基于“阳明燥土,得阴自安”探讨慢性萎缩性胃炎

Discussion on Chronic Atrophic Gastritis Based on"Yangming Zaotu,Deyin Zian"

慢性萎缩性胃炎是由慢性胃炎发展而来,病程较长,易从阳化热,受肝郁、湿热、瘀热等病理因素影响,皆可灼伤胃阴,引起胃阴亏虚证,影响脾胃之气,进一步促进慢性萎缩性胃炎的发生、发展。治疗当以甘寒养胃、养阴生津之品恢复胃气,药性以甘、寒、凉、润为主,采用凉润通降法,常用方剂沙参麦冬汤、益胃汤。

Chronic atrophic gastritis(CAG)is developed from chronic gastritis.It has a long course and is easy to change from yang to heat.Affected by liver depression,damp-heat,stasis-heat and other pathological factors,it can damange stomach yin,cause deficiency of stomach yin syndrome,affect the qi of spleen and stomach,and further aggravate the occurrence and development of CAG.The treatment should be based on the medicine of nourishing stomach and nourishing yin and invigorating the stomach qi.The medicine properties are mainly sweet,cold,cool and moist.The method of Liangrun Tongjiang is adopted.The commonly used prescriptions are Shashen Maidong Decoction and Yiwei Decoction.