利胆和胃方加减治疗胃癌前病变经验总结

Experience in treating gastric precancerous lesions with the Lidan Hewei decoction

胃癌是常见的恶性肿瘤之一,而胃癌前病变(Precancerous Lesions of Gastric Cancer,PLGC)则是一种胃黏膜癌变前状态,常与慢性萎缩性胃炎伴见,可经胃镜及病理学检查确诊。由于其癌变可能,患者在确诊后十分恐慌,所以也受到众医家的广泛重视。中医认为本病证属本虚标实,众医家对本病的病机各执己见。文章从脾胃虚弱、瘀血阻络病机论治,予利胆和胃方经加减以健脾和胃、活血通络,在临床治疗PLGC中发挥一定的疗效。

Gastric cancer is one of the common malignant tumors,and the gastric precancerous lesion is a kind of precancerous states,often with chronic atrophic gastritis,can be diagnosed by gastroscopy and pathology.Because of its canceration may,the patient is very panic after the diagnosis,therefore it also receives the public doctor’s widespread attention.TCM believes that the syndrome of the disease is Ben-deficiency Biao-excess(本虚标实),and the doctors have their own opinions on the pathogenesis of the disease.This article will be treat the disease from the pathogenesis of the spleen and stomach weakness,blood stasis obstruction.The Lidan Hewei decoction(利胆和胃方)was used to invigorate the spleen and stomach,promoting blood circulation,and gained a certain effect in the clinical treatment of precancerous lesions of gastric cancer.