基于络病理论探析慢性萎缩性胃炎的中医病机

Exploration and Analysis on Chinese Medicine Pathology of Chronic Atrophic Gastritis Based on Collateral Disease Theory

络病理论是中医学重要的病机学说。基于络病理论探讨慢性萎缩性胃炎(CAG)的中医病机,提出了"脾虚络阻毒损"为CAG的基本病机,"脾虚""络阻""毒损"是CAG病机演变中的基本因素,多表现为脾胃亏虚→胃络瘀阻→毒损胃络的病机演变规律。其中脾胃亏虚是CAG的始动因素、发病之本;胃络瘀阻是CAG致病的关键条件;毒损络脉是CAG发展为癌前病变的重要因素。本病的表现较为符合络病发病的特点,通过络病理论可以更好地阐明CAG的病机特点,更加深入了解CAG的病机演变规律。

Collateral disease theory is an important pathological doctrine of Chinese Medicine. This paper explored Chinese medicine pathology of chronic atrophic gastritis （CAG） based on collateral disease theory. It raised that ＂ spleen-deficiency, collateral-stagnation, toxin-injury＂ is the basic pathogenesis of CAG, and ＂ spleen- deficiency , ＂collateral-stagnation＂, toxin-injury are the fundamental factors of pathogenesis developing of CAG, mostly manifesting as the developing rule of spleen and stomach deficiency to gastric collateral stagnation, and then to toxin harming collateral. Among those, spleen and stomach deficiency is the initial factor and morbidity root; gastric collateral stagnation is the key condition of CAG causing disease; toxin harming collateral is the important factor of CAG developing into precancerous lesions. The manifestation of this disease relatively fits the feature of collateral diseases. Through collateral disease theory, the pathological feature of CAG can be better clarified, and the pathological developing rule of CAG can be understood more deeply.