王捷虹教授运用半夏泻心汤治疗慢性萎缩性胃炎经验总结

Professor Wang Jiehong's Experience of Treating Chronic Atrophic Gastritis by Banxia Xiexin Decoction

王捷虹教授一直从事慢性萎缩性胃炎的研究,认为慢性萎缩性胃炎病机多属于本虚标实之证。其致病多因湿热之邪,蕴结于胃,灼伤胃阴,阴液不足,胃黏膜腺体失养,故出现腺体萎缩、黏膜变薄;气阴两虚日久致胃络瘀阻,瘀久则出现肠化、增生,临床主张用辛开苦降之半夏泻心汤加减治疗CAG,往往取得较好的疗效。

Professor Wang Jiehong has been engaged in chronic atrophic gastritis research and believes the pathogenesis of the disease mostly belongs to the syndrome of asthenia in origin and asthenia in superficiality.The disease is usually acquired due to damp-heat pathogen,stagnation of pathogenic dampness and heat in the stomach,ambustion of the stomach-yin,deficiency of yin-fluid as well as gland dystrophy of gastric mucosa.Thus gland atrophy and mucosal thinning occur,and long time of deficiency of both qi and yin leads to blood stasis in stomach collaterals,while long time of stasis leads to intestinal metaplasia and hyperplasia.Modified Banxia Xiexin decoction processed by Xinkai Kujiang method is recommended clinically to treat CAG since it usually achieved good curative effect.