Endoscopic mucosal manifestations as traditional Chinese medic- ine extension, The performance of the gastric mucosa under gastroscopy is the material basis of syndrome differentiation There is a certain internal relationship between different TCM Syndrome Typesand the change of gastric mucosa. Through to the CG pathogenesis, syndrome differentiation, treatment based on syndrome differentiation and syndrome type and en- doscopic mucosalmanifestations summarized correlation etc., Show that the combination of Endoscopic Micro differentiat- ion has obvious advantages in the diagnosis and treatment of CG to provide the basis for clinical prescription.